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A Computerized Pharmacy Decision Support System (PDSS) for Headache Management: Observational Pilot Study.

Serge Perrot1, Anne-Priscille Trouvin1, Beatrice Clairaz-Mahiou2

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|November 25, 2022
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Summary

A new pharmacy decision support system (PDSS) web app improved headache management in community pharmacies. It enhanced perceived care quality for both patients and pharmacy personnel, effectively identifying those needing specialist care.

Keywords:
counsellingdecision support systemheadacheover-the-counter (OTC) medicationpatient perceptionpharmacyself-medication

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Area of Science:

  • Pharmacy Practice
  • Digital Health
  • Pharmacotherapy

Background:

  • Headaches are a common reason for seeking pharmacy advice and self-medication.
  • Community pharmacists play a key role in guiding over-the-counter (OTC) headache treatment.
  • Computerized pharmacy decision support systems (PDSS) can aid pharmacists in managing headache patients.

Purpose of the Study:

  • To evaluate a new PDSS web app for managing patients with headaches in community pharmacies.
  • To assess the PDSS web app's impact on patient and pharmacy personnel counseling.
  • To examine pharmacy personnel and patient perceptions of the PDSS web app.

Main Methods:

  • An observational pilot study was conducted in two regions of France.
  • The PDSS web app was developed based on established headache management guidelines.
  • Pharmacy personnel received training; patients were interviewed using the PDSS web app during consultations.

Main Results:

  • 38 pharmacies and 179 personnel used the PDSS web app, serving 435 patients.
  • Most patients received OTC analgesics and advice (79.5%); 17% were referred to urgent care, 3.5% to GPs.
  • Pharmacy personnel (100%) and patients (80.7%) reported high satisfaction; 93.2% of personnel felt care quality improved.

Conclusions:

  • The PDSS web app improved perceived quality of care for headache management in community pharmacies.
  • The system was well-accepted and effective in identifying patients needing specialist referral.
  • Further research should explore additional "red flags" and assess the app's impact on patient outcomes.