Qualitative Explorations of Malaysian Community Pharmacists Towards Their Perceptions and Participations in Dyslipidemia Care Services
Main Article Content
Abstract
Background: Dyslipidemia is a significant health concern in Malaysia. Community pharmacists (CPs) are considered first-line healthcare professionals and can contribute to a huge role in dyslipidemia management. However, the roles of CPs are still considered as underutilized. CPs perception and participation in providing dyslipidemia care services in Malaysia have yet to be explored. Therefore, the purpose of this study is to explore the perception and present participation of CPs in providing dyslipidemia care services. Methods: A qualitative study with in-depth face-to-face interviews was conducted from March 2023 to May 2023. The semi-structured interview guide was reviewed by the panel experts. Verbatim transcription using the audio recordings of the interviews was conducted and turned into the research's textual data. Thematic analysis was used to identify and characterize the emergence of themes. Results: Three key perception subthemes emerged: the importance of dyslipidemia care services, accessibility of CPs, and the positive impact of these services. For the current participation theme, subthemes included available services, preferred service timing, and the initiating party for cholesterol screening. Conclusion: Overall, CPs demonstrated a positive perception of dyslipidemia care services and actively participated in certain aspects of dyslipidemia management. However, their roles remain underutilized, particularly in areas such as risk assessment and patient follow-up. The findings from this study highlight the need for targeted strategies and support systems to further empower CPs in optimizing their contributions to dyslipidemia care.
Downloads
Article Details
References
Grundy SM, Stone NJ, Bailey AL, Beam C, Birtcher KK, Blumenthal RS, Braun LT, et al. Guideline on the Management of Blood Cholesterol: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. J Am Coll Cardiol. 2019;25;73(24):3168-3209. doi: 10.1016/j.jacc.2018.11.003
Roth GA, Mensah GA, Johnson CO, Addolorato G, Ammirati E, Baddour LM, et al. Global Burden of Cardiovascular Diseases and Risk Factors, 1990-2019: Update From the GBD 2019 Study. J Am Coll Cardiol. 2020;76(25):2982–3021. doi: 10.1016/j.jacc.2020.11.010
Mohamed-Yassin MS, Baharudin N, Daher AM, Abu Bakar N, Ramli AS, Abdul-Razak S, et al. High prevalence of dyslipidaemia subtypes and their associated personal and clinical attributes in Malaysian adults: the REDISCOVER study. BMC Cardiovasc Disord. 2021;21(1):1–13. doi: 10.1186/s12872-021-01956-0
Ahmed AA, Al-Shami AM, Jamshed S, Zawiah M, Elnaem MH, Mohamed Ibrahim MI. Awareness of the risk factors for heart attack among the general public in Pahang, Malaysia: a cross-sectional study. Risk management and healthcare policy. 2020;23:3089-3102. doi: 10.2147/RMHP.S281285
Gebreegziabiher G, Belachew T, Mehari K, Tamiru D. Prevalence of dyslipidemia and associated risk factors among adult residents of Mekelle City, Northern Ethiopia. PLoS One. 2021;16(2):e0243103. doi: 10.1371/journal.pone.0243103
Majanović SK, Peloza OC, Detel D, Jovanović GK, Bakula M, Rahelic D, et al. Dyslipidemia: Current Perspectives and Implications for Clinical Practice. Manag Dyslipidemia. 2021. doi: 10.5772/intechopen.98386
Trautwein EA, McKay S. The role of specific components of a plant-based diet in management of dyslipidemia and the impact on cardiovascular risk. Nutrients. 2020;12(9):2671. doi: 10.3390/nu12092671
Smith Y. Community Pharmacy [Internet]. 2019 [cited 2023 Jan 27]. Available from: https://www.news-medical.net/health/Community-Pharmacy.aspx
Owens CT, Baergen R, Carvajal MJ. Pharmacy Practice in High-Volume Community Settings: Barriers and Ethical Responsibilities. Pharm 2021. 2021;9(2):74. doi: 10.3390/pharmacy9020074
Loh P, Chua SS, Karuppannan M. The extent and barriers in providing pharmaceutical care services by community pharmacists in Malaysia: a cross-sectional study. BMC Health Serv Res. 2021;21(1):1–14. doi: 10.1186/s12913-021-06820-7
Ministry of Health. 5th Edition of Clinical Practice Guideline: Management of Dyslipidemia 2017. Available from: https://www.moh.gov.my/moh/resources/Penerbitan/CPG/CARDIOVASCULAR/4.pdf
Kitzinger J. Qualitative research. Introducing focus groups. Br Med J. 1995;311(7000):299. DOI: 10.1136/bmj.311.7000.299
Berg B: Qualitative research methods for the social sciences, MA: Pearsons Education. Inc; 2009. doi:10.2307/1317652
Mullen PD, Reynolds R. The potential of grounded theory for health education research: linking theory and practice. Health Educ Behav. 1978;6(3):280–94. DOI: 10.1177/109019817800600302
Bekele WB, Ago FY. Sample size for interview in qualitative research in social sciences: A guide to novice researchers. Research in Educational Policy and Management. 2022 Sep 18;4(1):42-50.
Entwistle VA, Renfrew MJ, Yearley S, Forrester J, Lamont T. Lay perspectives: advantages for health research. BMJ. 1998;316(7129):463–6. doi: 10.1136/bmj.316.7129.463
Braun V, Clarke V. What can “thematic analysis” offer health and wellbeing researchers?. International journal of qualitative studies on health and well-being. 2014;9(1):26152. doi: 10.3402/qhw.v9.26152
Sendekie AK, Netere AK. Multicenter Cross-Sectional Study on Perceptions and Roles of Community Pharmacists in the Prevention and Management of Cardiovascular Disorders in Northwest Ethiopia. Integrated Pharmacy Research and Practice. 2022;11:21-31. doi: 10.2147/IPRP.S348260
Ilardo ML, Speciale A. The community pharmacist: perceived barriers and patient-centered care communication. International journal of environmental research and public health. 2020;17(2):536. doi: 10.3390/ijerph17020536
Daly CJ, Quinn B, Mak A, Jacobs DM. Community pharmacists’ perceptions of patient care services within an enhanced service network. Pharmacy. 2020;8(3):172. doi: 10.3390/pharmacy8030172
Pushparajah DS. Making patient engagement a reality. The Patient-Patient-Centered Outcomes Research. 2018 Feb;11(1):1-8. doi: 10.1007/s40271-017-0264-6
Health M of P. A Public Health Crisis: Staffing Shortages in Health Care | USC MPH . 2022. Available from: https://mphdegree.usc.edu/blog/staffing-shortages-in-health-care/
Lv JC, Zhang LX. Prevalence and disease burden of chronic kidney disease. Renal fibrosis: mechanisms and therapies. 2019:3-15. doi: 10.1007/978-981-13-8871-2_1
Loh P, Lee JW, Karuppannan M, Chua SS. Practice of pharmaceutical care by community pharmacists in response to self-medication request for a cough: a simulated client study. BMC Health Services Research. 2023;23(1):1-10. doi: 10.1186/s12913-023-09642-x
Ahmed NO, AL-Wahibi NS. Knowledge attitude and practice towards pharmaceutical care in community pharmacy in Saudi Arabia. British Journal of Medicine and Medical Research. 2016;15(9):1-9. doi:10.9734/BJMMR/2016/23920
Elayeh E, Akour A, Almadaeen S, AlQhewii T, Basheti IA. Practice of pharmaceutical care in community pharmacies in Jordan. Tropical Journal of Pharmaceutical Research. 2017;16(2):463-470. doi:10.4314/tjpr.v16i2.27
Hepler CD, Strand LM. Opportunities and responsibilities in pharmaceutical care. American journal of hospital pharmacy. 1990;47(3):533-43. Available from: https://pubmed.ncbi.nlm.nih.gov/2316538/
Helle Kanstrup, Jens Flensted Lassen LH. Risk assessment and treatment of dyslipidemia in primary health care. 2005;52. Available from: https://cdn.intechopen.com/pdfs/77410.pdf
Spence JD, Hegele RA. Non-invasive assessment of atherosclerosis risk. Curr Drug Targets Cardiovasc Haematol Disord. 2004 Jun;4(2):125-8. doi: 10.2174/1568006043336294.
Al DAR et al. Best Cardiovascular Heart Risk Calculator I Pantai Hospital [Internet]. 2008. Available from: https://www.pantai.com.my/cardiology/heart-risk-calculator
Hemann BA, Bimson WF, Taylor AJ. The Framingham Risk Score: an appraisal of its benefits and limitations. American Heart Hospital Journal. 2007;5(2):91-96. doi: 10.1111/j.1541-9215.2007.06350.x
George J, McNamara K, Stewart K. The roles of community pharmacists in cardiovascular disease prevention and management. The Australasian medical journal. 2011;4(5):266. doi: 10.4066/AMJ.2011.698