Sale Of Medications Without Prescription And Quality Of Assessment And Counseling To Cardiac Patients By Community Pharmacies: A Simulated-client Based Study | 26435
Journal of Clinical & Experimental Cardiology
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Purpose: Easy access to pharmacies and self-medication is common in Saudi Arabia. The interaction of pharmacists with
cardiac patients and their counseling in is unknown. In this study we sought to explore how pharmacists interact and counsel
Methods: A total of 600 community pharmacies in the two large cities were randomly selected and stratified by the region, and
time of the day and week. Two investigators visited each pharmacy and simulated having a parent with either chest pain for the
acute coronary syndrome (ACS) scenario or shortness of breath for acute heart failure (AHF) scenario. Further information
was provided only if asked for by the pharmacist. Other investigators observing the conversation, and once the conversation
over, the results of this interview were recorded immediately after leaving the pharmacy.
Results: Of 600 pharmacies, 380 (63.3%) pharmacists advised the simulated patient to seek medical care, more so with the ACS
scenario (70.3% vs. 56.3%, p<0.001). The pharmacists were likely to advice patients to seek medical advice during weekdays
than weekends, and during the morning hours than during the evenings or nights. Pharmacists sought more information
regarding other symptoms and comorbidities with the simulated ACS patients (59.7% vs. 48.7%, p= 0.009 and 46.3% vs. 37.3%,
p= 0.031 respectively).
Conclusions: Assessment of simulated cardiac patients by community pharmacists was inadequate and the quality of provided
counseling is extremely suboptimal. This indicates the need for the implementation of major practice changes to improve the
quality of service worldwide.
Abdulaziz U Joury is 25 years old, recently graduated from the medical school at King Saud University, Riyadh, Saudi Arabia. Currently, he is working as Scholar
Cardiology Physician in King Fahad Medical City. He was trained at numerous hospitals. He represents his country nationally and internationally on several
occasions. He held several classes and workshops covering medical field. Coordinated numerous campaigns and participating in number of researches.
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