Pharmacy World & Science

, Volume 22, Issue 3, pp 102–108 | Cite as

Evaluation of the impact of pharmacist's advice giving on the outcomes of self-medication in patients suffering from dyspepsia

  • Hari Sven Krishnan
  • Marion Schaefer


The aim of this study was to investigate the outcomes of self-medication in patients suffering from dyspepsia by comparing changes in the Health related Quality of Life before and after self-medication of dyspeptic disorders. Another study objective was the quantitative and qualitative analysis of the pharmacist's advice-giving to patients with dyspepsia. Therefore the impact of the counselling by the pharmacist on the patient's health outcomes was surveyed and compared between study and control pharmacies. Moreover, the study analysed the influence of a special training on the services provided by the pharmacies with regard to self-medication.A beneficial effect of self-medication on the HRQoL of patients with dyspepsia on a weekly basis has been detected in the study. There is evidence that advice-giving and counselling by the pharmacists in self-medication have a measurable impact on self-medication outcomes. Moreover, the study reveals that patients value the information provided by the pharmacist. Pharmacists gathered the relevant and comprehensive information from the patients having dyspeptic symptoms and provided advice concerning OTC-drugs. Moreover, pharmacists frequently discussed the relevance of factors aggravating dyspeptic disorders such as lifestyle, drinking, smoking, and manner of nutrition with the patient. Training programs and treatment guidelines for the pharmacist seem to obtain a positive effect on his performance. The findings of the study substantiate the value of a pharmacist-controlled self-medication. The study results suggest that the quality of primary health care in self-medication would improve if pharmacists' involvement were even more intense.

Dyspeptic disorders Patient counselling by pharmacists Outcomes of self-medication 


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  1. 1.
    Reinstein, J.; Marketing Medicines for Self-Medication; Journal of Pharmaceutical Marketing and Management; 10(2/3);31-8 (1996)CrossRefGoogle Scholar
  2. 2.
    Bundesverband der Arzneimittel-Hersteller e.V. (BAH); Der Selbstmedikationsmarkt in der Bundesrepublik Deutschland in Zahlen 1998 (1999)Google Scholar
  3. 3.
    WHO; The role and function of the Pharmacist in Europe (1989)Google Scholar
  4. 4.
    European Commission Communication 1.6. 1994Google Scholar
  5. 5.
    General Accounting Office of the United States; Nonprescription Drugs-Value of a Pharmacist-controlled Class has yet to be demonstrated (1995)Google Scholar
  6. 6.
    Jones, al.; Dyspepsia in England and Scotland; Gut; 31;476-80 (1990)CrossRefGoogle Scholar
  7. 7.
    Kay, L.; Jorgensen, T.; Epidemiology of upper dyspepsia in a random population; Scand. J. Gastroenterol.; 29;1-6 (1994)CrossRefGoogle Scholar
  8. 8.
    Sonnenberg, A. et al.; Evaluation of dyspepsia and functional gastrointestinal disorders: a cost-benefit analysis of different approaches; Euro. J. Gastro. Hepatol.; 7(7); 655-9 (1995)Google Scholar
  9. 9.
    Crean GP, Hoiden RJ, Knill-Jones RP, et al. (1994). A database on dyspepsia. Gut 35:191-202.CrossRefPubMedPubMedCentralGoogle Scholar
  10. 10.
    Nyren, O.; Adami, H.O. et al.; Social and economic effects of non-ulcer dyspepsia; Scand. J. Gastroenterol.; 20 (Suppl. 109);41-5 (1985)CrossRefGoogle Scholar
  11. 11.
    Advice giving and counseling are defined in this particular study as any verbal interaction between pharmacy staff and customers related to the purchase of OTC-drugs that involves anything more than a simple commercial transaction.Google Scholar
  12. 12.
    Eypasch, E.; Der Gastroinestinale Lebensqualitätsindex (GLQI); Der Chirurg; 64;264-74 (1993)Google Scholar
  13. 13.
    Eypasch, E. et al.; Gastrointestinal Quality of Life Index: development, validation and application of a new instrument; British Journal of Surgery; 28;216-22 (1995)CrossRefGoogle Scholar
  14. 16.
    Krishnan, H.S.; Schaefer, M.; Health Economic analysis of self medication and the role of the pharmacist in the self medication process; Pharmaceutical IMS European Price Award For Research in Pharmaceutical Law and Health Economics (1999)Google Scholar

Copyright information

© Kluwer Academic Publishers 2000

Authors and Affiliations

  • Hari Sven Krishnan
    • 1
  • Marion Schaefer
    • 1
  1. 1.Institute of Pharmacy, Working Group Social Pharmacy and PharmacoepidemiologyHumboldt-University BerlinBerlinGermany

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