Impact of a debate on pharmacy students` views of online pharmacy
Transcription
Impact of a debate on pharmacy students` views of online pharmacy
Impact of a debate on pharmacy students’ views of online pharmacy practice 1,2 1 2 2 Jean-François Bussières , Anaïs Delicourt , Nedjma Belaid , Marie-Pierre Quirion , 2 2 2 2 Julien Desroches , Josiane Bégin , Anne-Marie Fragasso , Diane Lamarre 1- CHU Sainte-Justine, Montréal, Québec 2- Faculté de pharmacie, Université de Montréal, Montréal, Québec OBJECTIVE To describe the impact of a debate on pharmacy students’ perceptions about Table 1. Profile of the level of agreement per statement and proportion of respondents in favor of online pharmacy practice Web-based pharmacy practice. Statements Online Students Who Agreed with the Pharmacy Statement (%) FOR or Pre-Phase* Post-Phase 1 Post-Phase 2 AGAINST Online pharmacy practice increases the risk of selling counterfeit medications. METHODS Against 86 97 85 Against 92 84 85 For 78 67 83 Against 72 63 81 Online pharmacy practice leads to a deprofessionalization of the pharmacist’s role. Quasi-experimental interrupted time-series study Online pharmacy practice should be prohibited in Quebec. The topic of a debate was identified by a group of 2nd year pharmacy students. Online pharmacy practice is inevitable given the development of online services. A 60-minute debate about online pharmacy practice was organized as part of a lunch- 1 pharmacist presented an argument FOR web-based pharmacy practice 1 pharmacist presented an argument AGAINST web-based pharmacy practice The students were asked to complete an evaluation questionnaire (four-category Likert scale) during each phase. Post-phase 2 (1 month later) n = 55 (response rate 31%) 41 56 23 For 27 36 19 Online pharmacy practice is not a threat to the property rights of pharmacists in Quebec. 1 pharmacist was the moderator Post-phase 1 n = 177 (response rate 100%) For Online pharmacy practice is an opportunity that Quebec pharmacists must seize. time conference. Debate (60 minutes) The respondents’ support for the use of online pharmacy showed little variation: Pre-phase: 30% ± 22% Post-phase 1: 33% ± 23% Post-phase 2: 29% ± 24%. Online pharmacy practice increases access to pharmacists especially in remote areas. (pre-phase, post-phase 1 and post-phase 2). Pre-phase 1 n = 177 (response rate 100%) RESULTS Evaluation questionnaire (four-category Likert scale) Fully agree Partially agree Partially disagree Fully disagree Analyses: Proportion of the respondents who agreed with each of the statements (Chi-square test) Proportion of the respondents in favor of online pharmacy practice Proportion of the respondents who had changed their opinion For 18 17 6 Against 94 96 98 Online pharmacy practice increases the risk of fraud and fake prescriptions. Online pharmacy practice should not be used for complex medications (e.g., with administration devices, complex dosages) Online pharmacy practice must be reserved for medications that are not controlled substances. Online pharmacy practice is a threat that increases the risk of cross-border purchases for Quebec patients. Online pharmacy practice trivializes medication consumption. Online pharmacy practice empowers patients who can access their pharmacological record, therapeutic advisors and information tools at any time. Online pharmacy practice threatens the protection of personal information. Online pharmacy practice increases the risk of lawsuits and the cost of liability insurance for pharmacists. Online pharmacy practice threatens the quality of cold chain management when shipping medications. Online pharmacy practice increases access to pharmacists particularly for handicapped individuals. Online pharmacy practice makes it possible to rely on pharmacists who have a specific interest in a particular disease or approach. Online pharmacy practice helps to ensure continuity of care. Online pharmacy practice makes it possible to respond to patients’ relational needs through a web camera, email or phone contact. Online pharmacy practice offers better confidentiality than the area available in retail pharmacies. Online pharmacy practice is a solution to the shortage of pharmacists in Quebec. * 21%±7% reversed their opinion 22%±4% nuanced their opinion 1%±1% changed radically their opinion. 98% (post-phase 1) and 96% (post-phase 2) of the respondents thought that debate was a very useful teaching formula in their pharmacist training. 79% (post-phase 1) and 66% (post-phase 2) thought debate significantly Against 93 94 100 Against 92 90 91 Against 86 87 87 Against 81 83 85 changed their opinion of the issue. CONCLUSION For 77 82 72 Against 86 78 76 Against 82 77 87 For 70 77 67 Against 79 75 80 Online pharmacy practice is incompatible with the provision of full pharmaceutical care. Online pharmacy practice is compatible with setting up an electronic health record in Quebec. Online pharmacy practice undermines the patient’s confidence in pharmacists. On average 43% ± 8% of the respondents changed their opinion; Against 80 73 78 Against 74 68 70 Few data have been collected on the use of debates as part of healthcare professional training. Although the proportion of students in favor of online pharmacy practices approaches one third of the respondents, our study shows that more than half of the students reported a variation in their level of support The results suggest that, as part of an academic training, debate can contribute to critical thinking For 73 68 72 For 51 56 61 Students appreciated using debates as a teaching formula and considered that the approach was very useful in their pharmacist training, particularly when it For 37 40 32 For 32 39 33 concerned a controversial issue. Pharmacists should consider integrating more debates in their teaching For 31 33 41 For 22 22 20 Prephase (n between 174-177); post-phase 1 (n between 173-177); post-phase 2 (n between 52-54). approaches. Contact: [email protected]