TITLE:
A Consensus-Based Policy Framework on Pharmacist-Led Self-Management Using the Delphi Process
AUTHORS:
Fiona Y. Y. Wong, Frank W. K. Chan, Joyce H. S. You, Eliza L. Y. Wong, Eng-Kiong Yeoh
KEYWORDS:
Community Pharmacist; Self-Management; Consensus Policy Framework; Delphi Process
JOURNAL NAME:
Journal of Service Science and Management,
Vol.5 No.3,
September
19,
2012
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.