Browsing by Subject "pharmaceutical care"

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    The Codification Of The Cultural Health Belief Model Among The Southwestern Ojibwe
    (2019-06) St. Germaine, Rebecca
    ABSTRACT The Cultural Specific Approach to Health Model codifies an a priori approach to reconstruction of the health belief theory and significantly impacts medication experiences. The objective was to codify the Cultural Specific Approach to Health Model as an a priori construct to establish and explain a responsive framework of healthcare modeling demonstrated by the relationship of the Anishinaabe peoples’ Cultural Specific Approach construct of Bimaadiziwin. Propositions are: (1) why are phenological or traditional practices important to understand with the Cultural Specific Approach; (2) why is the relationship of spiritual and healing practices significant to the contribution of the Cultural Specific Approach; (3) what role does happiness discriminate in the psychosocial relationship to Cultural Specific Approach; and lastly, (4) what best defines professional cultural competency for practitioners to enhance patient’s perceptions of health and reported outcomes? The nomothetic study included eight providers, twenty-six healthcare administrators and 455 self-identified Ojibwe adults with a diagnosis of a substance use disorder, and other chronic illnesses, living on five Ojibwe rural reservations designated as medically underserved areas in the Midwest region of the United States between 2014 and 2018. Two areas were examined within three case study units: 1) the methodological initiation; and, 2) a novel pharmaceutical practice care approach based on the Cultural Specific Approach to Health Model. The results of the study showed positive changes in behaviors within a population that demonstrated the highest prevalence of substance use disorder and highlighted the integrated role of the pharmacists’ practice to combat opioid addiction.
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    Pharmacists’ social authority to transform community pharmacy practice
    (University of Minnesota, College of Pharmacy, 2011) McPherson, Timothy; Fontane, Patrick
    Leaders in the profession of pharmacy have articulated a vision of pharmacists as providers of patient-centered care (PCC) services and the Doctor of Pharmacy was established as the required practice degree to achieve this vision. Pharmacist-provided PCC services have been shown to reduce medication costs and improve patient compliance with therapies. While community pharmacists are capable of, and are ideally placed for, providing PCC services, in fact they devote most of their time to prescription dispensing rather than direct patient care. As professionals, community pharmacists are charged with protecting society by providing expert services to help consumers manage risks associated with drug therapies. Historically pharmacists fulfilled this responsibility by accurately dispensing prescription medications, verifying doses, and allergy checking. This limited view of pharmacy practice is insufficient in light of the modern view of pharmacists as providers of PCC. The consumers’ view of community pharmacy as a profession represents a barrier to transforming the basis of community pharmacy from product distribution to providing PCC services. Community pharmacists are conferred with social authority to dictate the manner in which their professional services are provided. Pharmacists can therefore facilitate the transition to PCC as the primary function of community pharmacy by exercising their social authority to engage consumers in their roles in the new patient-pharmacist relationship. Each pharmacist must decide to provide PCC services. Suggestions for initiating PCC services in community pharmacy are offered.