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An overview of service quality of continuous positive airway pressure services in Australian pharmacies

Authors

  • Carissa A. Hanes,

    Corresponding author
    1. Faculty of Pharmacy, The University of Sydney, Sydney
    2. The NHMRC Centre for Integrated Research and Understanding of Sleep (CIRUS), Glebe
    3. Woolcock Institute of Medical Research, Glebe
    • Correspondence: Carissa A. Hanes, Faculty of Pharmacy, Room S114, Pharmacy Building A15, Science Road, The University of Sydney, Sydney, NSW 2006, Australia. Email: carissa.hanes@sydney.edu.au

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  • Keith K.H. Wong,

    1. Faculty of Medicine, The University of Sydney, Sydney
    2. The NHMRC Centre for Integrated Research and Understanding of Sleep (CIRUS), Glebe
    3. Woolcock Institute of Medical Research, Glebe
    4. Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia
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  • Bandana Saini

    1. Faculty of Pharmacy, The University of Sydney, Sydney
    2. The NHMRC Centre for Integrated Research and Understanding of Sleep (CIRUS), Glebe
    3. Woolcock Institute of Medical Research, Glebe
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  • (Associate Editor: Mary Morrell)

Abstract

Background and objective

Little is known about CPAP services offered in the Australian primary care pharmacy setting, despite the potential influence of service quality on patient adherence. The objective of this study was to provide an overview on a nationwide scale of the range and quality of CPAP and sleep apnoea-related services in Australian pharmacies.

Methods

A paper-based questionnaire was developed and mailed to all pharmacies in Australia that currently provide CPAP services (as identified by manufacturer's distributor lists or Internet search). A point system was devised to score participants on the quality of their CPAP service. Pharmacies were rated against a list of 23 criteria that were determined by consensus, with one point allocated for each criterion met, allowing for a maximum score of 23.

Results

The study response rate was 55% (110/199), and representation was obtained from all eight Australian states and territories. The mean number of criteria met (total score) for pharmacies was 15.7 ± 3.4 (15.7/23 = 68.3%; score range 2–22). Variability was evident in the range of services offered. Eighty-seven per cent of respondents believed that pharmacies supplying CPAP should adhere to a formalized set of professional guidelines.

Conclusions

The accessibility of pharmacies may make them a valuable venue for CPAP service provision. However, models of care to guide practice and standardize the variability in services are required. Implementation of such models could improve patient access to quality treatment in the primary care setting.

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