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Exploring the role of pharmacists in outpatient dialysis centers: a qualitative study of nephrologist views

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dc.contributor.authorSalgado, Teresa M.
dc.contributor.authorMoles, Rebekah
dc.contributor.authorBenrimoj, Shalom I.
dc.contributor.authorFernandez-Llimos, Fernando
dc.date.accessioned2013-08-27T10:28:24Z
dc.date.available2013-08-27T10:28:24Z
dc.date.issued2013
dc.date.updated2013-06-16T15:07:33Z
dc.description.abstractBackground Implementation of pharmacy services in dialysis centers seems to be limited and requires acceptance from nephrologists. The aim of this study was to explore the opinions of Australian and Portuguese nephrologists toward a potential future provision of clinical pharmacy services in outpatient dialysis centers. Methods A qualitative study using semistructured interviews was conducted with a purposeful sample of 7 Australian and 14 Portuguese nephrologists. The audiotaped interviews were transcribed verbatim and thematically analyzed. Results Three themes emerged from the analysis: ‘attitudes of nephrologists towards pharmacist involvement’, ‘types of pharmacy services’ and ‘consequences of implementation of pharmacy services’. Australian nephrologists showed positive attitudes and reported several pharmacy services that could be performed by pharmacists in dialysis centers, whereas Portuguese nephrologist views restricted pharmacists to administrative duties. In addition, Portuguese nephrologists showed concerns with professional boundaries and demonstrated lack of awareness and knowledge of pharmacist skills. Pharmacy services suggested by Australian nephrologists included medication review, medication reconciliation, medication history update, patient and staff education, patient compliance improvement and development and implementation of anemia protocols. Nephrologists expected economic benefits from the services implementation by minimizing the inappropriate use of drugs, avoiding medication errors, and reducing drug wastage due to noncompliance. Conclusions Australian and Portuguese nephrologists hold different views regarding the future provision of pharmacy services in outpatient dialysis centers. Acceptability seems to be related to a previous acquaintance with pharmacists and pharmacy services. Different health policies in the two countries that promote collaborative practice between physicians and pharmacists may also account for the differences.por
dc.description.sponsorshipFinancial support received as a Doctoral Grant (reference number SFRH/BD/43999/2008) from the Portuguese Foundation for Science and Technology [Fundaçao para a Ciencia e a Tecnologia, FCT] Ministry of Education and Science, Portugal.por
dc.identifier.citationSalgado, Teresa M.; Moles, Rebekah; Benrimoj, Shalom I.; Fernandez-Llimos, Fernando. Exploring the role of pharmacists in outpatient dialysis centers: a qualitative study of nephrologist views, NEPHROLOGY DIALYSIS TRANSPLANTATION, 28, 2, 397-404, 2013.por
dc.identifier.issn0931-0509
dc.identifier.urihttp://dx.doi.org/10.1093/ndt/gfs436
dc.identifier.urihttp://hdl.handle.net/10451/9016
dc.language.isoengpor
dc.peerreviewedyespor
dc.relationTHE ROLE OF PHARMACISTS´ CARE ON OUTPATIENTS UNDERGOING HAEMODIALYSIS
dc.relation.publisherversionhttp://ndt.oxfordjournals.org/content/28/2/397por
dc.subjectAustraliapor
dc.subjectDialysis centerspor
dc.subjectNephrologist opinionspor
dc.subjectPharmacistspor
dc.subjectPortugalpor
dc.titleExploring the role of pharmacists in outpatient dialysis centers: a qualitative study of nephrologist viewspor
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleTHE ROLE OF PHARMACISTS´ CARE ON OUTPATIENTS UNDERGOING HAEMODIALYSIS
oaire.awardURIinfo:eu-repo/grantAgreement/FCT//SFRH%2FBD%2F43999%2F2008/PT
oaire.citation.endPage404por
oaire.citation.startPage397por
oaire.citation.titleNEPHROLOGY DIALYSIS TRANSPLANTATIONpor
oaire.citation.volume28por
person.familyNameFernandez-Llimos
person.givenNameFernando
person.identifier554449
person.identifier.ciencia-idF716-B3AD-341A
person.identifier.orcid0000-0002-8529-9595
person.identifier.scopus-author-id56366491700
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsrestrictedAccesspor
rcaap.typearticlepor
relation.isAuthorOfPublication7787f062-8cd7-4a52-80a2-db5f49fd05ac
relation.isAuthorOfPublication.latestForDiscovery7787f062-8cd7-4a52-80a2-db5f49fd05ac
relation.isProjectOfPublication8134907c-ade5-4e0c-8ef4-cb9a7411f9c4
relation.isProjectOfPublication.latestForDiscovery8134907c-ade5-4e0c-8ef4-cb9a7411f9c4

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