Developing community pharmacists’ role in the management of type 2 diabetes and related microvascular complications: a nationwide survey in Australia

Background Community pharmacists have regular interactions with people living with type 2 diabetes to supply medications, and have a potential role in supporting other primary care professionals in the screening, management, monitoring and facilitation of timely referral of microvascular complicatio...

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Main Authors: Louise Woodhams, Leanne Chalmers, Graham S. Hillis, Tin Fei Sim
Format: Article
Language:English
Published: PeerJ Inc. 2023-02-01
Series:PeerJ
Subjects:
Online Access:https://peerj.com/articles/14849.pdf
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author Louise Woodhams
Leanne Chalmers
Graham S. Hillis
Tin Fei Sim
author_facet Louise Woodhams
Leanne Chalmers
Graham S. Hillis
Tin Fei Sim
author_sort Louise Woodhams
collection DOAJ
description Background Community pharmacists have regular interactions with people living with type 2 diabetes to supply medications, and have a potential role in supporting other primary care professionals in the screening, management, monitoring and facilitation of timely referral of microvascular complications. This study aimed to investigate the contemporary and future roles of community pharmacists in diabetes-related microvascular complication management. Methods This study involved an online Australian nation-wide survey of pharmacists administered via Qualtrics® and distributed through social media platforms, state and national pharmacy organisations, and via major banner groups. Descriptive analyses were undertaken using SPSS. Results Among 77 valid responses, 72% of pharmacists already provided blood pressure and blood glucose monitoring services for the management of type 2 diabetes. Only 14% reported providing specific microvascular complication services. Over 80% identified a need for a comprehensive microvascular complication monitoring and referral service, and agreed it is feasible and within the scope of practice of a pharmacist. Almost all respondents agreed that they would implement and provide a monitoring and referral service if provided with appropriate training and resources. Potential barriers to service implementation were competing demands and lack of remuneration and awareness among consumers and health professionals. Conclusions Type 2 diabetes services in Australian community pharmacies do not currently focus on microvascular complication management. There appears to be strong support for implementing a novel screening, monitoring and referral service via community pharmacy to facilitate timely access to care. Successful implementation would require additional pharmacist training, and identification of efficient pathways for service integration and remuneration.
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spelling doaj.art-903ae8a605454f2d8801f83d5102d15f2023-12-03T12:43:33ZengPeerJ Inc.PeerJ2167-83592023-02-0111e1484910.7717/peerj.14849Developing community pharmacists’ role in the management of type 2 diabetes and related microvascular complications: a nationwide survey in AustraliaLouise Woodhams0Leanne Chalmers1Graham S. Hillis2Tin Fei Sim3Curtin Medical School, Curtin University, Perth, Western Australia, AustraliaCurtin Medical School, Curtin University, Perth, Western Australia, AustraliaMedical School, The University of Western Australia, Perth, Western Australia, AustraliaCurtin Medical School, Curtin University, Perth, Western Australia, AustraliaBackground Community pharmacists have regular interactions with people living with type 2 diabetes to supply medications, and have a potential role in supporting other primary care professionals in the screening, management, monitoring and facilitation of timely referral of microvascular complications. This study aimed to investigate the contemporary and future roles of community pharmacists in diabetes-related microvascular complication management. Methods This study involved an online Australian nation-wide survey of pharmacists administered via Qualtrics® and distributed through social media platforms, state and national pharmacy organisations, and via major banner groups. Descriptive analyses were undertaken using SPSS. Results Among 77 valid responses, 72% of pharmacists already provided blood pressure and blood glucose monitoring services for the management of type 2 diabetes. Only 14% reported providing specific microvascular complication services. Over 80% identified a need for a comprehensive microvascular complication monitoring and referral service, and agreed it is feasible and within the scope of practice of a pharmacist. Almost all respondents agreed that they would implement and provide a monitoring and referral service if provided with appropriate training and resources. Potential barriers to service implementation were competing demands and lack of remuneration and awareness among consumers and health professionals. Conclusions Type 2 diabetes services in Australian community pharmacies do not currently focus on microvascular complication management. There appears to be strong support for implementing a novel screening, monitoring and referral service via community pharmacy to facilitate timely access to care. Successful implementation would require additional pharmacist training, and identification of efficient pathways for service integration and remuneration.https://peerj.com/articles/14849.pdfCommunity pharmacyMicrovascular complicationsType 2 diabetesProfessional pharmacy services
spellingShingle Louise Woodhams
Leanne Chalmers
Graham S. Hillis
Tin Fei Sim
Developing community pharmacists’ role in the management of type 2 diabetes and related microvascular complications: a nationwide survey in Australia
PeerJ
Community pharmacy
Microvascular complications
Type 2 diabetes
Professional pharmacy services
title Developing community pharmacists’ role in the management of type 2 diabetes and related microvascular complications: a nationwide survey in Australia
title_full Developing community pharmacists’ role in the management of type 2 diabetes and related microvascular complications: a nationwide survey in Australia
title_fullStr Developing community pharmacists’ role in the management of type 2 diabetes and related microvascular complications: a nationwide survey in Australia
title_full_unstemmed Developing community pharmacists’ role in the management of type 2 diabetes and related microvascular complications: a nationwide survey in Australia
title_short Developing community pharmacists’ role in the management of type 2 diabetes and related microvascular complications: a nationwide survey in Australia
title_sort developing community pharmacists role in the management of type 2 diabetes and related microvascular complications a nationwide survey in australia
topic Community pharmacy
Microvascular complications
Type 2 diabetes
Professional pharmacy services
url https://peerj.com/articles/14849.pdf
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