An assessment of counseling quality provided by community pharmacies to type 2 diabetic adult patients for oral therapy: a simulated patient study from Pakistan

Endocrine journal

Muhammad Majid Aziz¹  Muhammad Ali Raza²  Imran Masood³  Shan Zhu⁴  Shimin Yang⁵ 

[1] Department of Pharmacy Administration and Clinical Pharmacy, School of Pharmacy, Xi’an Jiaotong University, Xi’an, P. R. China;Department of Pharmacy, Faculty of Pharmacy and Alternative Medicine, Railway Road Campus, Islamia University, Bahawalpur, Pakistan;Global Health Institute, Xi’an Jiaotong University, Xi’an, P. R. China;Shaanxi Center for Health Reform and Development Research, Xi’an, P. R. China;The Center for Drug Safety and Policy Research, Xi’an Jiaotong University, Xi’an, P. R. China

关键词: Counseling;    Type 2 diabetic patients;    Metformin;    Community pharmacies;    Pakistan;   

DOI  :  10.1507/endocrj.EJ18-0429

学科分类：内分泌与代谢学

来源: Japan Endocrine Society

【 摘 要 】

This study was conducted to assess quality of counseling provided to type 2 diabetic patients. For this cross-sectional study, a simulated patient method was applied in 562 selected community pharmacies of Punjab, Pakistan. A scenario for the metformin oral therapy was developed that illustrates direct counseling for adult diabetic patients. Counseling and communication skills were also assessed. Descriptive statistics and chi-square tests were used for analysis. Only 29.4% of simulated patients received medication counseling directly; 47.6% received it on request. About 32.8% of clients were referred to a physician without counseling. The most frequently provided information was dietary instruction (94.8%) and dose of therapy (84.5%). Only one quarter (25.3%) of simulated patients were asked about disease duration and similar rate (25.0%) was found for discussions of special warnings. The side effects, drug storage, drug–drug interactions and duration of therapy were ignored. Minimal information was provided about other medication during therapy (0.2%) and effect of medicine withdrawal (2.7%). About 59.5% simulated patients were instructed for compliance to medication. Counseling to type 2 diabetic patients in Pakistani community pharmacies is not very satisfactory. Pharmacies’ staff have little focus on counseling. Professional training of staff could improve counseling and communication skills.

【 授权许可】

Unknown