Pharmaceutical Care in Asthma and Chronic Obstructive Pulmonary Disease Clinic: Descriptive Study for Determination of Full Time Equivalent Workload
Main Article Content
Abstract
Objective: To determine time spent by pharmacists for providing pharmaceutical care service in the Asthma and Chronic Obstructive Pulmonary Disease (COPD) Clinic and calculate full time equivalent (FTE) workload for determining appropriate manpower. Methods: This research was a cross-sectional descriptive study collecting the data by video-taping the provision of pharmaceutical care for patient in the Asthma and COPD Clinic in Khon Kaen hospital. Results: There were 145 participants. 64.83% of them received care from the Asthma and COPD clinic for 1-5 years. Ninety-six drug related problems (DRPs) were identified in 54.48% of patients with the rate of 1.22 DRPs/patient. The most prevalent DPRs was non-compliance (33.34%), followed by incorrect technique of inhaler use (31.25%). Median time for pharmaceutical care service in Asthma and COPD Clinic was 8.52 (6.3-10.63) minutes (0.001 FTE). Pharmacists spend 9.87(8.62-13.46) minutes more for patients with incorrect inhaler technique and 8.93 (6.98-12.88) minutes more for patient who received care for the Clinic less than 1 year. Conclusion: From the time spent for pharmaceutical care and calculation of the FTE manpower, appropriate manpower could be allocated in the future. Pharmacists spend more time for pharmaceutical care in patients with incorrect inhaler use.
Article Details
ผลการวิจัยและความคิดเห็นที่ปรากฏในบทความถือเป็นความคิดเห็นและอยู่ในความรับผิดชอบของผู้นิพนธ์ มิใช่ความเห็นหรือความรับผิดชอบของกองบรรณาธิการ หรือคณะเภสัชศาสตร์ มหาวิทยาลัยสงขลานครินทร์ ทั้งนี้ไม่รวมความผิดพลาดอันเกิดจากการพิมพ์ บทความที่ได้รับการเผยแพร่โดยวารสารเภสัชกรรมไทยถือเป็นสิทธิ์ของวารสารฯ
References
Thoracic Society of Thailand. Guidelines for the diagnosis and management of asthma for adult. Bangkok: Beyond enterprise; 2019.
The Global Initiative for Asthma (GINA). Global strategy for asthma management and prevention 2020 update [online]. 2020 [cited Jun 10, 2020]. Available from: ginasthma.org/wp-content/uploads/2 020/06/GINA-2020-report_20_06_04-1-wms.pdf
World Health Organization. Facts about asthma [online]. 2020 [cited Jun 10, 2020]. Available from: www.who.int/news-room/fact-sheets/detail/asthma.
Vichyanond P, Jirapongsananurak O, Visitsuntorn N, Tuchinda M. Prevalence of asthma, rhinitis and eczema in children from Bangkok area using the ISAAC (International Study for Asthma and Allergy in Children) questionnaires. J Med Assoc Thai. 1998; 81: 175-84.
Teeratakulpisarn J, Pairojkul S, Heng S. Survey of the prevalence of asthma, allergic rhinitis and eczema in school children from Khon Kaen, Northeast Thailand. An ISAAC study. International Study of Asthma and Allergies in Childhood. Asian Pac J Allergy Immunol. 2000; 18: 187-94.
Asher MI, Anderson HR, Stewart AW, Crane J. Worldwide variations in the prevalence of asthma symptoms: The International Study of Asthma and Allergies in Childhood (ISAAC). Eur Respir J 1998; 12: 315-35.
The Global Initiative for Chronic Obstructive Lung Disease. Global strategy for the diagnosis, management and prevention of Chronic Obstructive Pulmonary Disease 2020 report [online]. 2020 [cited Jun 10, 2020]. Available from: goldcopd.org/wp-content/uploads/2019/11/GOLD-2020-REPORT-ver 1.0wms.pdf
World Health Organization. Facts about Chronic obstructive pulmonary disease. 2017 [cited Jun 10, 2020]. Available from: www.who.int/news-room/fact-sheets/detail/chronic-obstructive-pulmonary-disease -(copd)
Lertsinudom S. Pharmaceutical care for asthma patients. In: Pharmaceutical care for asthma, allergic rhinitis and chronic obstructive pulmonary disease. Khon Kaen: Klungnana Printing; 2010.
Mekasuwandit S. Outcomes in asthmatic patients undergoing drug use counseling: A case study of Ongkharak Community Hospital. Thai Pharmaceu tical and Health Science Journal 2008; 3: 245-54.
Baddar SA, Al-Rawas OA, Al-Riyami KA, Worthing EA, Hanssens YI, Taqi AM, et al. Mertered-dose inhaler technique among healthcare providers practicing in Oman. SQU Journal for Scientific Research: Medical Sciences 2001; 1: 39-43.
Lavorini F, Magnan A, Dubus JC, Voshaar T, Corbetta L, Broeders M, et al. Effect of incorrect use of dry powder inhalers on management of patients with asthma and COPD. Resp Med 2008; 102: 593-604.
Al-Jahdali H, Ahmed A, Al-Harbi A, Khan M, Baharoon S, Salih SB, et al. Improper inhaler technique is associated with poor asthma control and frequent emergency department visit. Allergy, Asthma Clin Immunol 2013; 9: 1-8.
Sirimai P, Limwattananon C, Boonsawat W. Effects of asthma education about inhaler on health related quality of life. Thai Journal of Hospital Pharmacy 2007; 17: 231-43.
Jermjitpong K, Sawadpanich K, Klaiwong J, Thitiya nwiroj N. Improvement of standard treatment of asthma at Manjakiree Hospital in Khon Kaen Province. Khon Kaen Hospital Medical Journal 1996; 3: 232-240.
Wongnag C, Wattananamkul V. The value of pharmacists: Appreciative inquiry approach. Isan Journal of Pharmaceutical Sciences 2013; 9: 15-31.
Kampuk T, Vititpongvanich A, Akesawatanan A, Kanjanawat P, Jinatongthai P, Watcharathanakij S. Outcomes of pharmaceutical care in asthma clinic, Sunpasittiprasong Hospital. In: Patanasethanont D, editor. Pharmacy profession: moving forward to ASEAN harmonization. Proceedings of the 5th Annual Northeast Pharmacy Research Conference; 2013 Feb 16–17; Mahasarakham, Thailand. Mahasarakham: Mahasarakham University; 2013. p. 27.
Duangdee A. Outcomes of an easy asthma clinic, Banphai hospital, Khon Kaen Province. Journal of Health Systems Research 1997; 1: 45-50.
Koysavat S. Outcome of easy asthma clinic at Krasang Hospital, Buriram Province. Medical Journal of Srisaket Surin Buriram Hospitals 2012; 27: 33-42.
Jeamboonsri P, Kaewsing P, Kotpat S, Kompha P, Prathumpet P, Charoensri R. The results of adult asthmatics care in the 50th Anniversary of Mahavajiralongkorn Hospital. Srinagarind Medical Journal 2010; 25: 265-71.
Phatthararitthikul K. The result of easy asthma clinic at Nongsonghong Hospital. Khon Kaen Hospital Medical Journal 2007; 31: 261-8.
Janworachaikul C. Outcomes of easy asthma clinic in Yangtalad Hospital. Srinagarind Medical Journal 2007; 22: 449-58.
Hansittiporn K. The result of setting up an easy asthma clinic in Chiang Yuen Hospital Mahasara kham Province. Srinagarind Medical Journal 2012; 27:167-71.
Soontornpas C, Soontornpas R, Chanatepaporn P, Areemite P. Work measurement of pharmacy service by stopwatch technique. Thai Journal of Hospital Pharmacy 2007; 17(suppl): S17-26.