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Use of chronic disease management algorithms in Australian community pharmacies

Morrissey, Hana, Ball, Patrick, Jackson, David, Pilloto, Louis and Nielsen, Sharon (2015). Use of chronic disease management algorithms in Australian community pharmacies. Research in Social and Administrative Pharmacy,11(2):176-196.

Document type: Journal Article
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IRMA ID 75039815xPUB346
Title Use of chronic disease management algorithms in Australian community pharmacies
Author Morrissey, Hana
Ball, Patrick
Jackson, David
Pilloto, Louis
Nielsen, Sharon
Journal Name Research in Social and Administrative Pharmacy
Publication Date 2015
Volume Number 11
Issue Number 2
ISSN 1551-7411   (check CDU catalogue open catalogue search in new window)
Scopus ID 2-s2.0-84922478635
Start Page 176
End Page 196
Total Pages 21
Place of Publication United States
Publisher Elsevier Inc.
HERDC Category C1 - Journal Article (DIISR)
Abstract Background
In Australia, standardized chronic disease management algorithms are available for medical practitioners, nursing practitioners and nurses through a range of sources including prescribing software, manuals and through government and not-for-profit non-government organizations. There is currently no standardized algorithm for pharmacist intervention in the management of chronic diseases..


To investigate if a collaborative community pharmacists and doctors' model of care in chronic disease management could improve patients' outcomes through ongoing monitoring of disease biochemical markers, robust self-management skills and better medication adherence.


This project was a pilot pragmatic study, measuring the effect of the intervention by comparing the baseline and the end of the study patient health outcomes, to support future definitive studies. Algorithms for selected chronic conditions were designed, based on the World Health Organisation STEPS™ process and Central Australia Rural Practitioners' Association Standard Treatment Manual. They were evaluated in community pharmacies in 8 inland Australian small towns, mostly having only one pharmacy in order to avoid competition issues. The algorithms were reviewed by Murrumbidgee Medicare Local Ltd, New South Wales, Australia, Quality use of Medicines committee. They constitute a pharmacist-driven, doctor/pharmacist collaboration primary care model. The Pharmacy owners volunteered to take part in the study and patients were purposefully recruited by in-store invitation.


Six out of 9 sites' pharmacists (67%) were fully capable of delivering the algorithm (each site had 3 pharmacists), one site (11%) with 2 pharmacists, found it too difficult and withdrew from the study, and 2 sites (22%, with one pharmacist at each site) stated that they were personally capable of delivering the algorithm but unable to do so due to workflow demands.


This primary care model can form the basis of workable collaboration between doctors and pharmacists ensuring continuity of care for patients. It has potential for rural and remote areas of Australia where this continuity of care may be problematic.
Keywords Communication
Community pharmacy/pharmacist
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Created: Tue, 26 Jul 2016, 13:04:22 CST