FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4256712912> ?p ?o ?g. }

• W4256712912 abstract "Abstract Background Minor ailments are “self-limiting conditions which may be diagnosed and managed without a medical intervention”. A cluster randomised controlled trial (cRCT) was designed to evaluate the clinical, humanistic and economic outcomes of a Minor Ailment Service (MAS) in community pharmacy (CP) compared with usual care (UC). Methods The cRCT was conducted for six months from December 2017. The pharmacist-patient intervention consisted of a standardised face-to-face consultation on a web-based program using co-developed protocols, pharmacists’ training, practice change facilitators and patients’ educational material. Patients requesting a non-prescription medication (direct product request) or presenting minor ailments received MAS or UC and were followed-up by telephone 10-days after the consultation. The primary economic outcomes were incremental cost-effectiveness ratio (ICER) of the service and health related quality of life (HRQoL). Total costs included health system, CPs and patient direct costs: health professionals’ consultation time, medication costs, pharmacists’ training costs, investment of the pharmacy and consultation costs within the ten days following the initial consultation. The HRQoL was obtained using the EuroQoL 5D-5L at the time of the consultation and at 10-days follow up. A sensitivity analysis was carried out using bootstrapping. There were two sub-group analyses undertaken, for symptom presentation and direct product requests, to evaluate possible differences.Results A total of 808 patients (323 MAS and 485 UC) were recruited in 27 CPs with 42 pharmacists (20 MAS and 22 UC). 64.7% (n=523) of patients responded to follow-up after their consultation in CP. MAS patients gained an additional 0.0003 QALYs (p=0.053). When considering only MAS patients presenting with symptoms, the ICER was 24,733€/QALY with a 47.4% probability of cost-effectiveness (willingness to pay of 25,000€/QALY). Although when considering patients presenting for a direct product request, MAS was the dominant strategy with a 93.69% probability of cost-effectiveness.Conclusions Expanding community pharmacists’ scope through MAS may benefit health systems. To be fully cost effective, MAS should not only include consultations arising from symptom presentation but also include an oversight of self-selected products by patients. MAS increase patient safety through the appropriate use of non-prescription medication and through the direct referral of patients to GP.Trial registrationThe study was not registered but it was approved by the University of Granada Ethics Committee (approval number 331/CEIH/2017) and Xátiva-Ontinyent Ethics Committee “Lluís Alcanyís”." @default.
• W4256712912 created "2022-05-12" @default.
• W4256712912 creator A5003666469 @default.
• W4256712912 creator A5005028839 @default.
• W4256712912 creator A5016521528 @default.
• W4256712912 creator A5020464012 @default.
• W4256712912 creator A5034551789 @default.
• W4256712912 creator A5042836058 @default.
• W4256712912 creator A5045839290 @default.
• W4256712912 creator A5048171896 @default.
• W4256712912 creator A5086496787 @default.
• W4256712912 date "2020-10-23" @default.
• W4256712912 modified "2023-09-28" @default.
• W4256712912 title "A Cost Utility Analysis Alongside a Cluster Randomised Trial Evaluating a Minor Ailment Service Compared to Usual Care in Community Pharmacy" @default.
• W4256712912 doi "https://doi.org/10.21203/rs.3.rs-93288/v1" @default.
• W4256712912 hasPublicationYear "2020" @default.
• W4256712912 type Work @default.
• W4256712912 citedByCount "0" @default.
• W4256712912 crossrefType "posted-content" @default.
• W4256712912 hasAuthorship W4256712912A5003666469 @default.
• W4256712912 hasAuthorship W4256712912A5005028839 @default.
• W4256712912 hasAuthorship W4256712912A5016521528 @default.
• W4256712912 hasAuthorship W4256712912A5020464012 @default.
• W4256712912 hasAuthorship W4256712912A5034551789 @default.
• W4256712912 hasAuthorship W4256712912A5042836058 @default.
• W4256712912 hasAuthorship W4256712912A5045839290 @default.
• W4256712912 hasAuthorship W4256712912A5048171896 @default.
• W4256712912 hasAuthorship W4256712912A5086496787 @default.
• W4256712912 hasBestOaLocation W42567129121 @default.
• W4256712912 hasConcept C104863432 @default.
• W4256712912 hasConcept C142724271 @default.
• W4256712912 hasConcept C159110408 @default.
• W4256712912 hasConcept C176400912 @default.
• W4256712912 hasConcept C2426938 @default.
• W4256712912 hasConcept C2776125615 @default.
• W4256712912 hasConcept C2779457091 @default.
• W4256712912 hasConcept C2780665704 @default.
• W4256712912 hasConcept C512399662 @default.
• W4256712912 hasConcept C71924100 @default.
• W4256712912 hasConceptScore W4256712912C104863432 @default.
• W4256712912 hasConceptScore W4256712912C142724271 @default.
• W4256712912 hasConceptScore W4256712912C159110408 @default.
• W4256712912 hasConceptScore W4256712912C176400912 @default.
• W4256712912 hasConceptScore W4256712912C2426938 @default.
• W4256712912 hasConceptScore W4256712912C2776125615 @default.
• W4256712912 hasConceptScore W4256712912C2779457091 @default.
• W4256712912 hasConceptScore W4256712912C2780665704 @default.
• W4256712912 hasConceptScore W4256712912C512399662 @default.
• W4256712912 hasConceptScore W4256712912C71924100 @default.
• W4256712912 hasLocation W42567129121 @default.
• W4256712912 hasLocation W42567129122 @default.
• W4256712912 hasLocation W42567129123 @default.
• W4256712912 hasLocation W42567129124 @default.
• W4256712912 hasOpenAccess W4256712912 @default.
• W4256712912 hasPrimaryLocation W42567129121 @default.
• W4256712912 hasRelatedWork W1965041889 @default.
• W4256712912 hasRelatedWork W2041884123 @default.
• W4256712912 hasRelatedWork W2055128302 @default.
• W4256712912 hasRelatedWork W2314672328 @default.
• W4256712912 hasRelatedWork W2552583352 @default.
• W4256712912 hasRelatedWork W3137819944 @default.
• W4256712912 hasRelatedWork W3188803873 @default.
• W4256712912 hasRelatedWork W4225285109 @default.
• W4256712912 hasRelatedWork W4250194358 @default.
• W4256712912 hasRelatedWork W2184736871 @default.
• W4256712912 isParatext "false" @default.
• W4256712912 isRetracted "false" @default.
• W4256712912 workType "article" @default.