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Pharmacy 2018, 6(1), 13; https://doi.org/10.3390/pharmacy6010013

Giving Voice to the Medically Under-Served: A Qualitative Co-Production Approach to Explore Patient Medicine Experiences and Improve Services to Marginalized Communities

1
School of Health Sciences, University of Nottingham, Nottingham NG7 2RD, UK
2
Karimia Ltd., Nottingham NG7 5JU, UK
3
Queen’s Pharmacy Centre, Nottingham NG8 5DB, UK
4
University Hospitals of Leicester NHS Trust, Leicester LE1 5WW, UK
*
Author to whom correspondence should be addressed.
Received: 29 November 2017 / Revised: 24 January 2018 / Accepted: 25 January 2018 / Published: 27 January 2018
(This article belongs to the Special Issue Qualitative Methods in Pharmacy Research)
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Abstract

Background: With an aging population, the appropriate, effective and safe use of medicines is a global health priority. However, “‘medically under-served” patients continue to experience significant inequalities around access to healthcare services. Aim: This study forms part of a wider project to co-develop and evaluate a digital educational intervention for community pharmacy. The aim of this paper is to explore the medicine needs of patients from marginalized communities and suggest practical way on how services could be better tailored to their requirements. Method: Following ethical approval, qualitative data was gathered from: (1) workshops with patients and professionals (n = 57 attendees); and (2) qualitative semi-structured interviews (10 patients and 10 pharmacists). Results: Our findings revealed that patients from marginalized communities reported poor management of their medical conditions and significant problems with adherence to prescribed medicines. Their experience of pharmacy services was found to be variable with many experiencing discrimination or disadvantage as a result of their status. Discussion: This study highlights the plight of medically under-served communities and the need for policy makers to tailor services to an individual’s needs and circumstances. Furthermore, patients and professionals can work in collaboration using a co-production approach to develop educational interventions for pharmacy service improvements. View Full-Text
Keywords: adherence; co-production; e-learning; medically under-served; medicines use review (MUR); pharmacy adherence; co-production; e-learning; medically under-served; medicines use review (MUR); pharmacy
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
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Latif, A.; Tariq, S.; Abbasi, N.; Mandane, B. Giving Voice to the Medically Under-Served: A Qualitative Co-Production Approach to Explore Patient Medicine Experiences and Improve Services to Marginalized Communities. Pharmacy 2018, 6, 13.

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