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An exploratory study of community pharmacist diagnosis and management of dermatitis and acne.

Tucker, Rod P.; MacLure, Katie; Paudyal, Vibhu; Layton, Alison M.; Bewley, Anthony; Stewart, Derek


Rod P. Tucker

Katie MacLure

Vibhu Paudyal

Alison M. Layton

Anthony Bewley

Derek Stewart


BACKGROUND: Dermatitis and acne account for a large number of general practitioner appointments yet are amenable to treatment with products available to purchase from community pharmacies. OBJECTIVES: 1. The clinical appropriateness of community pharmacy interventions for these conditions 2. Patient reported measures of the effectiveness of the pharmacist's management of their condition. METHODS: Nine community pharmacies opportunistically recruited patients presenting with suspected cases of both conditions, taking digital images and audio-recording the consultation. These files were uploaded to a secure site and independently reviewed by three dermatology specialists. Following their consultation, patients received a questionnaire to assess their views on the effectiveness of the treatment provided and their level of satisfaction with pharmacy management. RESULTS: Forty patients (36 dermatitis and 4 acne) were recruited. Of 113 assessments (7 not rated due to missing data) reviewed, specialists agreed with pharmacist's diagnosis in 33.6% of cases, disagreed in 38.9% but were unable to determine the diagnosis in 27% of cases. Treatment was deemed appropriate in 42% of cases, inappropriate in 27% and indeterminate in 31% of cases. Twenty-three patients (58%) returned a questionnaire and 12 of these (54.5%, 1 missing) stated that their condition had cleared completely following pharmacist advised treatment. Almost all (91.3%) were very satisfied or satisfied with the advice and/or treatment provided. CONCLUSION: Specialists judged the clinical appropriateness of pharmacist diagnosis and management as suboptimal yet patients were more positive. This study indicates a possible need for greater assessment-related training in dermatology for study pharmacists and further work to determine the generalisability of findings.

Journal Article Type Article
Publication Date Jun 30, 2017
Journal Selfcare
Print ISSN 2042-7018
Publisher SelfCare
Peer Reviewed Peer Reviewed
Volume 8
Issue 2
Pages 1-10
Institution Citation TUCKER, R.P., MACLURE, K., PAUDYAL, V., LAYTON, A.M., BEWLEY, A. and STEWART, D. 2017. An exploratory study of community pharmacist diagnosis and management of dermatitis and acne. Selfcare [online], 8(2), pages 1-10. Available from: http://selfcarejournal....gement-dermatitis-acne/
Keywords Dermatology; Primary care; Case management; Common illnesses; Consultation
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