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The perspectives of patients and physicians on the role of pharmacists in improving medication adherence in type 2 diabetes: a qualitative study

Authors Alsairafi Z, Waheedi M, Alsaleh F

Received 2 June 2019

Accepted for publication 21 August 2019

Published 9 September 2019 Volume 2019:13 Pages 1527—1543

DOI https://doi.org/10.2147/PPA.S218068

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Melinda Thomas

Peer reviewer comments 2

Editor who approved publication: Dr Johnny Chen


Zahra Alsairafi, Mohammad Waheedi, Fatemah Alsaleh

Department of Pharmacy Practice, Kuwait University, Faculty of Pharmacy, Hawalli, Kuwait

Correspondence: Mohammad Waheedi PO Box 24923, Safat, Hawalli 13110, Kuwait
Tel +965 6 622 3629
Email mohdw@hsc.edu.kw

Background: Pharmacy practice has been expanded to include responsibility for the outcomes of medication therapy. However, in developing countries the pharmacist’s role is still limited to dispensing medications. The aim of this study is to explore the perspectives of patients and physicians on the pharmacist’s role in improving medication adherence in type 2 diabetes.
Methods: Data were collected via semi-structured interviews with patients and physicians. The interviews were audio-recorded, transcribed verbatim and analysed using thematic analysis.
Results: A total of 40 patients and 21 physicians were interviewed. The interviews revealed different pharmacy-related issues that negatively affected patients’ adherence, such as a lack of pharmacist counselling and inappropriate scheduling of refills. Various recommendations to improve adherence were emphasised such as dedicating some pharmacists to counselling patients and providing pharmacists with the appropriate training.
Conclusion: From the perspectives of patients and physicians, the pharmacist’s role in the management of type 2 diabetes is still limited to dispensing medications. In order to improve medication adherence and consequently patient outcomes, policy-makers need to be aware of the importance of supporting pharmacists and providing them with the appropriate training.

Keywords: medication adherence, type 2 diabetes, qualitative, perspectives of patients/healthcare providers


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