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Clinical relevance and implementation into daily practice of pharmacist-prescribed medication for the management of minor ailments

Clinical relevance and implementation into daily practice of pharmacist-prescribed medication for the management of minor ailments

Authors :
Amador-Fernández, N
Botnaru, I
Allemann, SS
Kälin, V
Berger, J
Amador-Fernández, N
Botnaru, I
Allemann, SS
Kälin, V
Berger, J

Abstract

<jats:p><jats:bold>Background:</jats:bold> Autonomous pharmacist prescribing was legally introduced in Switzerland in 2019 with the reclassification from prescription medication to pharmacist prescribing of 105 medications for sixteen indications. Its aim was to limit medical consultations and healthcare costs.</jats:p><jats:p><jats:bold>Objectives:</jats:bold> To evaluate the clinical relevance of the pharmacy prescribing medications compared to the over-the-counter medications (OTCs) and to evaluate its implementation into daily practice.</jats:p><jats:p><jats:bold>Methods:</jats:bold> A comparison was undertaken by clinical pharmacists to evaluate chemical and galenical equivalences between pharmacy prescribing medications and OTCs using compendium. ch and pharmavista. ch. Then, a scoping review was carried out in October 2021 to determine clinical relevance according to clinical guidelines’ recommendations. Clinical relevance was completed by determining if pharmacy prescribing medications were part of a homogeneous therapeutic class (no differences in efficacy and safety considered in clinical guidelines, but rather inter-molecular differences) that included an OTC medication. To identify the most clinically relevant pharmacy prescribing medications, first-line treatments were considered. The implementation into daily practice in Swiss community pharmacies was evaluated through an online questionnaire distributed via e-mail from the national pharmacists’ association and LinkedIn<jats:sup>®</jats:sup>. It included 15 questions divided in: pharmacy demographics, experience on pharmacy prescribing, use of prescribing medications and opinion about the them.</jats:p><jats:p><jats:bold>Results:</jats:bold> Of the 105 pharmacy prescribing medications, 20 (19.0%) were first-line treatments without OTC equivalences. Six of them were OTCs reclassified for safety reasons. Ten medications (9.5%) showed a negative clinical relevance (they were not first-line therapeutic opt

Details

Database :
OAIster
Publication Type :
Electronic Resource
Accession number :
edsoai.on1439668259
Document Type :
Electronic Resource