Abstract
Objective
Suboptimal drug use in asthma patients is a common problem. Meeting the needs of patients and improving communication between healthcare professionals and patients are likely to induce better compliance to treatment. The contribution of community pharmacists, as healthcare professionals, to asthma care is often ignored.
The objective of this study was to assess community pharmacists’ understanding of asthma and to determine the perception of their role in asthma care in Turkey.
Methods
Two-hundred and fifty of the 20,133 community pharmacists in Turkey were selected as representing each city, and received questionnaires which, apart from demographic queries, asked for agreement or not with given statements.
Main outcome measure
General knowledge and perception of the pharmacists on their role in asthma management.
Results
174 Pharmacists completed the questionnaire. Although most (66%) were satisfied with their level of knowledge in their specialty, they reported lower levels of knowledge for asthma (52%) and a need for further education (80%). 65% Believed they play a critical role in asthma care, nearly 75% preferred to referent the patient to a physician rather than counsel the patient directly. Delivery of rescue medication without prescription was extensive (91% of pharmacists) and almost half had low expectation of the treatment in terms of disease control. Between 20 and 40% of the pharmacists did not find that they were sufficiently qualified in the handling of inhalers and in inhalation technique.
Conclusions
This national survey provides insight into community pharmacists’ perceptions by emphasizing their belief that they have a vital role in asthma care as both community leader and pharmacist. It also documents the need for further education and training. Improved communication and collaboration between healthcare professionals and pharmacists may contribute to improved asthma care.
Similar content being viewed by others
References
http://www.ginaasthma.com Global Initiative for Asthma. Global Burden of Asthma. Accessed March 8, 2005
Burney PG, Chinn S, Rona RJ. Has the prevalence of asthma increased in children? Evidence from the national study of health and growth 1973–86. BMJ 1990;300:1306–10.
Rabe KF, Adachi M, Lai CK, Soriano JB, Vermeire PA, Weiss KB, et al. Worldwide severity and control of asthma in children and adults: the global asthma insights and reality surveys. J Allergy Clin Immunol 2004;114:40–7.
Marshik P. Pharmacists and allergists: working together to improve the management of patients with asthma and allergies. J Am Pharm Assoc (Wash DC) 2003;43:439–40.
Civelek E, Sekerel BE. Management of childhood asthma: physicians’ perspective in Turkey. Pediatr Allergy Immunol 2004;15:372–5.
Sekerel BE, Saraclar Y, Ones U, Guneser S, Akcakaya N, Tanac R, et al. Childhood asthma perception in Turkey under real-life environment (CAPTURE) study. Pediatr Allergy Immunol 2001;12:266–73
Sekerel BE, Gemicioglu B, Soriano JB. Asthma insights and reality in Turkey (Airet) Study. Respir Med 2006;100(10):1850–4.
Bernsten C, Bjorkman I, Caramona M, Crealey G, Frokjaer B, Grundberger E, et al. Improving the well-being of elderly patients via community pharmacy-based provision of pharmaceutical care: a multicentre study in seven European countries. Drugs Aging 2001;18:63–77.
Hussainy SY, Beattie J, Nation RL, Dooley MJ, Fleming J, Wein S, et al. Palliative care for patients with cancer: what are the educational needs of community pharmacists? Support Care Cancer 2006;14(2):177–84.
Emmerton L, Shaw J, Kheir N. Asthma management by New Zealand pharmacists: a pharmaceutical care demonstration project. J Clin Pharm Ther 2003;28:395–402.
Weinberger M, Murray MD, Marrero DG, Brewer N, Lykens M, Harris LE, et al. Effectiveness of pharmacist care for patients with reactive airways disease: a randomized controlled trial. JAMA 2002;288:1594–602.
Stergachis A, Gardner JS, Anderson MT, Sullivan SD. Improving pediatric asthma outcomes in the community setting: does pharmaceutical care make a difference? J Am Pharm Assoc (Wash) 2002;42:743–52.
Moudgil H, Marshall T, Honeybourne D. Asthma education and quality of life in the community: a randomised controlled study to evaluate the impact on white European and Indian subcontinent ethnic groups from socioeconomically deprived areas in Birmingham, UK. Thorax 2000;55:177–83.
Herborg H, Soendergaard B, Froekjaer B, Fonnesbaek L, Jorgensen T, Hepler CD, et al. Improving drug therapy for patients with asthma–part 1: patient outcomes. J Am Pharm Assoc (Wash) 2001;41:539–50.
Kesten S, Zive K, Chapman KR. Pharmacist knowledge and ability to use inhaled medication delivery systems. Chest 1993;104:1737–42.
Vainio KK, Korhonen MJ, Hirvonen AM, Enlund KH. The perceived role and skills of pharmacists in asthma management after in-house training. Pharm World Sci 2001;23:6–12.
Basheti IA, Reddel HK, Armour CL, Bosnic-Anticevich SZ. Counseling about turbuhaler technique: needs assessment and effective strategies for community pharmacists. Respir Care 2005;50:617–23.
Acknowledgments
We are indebted to the pharmacists who gave of their time to complete the questionnaires and to Professor Fethi Sahin, Head of the Academy for Pharmacists of the Turkish Pharmacists’ Association, for providing data on pharmacists in Turkey. We are also grateful to Ceylan Denktasci, secretary, for her invaluable assistance.
Author information
Authors and Affiliations
Corresponding author
Appendix
Appendix
Key items of the questionnaire
Presented hereunder are statements about asthma disease/education/drugs. Please express your agreement or not with each statement according to the scale:
4—Strongly agree; 3—Agree; 2—Undecided; 1—Disagree; 0—Strongly disagree
Rights and permissions
About this article
Cite this article
Dizdar, E.A., Civelek, E. & Sekerel, B.E. Community pharmacists’ perception of asthma: a national survey in Turkey. Pharm World Sci 29, 199–204 (2007). https://doi.org/10.1007/s11096-006-9071-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11096-006-9071-1