9th PCNE Working Conference 2015, Mechelen, Belgium
Pharmaceutical Care V2.0: From experience to expertise
4-6 February 2015
Dear friends,
PCNE has grown-up: 20 years old and now a very active and strong research network operating across Europe and beyond. In the early days of PCNE, the focus was on documenting the impact and value of pharmaceutical care services, resulting in a strong research evidence base. More recently we have also turned our attention to the core competencies required to undertake pharmaceutical care services and to the guidelines to implement such services.
Today we see that the research and the implementation of pharmaceutical care in many countries focus on some of the core activities such as medication management or counselling. However, researchers and practitioners are still struggling to get pharmaceutical care activities in a broader sense designed and implemented in the best possible way.
The PCNE working conference provides an excellent opportunity to explore and discuss new research methods and concepts for the evaluation and implementation of pharmaceutical care services with like-minded colleagues from across the globe. Therefore we would like to welcome you to Mechelen, where we will share professional and research experiences in pharmaceutical care, in a learning environment that is suitable for both early-career and more experienced researchers, people from professional organisations and PhD students. The plenary lectures promise to be thought provoking. The workshops, which extend over three days, will allow for detailed and robust discussions about many elements of pharmaceutical care research from both a practical and theoretical perspective.
In order to further improve pharmaceutical care for the patient, we invite you to come to Mechelen, and join us for this exciting program.
Dr. Charlotte Rossing, Hillerod
PCNE Chairperson
Dr. Veerle Foulon, Leuven
PCNE Secretary
As usual, the slides of the lectures and reports of the workshops will gradually appear on these pages.
The program
Download the program as foldable PDF from here
Abstracts
Click on the tab 'Abstracts' for the accepted abstracts. Accepted abstracts are also published in the International Journal of Clinical Pharmacy.
The Venue
The conference was held in The Lamot Brewery, Mechelen, Belgium.
Mechelen
Mechelen lies on the major urban and industrial axis Brussels-Antwerp, about 25 km from each city. The Dijle flows through the city, hence it is often referred to as the Dijlestad ("City on the river Dijle").
Mechelen is one of Flanders' prominent cities of historical art, with Antwerp, Bruges, Brussels, Ghent, and Leuven. It was notably a center for artistic production during the Northern Renaissance, when painters, printmakers, illuminators and composers of polyphony were attracted by patrons such as Margaret of York, Margaret of Austria and Jeroen Van Busleyden.
Accreditation
The PCNE working Conference will be accredited for Dutch participants (community pharmacists) for 17 continuing education hours. If you think that the program should also be accredited in your country, contact the PCNE secretariat with the necessary information.
Sponsors
PCNE gratefully acknowledges support from Springer Science and Business Media, Bayer AG , Febelco (the biggest Belgian wholesaler of medicines) and Farmad (a Belgian softwarhouse for pharmacies). The Belgian Pharmacist Association APB and the Förderinitiative Pharmazeutische Betreuung sponsor the poster and oral communication awards.
If you want to sponsor our event, contact the PCNE secretariat at info@pcne.org.
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Conference committee
Charlotte Rossing, Denmark; Isabelle Dewulf, Belgium; Veerle Foulon, Belgium; Kurt Hersberger, Basle; Foppe van Mil, the Netherlands; Martin Henman, Ireland; Mitja Kos, Slovenia; Tim Chen, Australia
Lectures
Click on title to opload a pdf of the presentation.
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From experience to expertise: how community pharmacy evolved over the last 20 years, and where to go from now (Martin Henman, Ireland)
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Breakthrough method: how data-driven management of research and practice can make pharmaceutical care happen (Dorthe Vistrup Tomsen, Denmark)
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The impact of medication review – does it work? Structured discussion with opponent on the effect of medication review in different settings (Markus Messerli, Switzerland)
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From experience to expertise: evolution of pharmaceutical care in Canada (Lyne Lalonde, Canada)
Short oral communications
The Oral Communication award for the best Oral Communication has been made available by the German Förderinitiative Pharmazeutische Betreuung.
Click on title to opload a pdf of the presentation.
Development and validation of the SCOPE (Severity Categorization for Pharmaceutical Evaluation) criteria to evaluate the severity of drug related problems in chronic kidney disease. Patricia Quintana Bárcena (Faculty of Pharmacy, Université de Montréal, Montreal, Quebec, Canada.)
Clinical risk management in patients with (risk of) impaired renal function in community pharmacies in the Netherlands. Ellen Koster (UPPER, Utrecht University. the Netherlands)
ProFiL, a training-and-communication network program in nephrology for community pharmacists: impact on knowledge, clinical competences, quality of medication use and clinical variables. Lyne LalondeFaculty of pharmacy, Université de Montréal.)
Depression training for pharmacists significantly improves patients’ satisfaction, concerns and feelings about side effects regarding antidepressant therapy. Sophie Liekens (KU Leuven, Department of Pharmaceutical & Pharmacological sciences, Leuven Belgium) Winner of the FI-Award for the best oral communication.
Quality of pharmaceutical care in the Netherlands: the results of five years of quality indicator measurement in Dutch community pharmacies. Martina Teichert
(KNMP, the Hague, the Netherlands. IQHealthcare RadboudUMC, Nijmegen, the Netherlands)
Comprehensibly measuring patients' subjective thoughts, feelings and experiences of living with medicines – the Living with Medicines Questionnaire (LMQ). Stephen R. Carter (Faculty of Pharmacy, University of Sydney, Sydney, Australia.)
Workshops
The details of the following workshops can be found below:
1. Medication Review - Tools and Guidelines (Hersberger & Horvat)
2. Implementation sciences - The Theory of implementation (Moullin & Thomsen)
3. This workshop has been cancelled. Participants have received an alternative option
4. Patient specific evaluation measures for medication review (Chen & Westerlund)
5. Dealing with complex patients in pharmaceutical care research (Henman & Liekens)
6. Lets help each other. improving the quality of pharmaceutical care research designs (Kos & Foulon/Rossing)
Workshop 1: Medication review - Tools and guidelines
(Facilitator: Kurt Hersberger, Switzerland and Nejc Horvat, Slovenia)
A workshop both for people who are new in the field, and for more experienced people willing to share experiences
Introduction:
In 2009, PCNE has defined three types of medication review i.e., simple, intermediate and advanced medication review. These types depend on the available types and sources of information. In order to cover both, the ambulatory and the clinical setting, later a forth type was added (intermediate performed in the clinical setting).
Aim:
To get familiar with tools and guidelines developed and used in medication reviews, and, where necessary, to optimize the tools and guidelines.
Learning objectives:
- To get to know the characteristics of the different types of medication review and to exchange experiences among participants
- To become aware of a number of unresolved issues with respect to practice and research methodology
- To be able to develop criteria for selection of explicit and implicit checklists and possible tools supporting the execution of a medication review in the ambulatory or clinical setting
- To outline specifications for evaluation of guidelines for medication reviews
Activities in the workshop:
During the workshop we will summarize the output of previous workshops (characteristics of the 4 types, tasks and methodologies, workflow, skills needed, patient selection) and discuss unresolved issues. There are different ways of conducting medication reviews and we will try to work out basic standards for each type. With respect to complexity in pharmacotherapy (multimorbidity, polypharmacy, different physicians involved) we further screen existing explicit and implicit checklists for detection of drug related problems and we will develop criteria to work with ending up with the development of guideline(s) for the four types of MR. Such guidelines should also address the issues involved in recommending interventions.
Workshop 2: Implementation sciences - The theory of implementation
(Facilitator: Joanna Moullin, Australia & Linda Thomsen, Denmark)
A workshop for researchers and people with interest in implementation;
Introduction:
A growing area of importance in pharmaceutical care is how to implement new developments and services. Without consideration of implementation at the onset, complex interventions are developed that may be too difficult or impractical for daily practice. Moreover any new change in practice, including starting to deliver a service, requires a carefully planned and executed implementation protocol for the impact of new interventions to be realised. The disciple of implementation science has developed to study the elements necessary for successful adoption and integration of innovations.
This workshop will explore the concepts and difficulties of implementation in relation to pharmaceutical care and the implementation of professional pharmacy services.
Aim:
To learn, discuss and adapt implementation theory including the factors, strategies and evaluations necessary to guide successful implementation efforts, including from a practice, organizational, and research perspective.
Learning objectives:
- To gain an understanding of knowledge translation and implementation science
- To become aware of a number of useful implementation frameworks including the Framework for the Implementation of Services in Pharmacy (FISpH)
- To be able to develop objectives, strategies and indicators and for implementation projects
Activities in the workshop:
Participants will discuss and share experiences as well as learn from leading experts in field to develop a tool to guide the implementation of an innovation in pharmaceutical care. Depending on the group this may be a targeted at the level of a pharmacy trying to implement, as a research proposal, or as a professional organization scale-up plan.
Workshop 4: Patient specific evaluation measures for medication review
(Facilitators: Tim Chen, Australia; Tommy Westerlund, Sweden)
A workshop primarily for experienced researchers
Introduction:
Pharmaceutical care services such as comprehensive medication review or medication therapy management are now recognised as core services provided by pharmacists. Over the past two decades there has been a concerted and sustained effort by practitioners and researchers to conduct well designed trials which measure the impact and outcomes of pharmaceutical care services. A critical part of any well designed evaluation strategy is the careful selection of measures with acceptable psychometric properties, including reliability and validity. Measures should also be of acceptable sensitivity and specificity. A common conceptual framework used to consider evaluation measures classifies them as either economic or clinical or humanistic in nature.
Aim:
To develop outcome indicators and evaluation measures for medication review / pharmaceutical care services, from the patient’s perspective
Learning objectives:
- To describe a range of humanistic measures which can be used to evaluate medication review / pharmaceutical care services
- To understand the principles of testing evaluation instruments for reliability and validity; and sensitivity and specificity
- To understand the properties of outcome indicators and evaluation measures which make them suitable for evaluating medication review / pharmaceutical care services
- To be able to develop humanistic outcome indicators and evaluation measures for medication review / pharmaceutical care services
Activities in the workshop:
We will facilitate small group discussion on the purpose and utility of measuring humanistic outcomes such as satisfaction and health related quality of life, what patient reported outcomes (PROs) can and should be measured and the properties of these measures; and the considerations in using humanistic measures for evaluating pharmaceutical care services, whether they be disease-focused or more general in nature. We will draw on the individual and collective experiences of all participants in this highly interactive workshop and will endeavor to make this workshop as practical as possible. Participants will be provided with a set of selected references and materials by the end of the workshop.
Workshop 5: Dealing with complex patients in pharmaceutical care research
(Facilitator: Martin Henman, Ireland & Sophie Liekens, Belgium)
A workshop for people dealing with complex patients in research or implementation projects (e.g. patients with mental illness, patients with dementia, illiterate patients)
Introduction:
The patient, the condition and the drug treatment may all contribute to the complexity of a patient case. Most commonly, the problems arise because of cognitive impairment and associated communication difficulties. A consequence of this is the under-representation of these populations in clinical research. The problems present at several points in the research process. Although the capability to provide informed consent has attracted the most attention and both the ethical guidance and a variety of practical approaches have been devised and evaluated, many researchers are not familiar with this body of work. Furthermore, to assess a patient’s symptoms is also a challenge, but fortunately several attempts have been made with different patient groups, such as those with dementia to develop clinical assessment tools, some of which can be used to evaluate the efficacy of medication treatment. Similarly, investigating medication side effects can require special tools. Many of these vulnerable groups of patients live in homes in groups and guidance has been produced for the assessment of group interventions. However, this workshop will focus primarily on the patient who poses complex problems in practice and in research.
Aim:
The workshop will explore the research process in dealing with complex patients and provide an understanding of the challenges and types of solutions that may be employed to overcome them.
Learning objectives:
- To understand and identify what makes research difficult in complex patients/populations.
- To reflect on communicating in and about research.
- To identify measures to take into account when designing research in complex patients/populations.
- To apply basic communication skills with complex patients / stakeholders.
Activities in the workshop:
We will facilitate group discussion in order to draw on the individual and collective experiences of all participants in this highly interactive workshop.Participants will be able to discuss and share their experiences regarding complex patients/populations in research. This will result in an overview of the challenges and problems present at several points in the research process when dealing with complex patients/populations. Next, participants will reflect on different types of solutions that may be employed to overcome and address these challenges.
Workshop 6: Lets help each other. improve the quality of pharmaceutical care research designs (new title)
(Facilitator: Mitja Kos, Slovenia, Veerle Foulon, Belgium and/or Charlotte Rossing, Denmark)
This is a workshop for PhD researchers willing to present, share and discuss their own research ideas.
Introduction:
Pharmaceutical care research is inevitably connected with clinical practice. Researchers try to describe facts of current and past professional practice. On the other hand, they also try to develop and validate interventions that will improve health care outcomes, including patients’ quality of life. Pharmaceutical care research is a relatively new field of research within pharmaceutical science. On the other hand, a number of methodological approaches are known from before and other fields. Nevertheless, the area represents an interesting challenge of quantitative and qualitative methodology for new as well as established researchers in the field.
Aim:
To get a qualified and peer-reviewed feedback on your own pharmaceutical care research project in order to advance the quality of research design.
Learning objectives:
- To understand methodological approaches in pharmaceutical care research.
- To advance your own research design.
Activities in the workshop:
Participants will present their research designs of their current and/or past research projects. In-depth discussion will be stimulated in order to get a relevant feedback from the group as well as workshop-leaders. Experiences from the past research involvements will be used to understand the advantages and disadvantages as well as the feasibility of possible methodological approaches. Based on the qualified and peer-reviewed feedback the participants will aim to advance their research project designs.
Program
The program can be downloaded by clicking on this Link. Please note that the dowloaded PDF is formatted as a booklet.
Abstracts
The Poster award for the best poster has been made available by the Belgian Pharmacist Association APB. It was won by Ana Janezic from Slovenia with her poster ‘Medication adherence and health outcomes among asthma patients in Slovenia’.
A printable list of approved abstracts can be downloaded here as pdf.
List of accepted abstracts (click on the title to see the abstract)
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Picturebook
