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|Title: ||Asthma Services in Pharmacy and their Sustainability|
|Authors: ||HUGHES, Stephen John|
|Issue Date: ||9-Jan-2014|
|Publisher: ||University of Sydney, Pharmacy|
|Abstract: ||Introduction: Despite research showing cost effective positive outcomes for community pharmacy asthma services, there has been no wider practice translation. Studies show a structured asthma service by specially trained pharmacists, improves health outcomes significantly with pharmacist and patient satisfaction. Can these trained pharmacists incorporate the asthma service into daily practice, post-trial?
Aims: To investigate barriers to implementation and sustainability of an evidence-based asthma service and then create and trial a ‘practice-ready’ model.
Methods: Qualitative semi-structured interviews with 19 pharmacists from previous pharmacy asthma service trial 1.5-2 years post trial, exploring the nature of currently offered services and thoughts on barriers and future directions. Then, streamlining of original trial service template to be ‘practice ready’, then trialling in 10 patients for feasibility and acceptability. Post-service qualitative semi-structured patient interviews to explore experiences and preferences.
Results: The majority of interviewed pharmacists wanted to continue service provision however structural barriers (lack of professional support, remuneration and time) meant none had done so. Pharmacist self-reported improvement in clinical management of asthma patients post trial participation. ‘Practice ready’ template 50% shorter yet still acceptable.
Conclusion: Systemic barriers could not be modified but time related issues successfully addressed to benefit of pharmacists and policy makers.|
|Access Level: ||Access is restricted to staff and students of the University of Sydney . UniKey credentials are required. Non university access may be obtained by visiting the University of Sydney Library.|
|Rights and Permissions: ||The author retains copyright of this thesis. It may only be used for the purposes of research and study. It must not be used for any other purposes and may not be transmitted or shared with others without prior permission.|
|Type of Work: ||Masters Thesis|
|Type of Publication: ||Master of Philosophy M.Phil|
|Appears in Collections:||Sydney Digital Theses (University of Sydney Access only)|
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