JSSM  Vol.5 No.3 , September 2012
A Consensus-Based Policy Framework on Pharmacist-Led Self-Management Using the Delphi Process
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 life modifications collaboratively with physicians and nurses. The government has to develop supportive measures to enhance pharmacist-led patient self-management in the future.

Cite this paper
F. Wong, F. Chan, J. You, E. Wong and E. Yeoh, "A Consensus-Based Policy Framework on Pharmacist-Led Self-Management Using the Delphi Process," Journal of Service Science and Management, Vol. 5 No. 3, 2012, pp. 223-229. doi: 10.4236/jssm.2012.53027.
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