An assessment of counseling quality provided by community pharmacies to type 2 diabetic adult patients for oral therapy: a simulated patient study from Pakistan
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- Aziz Muhammad Majid
- Department of Pharmacy Administration and Clinical Pharmacy, School of Pharmacy, Xi’an Jiaotong University, Xi’an, P. R. China The Center for Drug Safety and Policy Research, Xi’an Jiaotong University, Xi’an, P. R. China 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
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- Yang Shimin
- Department of Pharmacy Administration and Clinical Pharmacy, School of Pharmacy, Xi’an Jiaotong University, Xi’an, P. R. China The Center for Drug Safety and Policy Research, Xi’an Jiaotong University, Xi’an, P. R. China 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
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- Masood Imran
- Department of Pharmacy, Faculty of Pharmacy and Alternative Medicine, Railway Road Campus, Islamia University, Bahawalpur, Pakistan
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- Zhu Shan
- Department of Pharmacy Administration and Clinical Pharmacy, School of Pharmacy, Xi’an Jiaotong University, Xi’an, P. R. China The Center for Drug Safety and Policy Research, Xi’an Jiaotong University, Xi’an, P. R. China 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
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- Raza Muhammad Ali
- Faculty of Pharmacy, Bahauddin Zakariya University, Multan, Pakistan
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- Ji Wenjing
- Department of Pharmacy Administration and Clinical Pharmacy, School of Pharmacy, Xi’an Jiaotong University, Xi’an, P. R. China The Center for Drug Safety and Policy Research, Xi’an Jiaotong University, Xi’an, P. R. China 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
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- Anwar Naveed
- Department of Pharmacy, Quaid-i-Azam University, Islamabad, Pakistan
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- Saeed Amna
- Punjab University College of Pharmacy, University of the Punjab, Lahore, Pakistan
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- Fang Yu
- Department of Pharmacy Administration and Clinical Pharmacy, School of Pharmacy, Xi’an Jiaotong University, Xi’an, P. R. China The Center for Drug Safety and Policy Research, Xi’an Jiaotong University, Xi’an, P. R. China 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
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抄録
<p>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.</p>
収録刊行物
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- Endocrine Journal
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Endocrine Journal 66 (3), 233-239, 2019
一般社団法人 日本内分泌学会