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

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 dir...

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Bibliographic Details
Published in:ENDOCRINE JOURNAL 2019, Vol.66(3), pp.233-239
Main Authors: Aziz, Muhammad Majid, Yang, Shimin, Masood, Imran, Zhu, Shan, Raza, Muhammad Ali, Ji, Wenjing, Anwar, Naveed, Saeed, Amna, Fang, Yu
Format: Article
Language:eng ; jpn
Subjects:
Adult
Community pharmacies
Counseling
Counseling - standards
Diabetes
Diabetes mellitus
Diabetes Mellitus, Type 2 - drug therapy
Drug stores
Female
Health Care Surveys
Humans
Hypoglycemic Agents - therapeutic use
Male
Metformin
Pakistan
Patients
Pharmacies - standards
Pharmacy
Quality of Health Care
Statistical analysis
Training
Type 2 diabetic patients
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Summary: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.
ISSN:0918-8959
1348-4540
DOI:10.1507/endocrj.EJ18-0429