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Perceived roles and barriers in caring for the people who are homeless: a survey of UK community pharmacists.

Paudyal, Vibhu; Gibson-Smith, Kathrine; MacLure, Katie; Forbes-McKay, Katrina; Radley, Andrew; Stewart, Derek

Authors

Vibhu Paudyal

Kathrine Gibson-Smith

Katie MacLure

Katrina Forbes-McKay

Andrew Radley

Derek Stewart

Abstract

Background: Community pharmacists can be an accessible source for advice and support for the people who are homeless, given their utilisation of a variety of currently available services such as dispensing of medicines, drugs and alcohol services. Objective: To determine community pharmacists’ training, experiences and behavioural determinants in counselling and management of homeless population. Setting: UK community pharmacies. Method: A questionnaire based on literature and theoretical domains framework was mailed to randomly sampled community pharmacies in England and Scotland (n = 2000). Data were analysed using descriptive and inferential statistics. Main outcome measures: Pharmacists’ perspectives, pharmacists’ training, pharmacists’ experiences and behavioural determinants. Results: A total of 321 responses (RR 16.1%) were received. Respondents indicated lack of knowledge, skills, intentions as well as contextual factors such as lack of guidelines impacted on their counselling and management of homeless patients. Less than a third (n = 101, 32.2%) indicated that they knew where to refer a homeless patient for social support. Broaching the subject of homelessness was outside their comfort zone (n = 139, 44.3%). Only four (1.2%) respondents could correctly answer all knowledge assessment questions. Conclusions: Community pharmacist identified lack of education, training opportunities and guidelines in counselling and management of homeless patients. Targeting community pharmacists’ knowledge, skills and intention to provide care to the homeless patients may enable addressing health inequality through community pharmacy.

Journal Article Type Article
Publication Date Feb 28, 2019
Journal International journal of clinical pharmacy
Print ISSN 2210-7703
Electronic ISSN 2210-7711
Publisher Springer (part of Springer Nature)
Peer Reviewed Peer Reviewed
Volume 41
Issue 1
Pages 215-227
Institution Citation PAUDYAL, V., GIBSON SMITH, K., MACLURE, K., FORBES-MCKAY, K., RADLEY, A. and STEWART, D. 2019. Perceived roles and barriers in caring for the people who are homeless: a survey of UK community pharmacists. International journal of clinical pharmacy [online], 41(1), pages 215-227. Available from: https://doi.org/10.1007/s11096-019-00789-4
DOI https://doi.org/10.1007/s11096-019-00789-4
Keywords Community pharmacist; Community pharmacy; Counselling; Homeless; Signposting; United Kingdom

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