Asthma Health Outcomes Project
Overviews of Surveyed Asthma ProgramsSeptember 2005
International Programs: Australia
Development, Implementation, and Evaluation of a Community Pharmacy-Based Asthma Care Model
University of Sydney
New South Wales Australia
Bandana Saini, MBA, BPharm,
61 2 93516471
The objective of this study was to measure the impact of a specialized asthma service provided through community pharmacies in terms of objective patient clinical, humanistic, and economic outcomes. A parallel controlled design, where 52 intervention patients and 50 control patients with asthma were recruited in two distinct locations, was used. In the intervention area, pharmacists were trained and delivered an asthma care model, with three follow-up visits over six months. This model was evaluated based on clinical, humanistic, and economic outcomes compared between and within groups.
Pharmacists are trained through self study manuals at a two-day workshop. The pharmacists then see patients on an appointment basis. They conduct an individualized needs analysis framed around the Australian Six-Step Asthma Management Plan. The pharmacists document the interventions delivered and outcomes measured. The pharmacists and their patients collaboratively set goals for the next office visit. Patients are monitored at one month, three months, and six months after the initial intervention visit.
There was significant improvement in hospitalization rates, quality of life, asthma severity, medication use, change in clinical action (provider behavior), inhaler technique, peak flow index, and risk of non-adherence. Perceived control of asthma and asthma-related knowledge scores were also improved.
Although the study ended in 2001 several participating pharmacists have continued to use modified versions in their own practices. The Australian government is also interested in doing further research on the subject.
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