Psychiatric pharmaceutical care service across Malaysian hospitals: results from a cross-sectional study
Abstract Background Psychiatric pharmaceutical care is the provision of pharmaceutical care services to patients with psychiatric related illnesses or disorders. Several studies have demonstrated the positive influence psychiatric pharmaceutical care on patients’ clinical, humanistic and economic ou...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-03-01
|
| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-022-07681-4 |
| _version_ | 1818245586724323328 |
|---|---|
| author | Aya Ahmed Abousheishaa Ahmad Hatim Sulaiman Hasniza Zaman Huri Siti Fatimah Binti Kamis Hafizah Hamidi Wei Chern Ang Zainol Akbar bin Zainal Noorasyikin Shamsuddin Ng Chong Guan |
| author_facet | Aya Ahmed Abousheishaa Ahmad Hatim Sulaiman Hasniza Zaman Huri Siti Fatimah Binti Kamis Hafizah Hamidi Wei Chern Ang Zainol Akbar bin Zainal Noorasyikin Shamsuddin Ng Chong Guan |
| author_sort | Aya Ahmed Abousheishaa |
| collection | DOAJ |
| description | Abstract Background Psychiatric pharmaceutical care is the provision of pharmaceutical care services to patients with psychiatric related illnesses or disorders. Several studies have demonstrated the positive influence psychiatric pharmaceutical care on patients’ clinical, humanistic and economic outcomes. This study aimed to examine the extent of psychiatric pharmaceutical care practice in a convenience sample of Malaysian government hospitals and the barriers to the provision of these services. Methods An anonymous cross-sectional survey of registered pharmacists working at a convenience sample of government hospitals in Malaysia was undertaken from September 2019 to June 2020. Results Pharmacists frequently ensured the appropriateness of the dose (55%), dosage form (47%) and dosing schedule (48%) of the dispensed medications. Most pharmacists infrequently worked with patients and healthcare professionals to develop a pharmacotherapeutic regimen and a corresponding monitoring plan (28%). There was no statistically significant difference in the provision of pharmaceutical care services with respect to gender, age, years of practice, and professional board certification. However, the services offered were influenced by the respondent’s education and pharmacy setting. The obstacles perceived by pharmacists included lack of time (89%), shortage of pharmacy staff (87%), the patients’ inability to comprehend medical information (85%), insufficient demand and acceptance by patients (82%), the lack of official policies and standardised practice protocols (78%), inaccessibility to the patients’ medical records (77%) and the lack of structured communication channels between pharmacists and physicians (75%), the pharmacists lack of knowledge/skills and confidence (78%) and insufficient recognition from physicians to the pharmacists’ skills (76%). Conclusions This is the first study to explore the extent and barriers of psychiatric pharmaceutical care in Malaysian hospitals; it highlighted the need for mobilising pharmacists to expand these services. |
| first_indexed | 2024-12-12T14:35:16Z |
| format | Article |
| id | doaj.art-600af158b6134018ae9fbd99bdef8e7f |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-12T14:35:16Z |
| publishDate | 2022-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-600af158b6134018ae9fbd99bdef8e7f2022-12-22T00:21:24ZengBMCBMC Health Services Research1472-69632022-03-0122111210.1186/s12913-022-07681-4Psychiatric pharmaceutical care service across Malaysian hospitals: results from a cross-sectional studyAya Ahmed Abousheishaa0Ahmad Hatim Sulaiman1Hasniza Zaman Huri2Siti Fatimah Binti Kamis3Hafizah Hamidi4Wei Chern Ang5Zainol Akbar bin Zainal6Noorasyikin Shamsuddin7Ng Chong Guan8Department of Psychological Medicine, Faculty of Medicine, University of MalayaDepartment of Psychological Medicine, Faculty of Medicine, University of MalayaFaculty of Pharmacy, University of MalayaHospital Sultan IsmailHospital PermaiHospital Tuanku FauziahFaculty of Pharmacy, University of CyberjayaFaculty of Pharmacy, University of MalayaDepartment of Psychological Medicine, Faculty of Medicine, University of MalayaAbstract Background Psychiatric pharmaceutical care is the provision of pharmaceutical care services to patients with psychiatric related illnesses or disorders. Several studies have demonstrated the positive influence psychiatric pharmaceutical care on patients’ clinical, humanistic and economic outcomes. This study aimed to examine the extent of psychiatric pharmaceutical care practice in a convenience sample of Malaysian government hospitals and the barriers to the provision of these services. Methods An anonymous cross-sectional survey of registered pharmacists working at a convenience sample of government hospitals in Malaysia was undertaken from September 2019 to June 2020. Results Pharmacists frequently ensured the appropriateness of the dose (55%), dosage form (47%) and dosing schedule (48%) of the dispensed medications. Most pharmacists infrequently worked with patients and healthcare professionals to develop a pharmacotherapeutic regimen and a corresponding monitoring plan (28%). There was no statistically significant difference in the provision of pharmaceutical care services with respect to gender, age, years of practice, and professional board certification. However, the services offered were influenced by the respondent’s education and pharmacy setting. The obstacles perceived by pharmacists included lack of time (89%), shortage of pharmacy staff (87%), the patients’ inability to comprehend medical information (85%), insufficient demand and acceptance by patients (82%), the lack of official policies and standardised practice protocols (78%), inaccessibility to the patients’ medical records (77%) and the lack of structured communication channels between pharmacists and physicians (75%), the pharmacists lack of knowledge/skills and confidence (78%) and insufficient recognition from physicians to the pharmacists’ skills (76%). Conclusions This is the first study to explore the extent and barriers of psychiatric pharmaceutical care in Malaysian hospitals; it highlighted the need for mobilising pharmacists to expand these services.https://doi.org/10.1186/s12913-022-07681-4Psychiatric pharmaceutical servicesPharmacy servicesConventional servicesHospital pharmacyPharmacistBarriers |
| spellingShingle | Aya Ahmed Abousheishaa Ahmad Hatim Sulaiman Hasniza Zaman Huri Siti Fatimah Binti Kamis Hafizah Hamidi Wei Chern Ang Zainol Akbar bin Zainal Noorasyikin Shamsuddin Ng Chong Guan Psychiatric pharmaceutical care service across Malaysian hospitals: results from a cross-sectional study BMC Health Services Research Psychiatric pharmaceutical services Pharmacy services Conventional services Hospital pharmacy Pharmacist Barriers |
| title | Psychiatric pharmaceutical care service across Malaysian hospitals: results from a cross-sectional study |
| title_full | Psychiatric pharmaceutical care service across Malaysian hospitals: results from a cross-sectional study |
| title_fullStr | Psychiatric pharmaceutical care service across Malaysian hospitals: results from a cross-sectional study |
| title_full_unstemmed | Psychiatric pharmaceutical care service across Malaysian hospitals: results from a cross-sectional study |
| title_short | Psychiatric pharmaceutical care service across Malaysian hospitals: results from a cross-sectional study |
| title_sort | psychiatric pharmaceutical care service across malaysian hospitals results from a cross sectional study |
| topic | Psychiatric pharmaceutical services Pharmacy services Conventional services Hospital pharmacy Pharmacist Barriers |
| url | https://doi.org/10.1186/s12913-022-07681-4 |
| work_keys_str_mv | AT ayaahmedabousheishaa psychiatricpharmaceuticalcareserviceacrossmalaysianhospitalsresultsfromacrosssectionalstudy AT ahmadhatimsulaiman psychiatricpharmaceuticalcareserviceacrossmalaysianhospitalsresultsfromacrosssectionalstudy AT hasnizazamanhuri psychiatricpharmaceuticalcareserviceacrossmalaysianhospitalsresultsfromacrosssectionalstudy AT sitifatimahbintikamis psychiatricpharmaceuticalcareserviceacrossmalaysianhospitalsresultsfromacrosssectionalstudy AT hafizahhamidi psychiatricpharmaceuticalcareserviceacrossmalaysianhospitalsresultsfromacrosssectionalstudy AT weichernang psychiatricpharmaceuticalcareserviceacrossmalaysianhospitalsresultsfromacrosssectionalstudy AT zainolakbarbinzainal psychiatricpharmaceuticalcareserviceacrossmalaysianhospitalsresultsfromacrosssectionalstudy AT noorasyikinshamsuddin psychiatricpharmaceuticalcareserviceacrossmalaysianhospitalsresultsfromacrosssectionalstudy AT ngchongguan psychiatricpharmaceuticalcareserviceacrossmalaysianhospitalsresultsfromacrosssectionalstudy |