A Consensus-Based Policy Framework on Pharmacist-Led Self-Management Using the Delphi Process

Fiona Y. Y. Wong, Frank W. K. Chan, Joyce H. S. You, Eliza L. Y. Wong, Eng-Kiong Yeoh

School of Pharmacy, The Chinese University of Hong Kong, Hong Kong, China..
School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.

DOI: 10.4236/jssm.2012.53027                

Abstract

Fragmentation of the healthcare system and lack of connectivity between in-hospital and community services, have posed an impact on management of patients with chronic conditions. As self-management is an essential component in chronic disease management model and pharmacists are underutilized in Hong Kong, this study developed a consensus-based policy framework on pharmacist-led self-management using a Delphi panel consisted of medical doctors, pharmacists, Chinese medicine practitioners and dispensers. We had studied a local population survey to understand the use of over-the-counter medication, conducted focus groups and telephone survey to explore the views of the four health professions and the general population, respectively, on pharmacist-led approach in self-management. The find- ings served as the base for developing the self-administered questionnaire in Delphi. A total of 19 experts completed the questionnaires and rated the validity and clarity of each statement in a 9-point scale. The Delphi process was completed in two rounds. Community pharmacists could only play an assisting role in patient self-management. They should focus primarily on drug-related issues and were suggested to work on lifestyle modifications collaboratively with physicians and nurses. The government has to develop supportive measures to enhance pharmacist-led patient self-management in the future.

Keywords

Community Pharmacist; Self-Management; Consensus Policy Framework; Delphi Process

Conflicts of Interest

The authors declare no conflicts of interest.

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