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Australian community pharmacists' practice in complementary medicines: a structural equation modeling approach
Tipaporn Kanjanarach1, Ines Krass, Robert G Cumming
1Khon Kaen University, Khon Kaen, Thailand. otipkan@kku.ac.th
Pharmacists accepting responsibility for counseling on complementary medicines (CMs) strongly influences their evaluation of CM appropriateness and sales decisions. Encouraging this acceptance is key for safe CM use.
Area of Science:
- Pharmacy practice
- Complementary medicine research
- Health behavior
Background:
- Community pharmacists play a role in complementary medicine (CM) use.
- Understanding factors influencing pharmacist practice regarding CMs is crucial for patient safety.
Purpose of the Study:
- To test a model of factors influencing pharmacists' practice concerning complementary medicines (CMs).
- To examine the relationship between pharmacists' perceptions of responsibility and their practices in evaluating and selling CMs.
Main Methods:
- A survey of 212 community pharmacists in New South Wales using self-administered questionnaires.
- Structural equation modeling (AMOS v6.0) was employed to analyze data on CM evaluation and sales decisions.
Main Results:
- Pharmacists' perceived responsibility for safe CM use predicted comprehensive appropriateness evaluations (P=0.002).
- Increased evaluation comprehensiveness led to reduced sales of inappropriate CMs (P=0.021).
- Pharmacist knowledge, attitudes, income concerns, and characteristics did not significantly impact practice.
Conclusions:
- Pharmacists' acceptance of counseling responsibility for CMs is the primary predictor of evaluation thoroughness and sales decisions.
- Pharmacists should be supported in recognizing and embracing their role in ensuring safe and effective CM use.
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