Ostomy patient experience about pharmaceutical care in community pharmacies
DOI:
https://doi.org/10.60103/phc.v27.e884Keywords:
Ostomy; community pharmacy; satisfaction; willingness to payAbstract
Introduction: Due to their specific needs, ostomized patients require appropriate pharmaceutical care (PC) to help them effectively manage their condition. This study aims to evaluate the impact of PC on ostomized patients, including an assessment of their willingness to pay for the support received at community pharmacies (CPs).
Methods: Descriptive cross-sectional observational study conducted in a cluster of Andalusian hospitals. It included patients with digestive and/or urinary ostomies who were subsequently attended at CPs. Intervention: PC focused on dispensing and health education at CPs, in accordance with standard practice. Variables: Sociodemographic: sex, age, educational level, economic level. Clinics: cause and type of ostomy. Variables Results: 1) willingness to pay, 2) usefulness of new services offered in CPs and 3) satisfaction with the PC.
Results: About the PC received, the overall experience score was 7.9 (max=10). Regarding the experience with the services provided, in all areas, more than 70% of patients were satisfied or very satisfied, except for product information, where the level of satisfaction was the lowest. More than 58.3% of patients felt that they do not receive adequate help regarding complications in the CP. Patients would agree with the inclusion of new services in the CPs that would help them. 52.6% of patients would be willing to pay to receive adequate care and information.
Conclusions: Patients report low satisfaction with the information provided about products, which highlights the need to promote changes in the pharmaceutical care model during the dispensing.
Downloads
References
Ministerio de Sanidad y Consumo. Consenso sobre Atención Farmacéutica. 2002. [Acceso diciembre 2024] Disponible en: https://www.sanidad.gob.es/profesionales/farmacia/consenso/consenso.htm
Romão M, Figueira D, Galante H. Guerreiro J, Romano S. Who are the ostomy patients and caregivers attending Portuguese community pharmacies? A cross-sectional study. BMC Health Serv Res 2020 Oct 2;20(1):914. DOI: 10.1186/s12913-020-05765-7.
Meisner S, Lehur PA, Moran B, Martins L, Jemec GB. Peristomal skin complications are common, expensive, and difficult to manage: a population-based cost modeling study. PLoS One. 2012;7(5):e37813. DOI: 10.1371/journal.pone.0037813.
Comité de Ética e Investigación Clínica. Hospital Regional Universitario de Málaga. Aprobado el 15 de julio de 2022.
Calculadora de tamaño muestral GRANMO. Institut Municipal d'Investigació Mèdica, Barcelona, España. Disponible en: https://www.imim.es/ofertadeserveis/software-public/granmo/.
Montesinos Gálvez AC, Jódar Sánchez F, Alcántara Moreno C, Pérez Fernández Antonio J, Benítez García R, Coca López M. Value-Based Healthcare in Ostomies. Int J Environ Res Public Health. 2020 Aug 13;17(16):5879. DOI: 10.3390/ijerph17165879.
Real Decreto 817/2021, de 28 de septiembre, por el que se fija el salario mínimo interprofesional para 2021. Disponible en: https://boe.es/boe/dias/2021/09/29/pdfs/BOE-A-2021-15770.pdf. Acceso en: diciembre 2024.
Drummond MF, Sculpher MJ, Torrance GW, O'Brien BJ, Stoddart GL. Methods for the economic evaluation of health care programme. Third edition. Oxford: Oxford University Press, 2005.
Claessens I, Probert R, Tielemans C, Steen A, Nilsson C, Andersen BD, et al. The Ostomy life study: the everyday challenges faced by people living with a stoma in a snapshot. Gastrointest Nurs. 2015;13(5):18-25. DOI: https://doi.org/10.12968/gasn.2015.13.5.18.
Andersen BD, Van Keizerswaard P, Castro MM, English E, Carter D. Introduction to the dialogue study: methods and baseline demographic findings. Gastrointest Nurs. 2011;9:4-8. DOI:10.12968/gasn.2011.9.Sup2.4.
Taneja C, Netsch D, Rolstad BS, Inglese G, Eaves D, Oster G. Risk and Economic Burden of Peristomal Skin Complications Following Ostomy Surgery. J Wound Ostomy Continence Nurs. 2019 Mar/Apr;46(2):143-149. DOI: 10.1097/WON.0000000000000509.
Policarpo V, Romano S, António JHC, Correia TS, Costa S. Who are the ostomy patients and caregivers attending Portuguese community pharmacies? A cross-sectional study. BMC Health Serv Res. 2019;19(1):1-11. DOI: 10.1186/s12913-020-05765-7
Comisión Negociadora de Servicios Farmacéuticos. NHS Community Pharmacy Services - a summary. [Acceso 4 diciembre 2024] Disponible en: https://cpe.org.uk/national-pharmacy-services/advanced-services/sac/
NHS Servicios Nacionales de Escocia. Especificación de requisitos para la dispensación y suministro de aparatos de estoma a pacientes en la comunidad para NHS Escocia. 2018. [Acceso 4 diciembre 2024]. Disponible en: https://www.communitypharmacy.scot.nhs.uk/media/1957/stoma-service-specification-01072018.pdf
Asociación de enfermeras tituladas de Ontario. Supporting adults who anticipate or live with an ostomy. 2ª ed. [Acceso 4 diciembre 2024]. Toronto: Registered Nurses' Association of Ontario; 2019. Disponible en: https://rnao.ca/sites/rnao-ca/files/Ostomy_Care__Management.pdf
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Ana Carmen Montesinos Gálvez, Enrico Keber, Nuria García-Agua Soler

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
La revista Pharmaceutical Care España se publica bajo una licencia «Creative Commons, Reconocimiento, No Comercial y Compartir Igual 4.0 Internacional» (CC BY-NC-SA 4.0)», que permite a otros compartir el trabajo con un reconocimiento de la autoría del trabajo y la publicación inicial en esta revista (con excepción de los usos comerciales).
Los autores que publican en esta revista están de acuerdo con los siguientes términos:a) Los autores conservan los derechos de autor (derechos morales) y garantizan a la revista el derecho de ser el primer soporte documental publicado del trabajo.
b) Se permite y anima a los autores a difundir la versión del trabajo revisado por pares y aceptada para su publicación (por ejemplo, en repositorios institucionales o temáticos), recomendando hacerlo con la versión final del editor “pdf”, “html” o “xml”).



