Phases in implementing patient counseling.
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R Herrier
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Why aren't more pharmacists counseling?
Clearly, the answers to the question "Why aren't more pharmacists counseling patients?" are complex. Factors affecting counseling vary by practice site, geographical region, and pharmacists' attitudes. Advocates of patient counseling may label many factors mentioned by workshop participants as "just excuses not to change" or may question their validity. However, our experiences have shown that these are real problems with logical explanations and relatively simple solutions. By focusing this column on the steps for overcoming these common barriers to counseling, we hope to help pharmacists expand their role in patient care.
Communication Barriers↗
Finding time for counseling.
To implement patient counseling, pharmacists must integrate new services into a significantly restructured prescription dispensing process to prevent marked reductions in efficiencies. Trying to add on counseling services--without changing existing systems--will reduce efficiency and increase unnecessary frustrations. Most pharmacy restructuring will require little or no additional expense--just changes in work flow, procedures, and functions, and/or small changes in physical layout. In a few situations, increasing efficiency may require major physical and design changes.
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