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Published in: BMC Complementary Medicine and Therapies 1/2017

Open Access 01-12-2017 | Research article

Key stakeholder perspectives on the barriers and solutions to pharmacy practice towards complementary medicines: an Australian experience

Authors: Carolina Oi Lam Ung, Joanna Harnett, Hao Hu

Published in: BMC Complementary Medicine and Therapies | Issue 1/2017

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Abstract

Background

Although pharmacists are entrusted to play a role in ensuring the safe and appropriate use of all medicines, in general, the inclusion of complementary medicines (CMs) into their professional practice has not been observed. The purpose of this study was to explore the perceptions and opinions of pharmacists and 8 key stakeholder leaders regarding the barriers that hinder pharmacists from providing care related to the use of CMs by patients/consumers and to identify solutions that would support pharmacists’ in extending their role in this area.

Methods

Semi-structured key informant interviews were conducted with 2 practicing pharmacists, 1 pharmacy owner, 1 key representative of a pharmacist professional organization, 1 key representative of a consumer advocacy group, 1 key representative of a medical professional organization, 1 key representative from a complementary medicine practitioner professional organization, 1 leader within a pharmacy school, 2 senior staff from a regulatory authority, and 1 key representative of the complementary medicine industry in Australia.

Results

A total of 9 barriers were identified in this study. Barriers including a lack of CMs knowledge, doubts about the evidence-base, a lack of research skills and access to reliable and reputable information dominated the discussions. A total of 7 solutions were proposed. Of those, the integration of CMs curricula into under-graduate and professional pharmacy education, and defining a clearer role for pharmacists’ standard of practice were considered the most important. Apposing opinions about the role of naturopaths in pharmacies were identified..

Conclusion

It is anticipated that pharmacists will be required to formalise a role in ensuring the safe and appropriate use of complementary medicines to fulfil their professional and ethical responsibilities. However, pharmacists in general are not ready to take up this extended role. Individual key stakeholder groups have considered the existing barriers and have proposed solutions that are isolated measures. To facilitate further developments related to CMs and the professional practice of pharmacy, collaborative efforts between key stakeholders are needed to strategically plan and execute an extended role in a unified manner.
Literature
3.
go back to reference Robinson MM, Zhang X. The world medicines situation 2011 (traditional medicines: global situation, issues and challenges). Geneva: World Health Organization; 2011. Robinson MM, Zhang X. The world medicines situation 2011 (traditional medicines: global situation, issues and challenges). Geneva: World Health Organization; 2011.
7.
go back to reference Xue CC, Zhang AL, Lin V, Da Costa C, Story DF. Complementary and alternative medicine use in Australia: a national population-based survey. J Altern Complement Med. 2007;13(6):643–50.CrossRefPubMed Xue CC, Zhang AL, Lin V, Da Costa C, Story DF. Complementary and alternative medicine use in Australia: a national population-based survey. J Altern Complement Med. 2007;13(6):643–50.CrossRefPubMed
8.
go back to reference Nahin RL, Barnes PM, Stussman BJ, Bloom B. Costs of complementary and alternative medicine (CAM) and frequency of visits to CAM practitioners: United States, 2007. Natl Health Stat Report. 2009;18:1–14. Nahin RL, Barnes PM, Stussman BJ, Bloom B. Costs of complementary and alternative medicine (CAM) and frequency of visits to CAM practitioners: United States, 2007. Natl Health Stat Report. 2009;18:1–14.
14.
go back to reference Kanjanarach T, Krass I, Cumming R. Exploratory study of factors influencing practice of pharmacists in Australia and Thailand with respect to dietary supplements and complementary medicines. Int J Pharm Pract. 2006;14:123–8.CrossRef Kanjanarach T, Krass I, Cumming R. Exploratory study of factors influencing practice of pharmacists in Australia and Thailand with respect to dietary supplements and complementary medicines. Int J Pharm Pract. 2006;14:123–8.CrossRef
15.
go back to reference Koh HL, Teo HH, Ng HL. Pharmacists’ patterns of use, knowledge, and attitudes toward complementary and alternative medicine. J Altern Complement Med. 2003;9:51–63.CrossRefPubMed Koh HL, Teo HH, Ng HL. Pharmacists’ patterns of use, knowledge, and attitudes toward complementary and alternative medicine. J Altern Complement Med. 2003;9:51–63.CrossRefPubMed
16.
go back to reference McHughes M, Timmermann BN. A review of the use of CAM therapy and the sources of accurate and reliable information. J Manag Care Pharm. 2005;11:695–703.PubMed McHughes M, Timmermann BN. A review of the use of CAM therapy and the sources of accurate and reliable information. J Manag Care Pharm. 2005;11:695–703.PubMed
17.
go back to reference Hirschkorn KA. Exclusive versus everyday forms of professional knowledge: legitimacy claims in conventional and alternative medicine. Sociol Health Illn. 2006;28(5):533–57.CrossRefPubMed Hirschkorn KA. Exclusive versus everyday forms of professional knowledge: legitimacy claims in conventional and alternative medicine. Sociol Health Illn. 2006;28(5):533–57.CrossRefPubMed
18.
go back to reference Hasan SS, Ahmed SI, Bukhari NI, Loon WC. Use of complementary and alternative medicine among patients with chronic diseases at outpatient clinics. Complement Ther Clin Pract. 2009;15(3):152–7.CrossRefPubMed Hasan SS, Ahmed SI, Bukhari NI, Loon WC. Use of complementary and alternative medicine among patients with chronic diseases at outpatient clinics. Complement Ther Clin Pract. 2009;15(3):152–7.CrossRefPubMed
19.
go back to reference Xu J, Yang Y. Traditional Chinese medicine in the Chinese health care system. Health Policy. 2009;90:133–9.CrossRefPubMed Xu J, Yang Y. Traditional Chinese medicine in the Chinese health care system. Health Policy. 2009;90:133–9.CrossRefPubMed
20.
go back to reference Kaufman DW, Kelly JP, Rosenberg L, Anderson TE, Mitchell AA. Recent patterns of medication use in the ambulatory adult population of the United States. The Slone survey. JAMA. 2002;287(3):337–44.CrossRefPubMed Kaufman DW, Kelly JP, Rosenberg L, Anderson TE, Mitchell AA. Recent patterns of medication use in the ambulatory adult population of the United States. The Slone survey. JAMA. 2002;287(3):337–44.CrossRefPubMed
21.
go back to reference Thomson P, et al. Why people seek complementary and alternative medicine before conventional medical treatment: a population based study. Complement Ther Clin Pract. 2014;20:339–46.CrossRefPubMed Thomson P, et al. Why people seek complementary and alternative medicine before conventional medical treatment: a population based study. Complement Ther Clin Pract. 2014;20:339–46.CrossRefPubMed
22.
go back to reference Williamson M, Tudball J, Toms M, Garden F, Grunseit A. Information use and needs of complementary medicines users. Sydney: National Prescribing Service; 2008. Williamson M, Tudball J, Toms M, Garden F, Grunseit A. Information use and needs of complementary medicines users. Sydney: National Prescribing Service; 2008.
24.
go back to reference Iyer P, McFarland R, La Caze A. Expectations and responsibilities regarding the sale of complementary medicines in pharmacies: perspectives of consumers and pharmacy support staff. Int J Pharm Pract. 2016;16 Iyer P, McFarland R, La Caze A. Expectations and responsibilities regarding the sale of complementary medicines in pharmacies: perspectives of consumers and pharmacy support staff. Int J Pharm Pract. 2016;16
26.
go back to reference Boon H. CAM and Pharmacists: challenge or opportunity? Focus Alternative Complementary Therapies. 2005;10(2):1–3. Boon H. CAM and Pharmacists: challenge or opportunity? Focus Alternative Complementary Therapies. 2005;10(2):1–3.
29.
go back to reference Miller LG, Hume A, Harris IM, et al. White paper on herbal products. American College of Clinical Pharmacy Pharmacotherapy. 2000;20(7):877–91.PubMed Miller LG, Hume A, Harris IM, et al. White paper on herbal products. American College of Clinical Pharmacy Pharmacotherapy. 2000;20(7):877–91.PubMed
30.
go back to reference Walji R, Boon H, Barnes J, Welsh S, Austin Z, Baker GR. Reporting natural health product related adverse drug reactions: is it the pharmacist’s responsibility? Int J Pharm Pract. 2011;19(6):383–91.CrossRefPubMed Walji R, Boon H, Barnes J, Welsh S, Austin Z, Baker GR. Reporting natural health product related adverse drug reactions: is it the pharmacist’s responsibility? Int J Pharm Pract. 2011;19(6):383–91.CrossRefPubMed
31.
go back to reference Shaw D, Graeme L, Pierre D, Elizabeth W, Kelvin C. Pharmacovigilance of herbal medicine. J Ethnopharmacol. 2012;140(3):513–8.CrossRefPubMed Shaw D, Graeme L, Pierre D, Elizabeth W, Kelvin C. Pharmacovigilance of herbal medicine. J Ethnopharmacol. 2012;140(3):513–8.CrossRefPubMed
32.
34.
go back to reference Metcalfe A, Williams J, McChesney J, Patten SB, Jette N. Use of complementary and alternative medicine by those with a chronic disease and the general population the results of a national population based survey. BMC Complement Altern Med. 2010;10:58.CrossRefPubMedPubMedCentral Metcalfe A, Williams J, McChesney J, Patten SB, Jette N. Use of complementary and alternative medicine by those with a chronic disease and the general population the results of a national population based survey. BMC Complement Altern Med. 2010;10:58.CrossRefPubMedPubMedCentral
35.
go back to reference Pollow RL, Stoller EP, Forster LE, Duniho TS. Drug combinations and potential for risk of adverse drug reaction among community-dwelling elderly. Nurs Res. 1994;43(1):44–9.CrossRefPubMed Pollow RL, Stoller EP, Forster LE, Duniho TS. Drug combinations and potential for risk of adverse drug reaction among community-dwelling elderly. Nurs Res. 1994;43(1):44–9.CrossRefPubMed
36.
go back to reference Tachjian A, Maria V, Jahangir A. Use of herbal products and potential interactions in patients with cardiovascular diseases. J Am Coll Cardiol. 2010;55(6):515–25.CrossRefPubMedPubMedCentral Tachjian A, Maria V, Jahangir A. Use of herbal products and potential interactions in patients with cardiovascular diseases. J Am Coll Cardiol. 2010;55(6):515–25.CrossRefPubMedPubMedCentral
37.
go back to reference Hu Z, Yang X, Ho PC, et al. Herb–drug interactions: a literature review. Drugs. 2005;65(9):1239–82.CrossRefPubMed Hu Z, Yang X, Ho PC, et al. Herb–drug interactions: a literature review. Drugs. 2005;65(9):1239–82.CrossRefPubMed
38.
go back to reference Kwan D, Boon HS, Hirschkorn K, Welsh S, Jurgens T, Eccott L, Heschuk S, Griener GG, Cohen-Kohler JC. Exploring consumer and pharmacist views on the professional role of the pharmacist with respect to natural health products: a study of focus groups. BMC Complementary Alternative Medicine. 2008;8:40.CrossRefPubMedPubMedCentral Kwan D, Boon HS, Hirschkorn K, Welsh S, Jurgens T, Eccott L, Heschuk S, Griener GG, Cohen-Kohler JC. Exploring consumer and pharmacist views on the professional role of the pharmacist with respect to natural health products: a study of focus groups. BMC Complementary Alternative Medicine. 2008;8:40.CrossRefPubMedPubMedCentral
39.
go back to reference Ung COL, Harnett J, Hu H. Community pharmacist’s responsibilities with regards to traditional medicine/complementary medicine products: a systematic literature review. Res Social Adm Pharm. 2017;13(4):686–716. Ung COL, Harnett J, Hu H. Community pharmacist’s responsibilities with regards to traditional medicine/complementary medicine products: a systematic literature review. Res Social Adm Pharm. 2017;13(4):686–716.
40.
go back to reference Tiralongo E, Braun L, Wilkinson J, Spizer O, Bailey M, Poole S, Dooley M. Exploring the integration of complementary medicines into Australian pharmacy practice with a focus on different practice settings and background knowledge. J Complement Integr Med. 2010;7:1–23.CrossRef Tiralongo E, Braun L, Wilkinson J, Spizer O, Bailey M, Poole S, Dooley M. Exploring the integration of complementary medicines into Australian pharmacy practice with a focus on different practice settings and background knowledge. J Complement Integr Med. 2010;7:1–23.CrossRef
43.
go back to reference D’Onise K, Haren MT, Misan GM, McDermott RA. Who uses complementary and alternative therapies in regional South Australia? Evidence from the Whyalla intergenerational study of health. Aust Health Rev. 2013;37(1):104–11.CrossRefPubMed D’Onise K, Haren MT, Misan GM, McDermott RA. Who uses complementary and alternative therapies in regional South Australia? Evidence from the Whyalla intergenerational study of health. Aust Health Rev. 2013;37(1):104–11.CrossRefPubMed
44.
go back to reference McLaughlin D1, Lui CW, Adams J. Complementary and alternative medicine use among older Australian women--a qualitative analysis. BMC Complement Altern Med. 2012;12:34.CrossRefPubMedPubMedCentral McLaughlin D1, Lui CW, Adams J. Complementary and alternative medicine use among older Australian women--a qualitative analysis. BMC Complement Altern Med. 2012;12:34.CrossRefPubMedPubMedCentral
45.
go back to reference Sibbritt D, Adams J, Lui CW, Broom A, Wardle J. Who uses glucosamine and why? A study of 266,848 Australians aged 45 years and older. PLoS One. 2012;7(7):e41540.CrossRefPubMedPubMedCentral Sibbritt D, Adams J, Lui CW, Broom A, Wardle J. Who uses glucosamine and why? A study of 266,848 Australians aged 45 years and older. PLoS One. 2012;7(7):e41540.CrossRefPubMedPubMedCentral
46.
go back to reference Chang KH, Brodie R, Choong MA, Sweeney KJ, Kerin MJ. Complementary and alternative medicine use in oncology: a questionnaire survey of patients and health care professionals. BMC Cancer. 2011;11:196.CrossRefPubMedPubMedCentral Chang KH, Brodie R, Choong MA, Sweeney KJ, Kerin MJ. Complementary and alternative medicine use in oncology: a questionnaire survey of patients and health care professionals. BMC Cancer. 2011;11:196.CrossRefPubMedPubMedCentral
47.
go back to reference Grant SJ, Bin YS, Kiat H, Chang DH. The use of complementary and alternative medicine by people with cardiovascular disease: a systematic review. BMC Public Health. 2012;12:299.CrossRefPubMedPubMedCentral Grant SJ, Bin YS, Kiat H, Chang DH. The use of complementary and alternative medicine by people with cardiovascular disease: a systematic review. BMC Public Health. 2012;12:299.CrossRefPubMedPubMedCentral
48.
go back to reference Braun LA, Cohen M. Use of complementary medicines by cardiac surgery patients; undisclosed and undetected. Heart Lung Circ. 2011;20(5):305–11.CrossRefPubMed Braun LA, Cohen M. Use of complementary medicines by cardiac surgery patients; undisclosed and undetected. Heart Lung Circ. 2011;20(5):305–11.CrossRefPubMed
49.
go back to reference Spinks J, Hollingsworth B, Manderson L, Lin V, Canaway R. Costs and drivers of complementary and alternative medicine (CAM) use in people with type 2 diabetes or cardiovascular disease. Eur J Int Med. 2013;5(1):44–53.CrossRef Spinks J, Hollingsworth B, Manderson L, Lin V, Canaway R. Costs and drivers of complementary and alternative medicine (CAM) use in people with type 2 diabetes or cardiovascular disease. Eur J Int Med. 2013;5(1):44–53.CrossRef
50.
go back to reference Murthy V, Sibbritt D, Adams J, Broom A, Kirby E, Refshauge KM. Self-prescribed complementary and alternative medicine use for back pain amongst a range of care options: results from a nationally representative sample of 1310 women aged 60–65 years. Complement Ther Med. 2014;22(1):133–40.CrossRefPubMed Murthy V, Sibbritt D, Adams J, Broom A, Kirby E, Refshauge KM. Self-prescribed complementary and alternative medicine use for back pain amongst a range of care options: results from a nationally representative sample of 1310 women aged 60–65 years. Complement Ther Med. 2014;22(1):133–40.CrossRefPubMed
51.
go back to reference Kirby ER, Broom AF, Sibbritt DW, Adams J, Refshauge KM. A national cross-sectional survey of back pain care amongst Australian women aged 60–65. Eur J Int Med. 2013;5(1):36–43.CrossRef Kirby ER, Broom AF, Sibbritt DW, Adams J, Refshauge KM. A national cross-sectional survey of back pain care amongst Australian women aged 60–65. Eur J Int Med. 2013;5(1):36–43.CrossRef
52.
go back to reference Adams J, Sibbritt D, Lui CW. The use of complementary and alternative medicine during pregnancy: a longitudinal study of Australian women. Birth. 2011;38(3):200–6.CrossRefPubMed Adams J, Sibbritt D, Lui CW. The use of complementary and alternative medicine during pregnancy: a longitudinal study of Australian women. Birth. 2011;38(3):200–6.CrossRefPubMed
53.
go back to reference Sim TF, Sherriff J, Hattingh HL, Parsons R, Tee LB. The use of herbal medicines during breastfeeding: a population-based survey in Western Australia. BMC Complement Altern Med. 2013;13:317.CrossRefPubMedPubMedCentral Sim TF, Sherriff J, Hattingh HL, Parsons R, Tee LB. The use of herbal medicines during breastfeeding: a population-based survey in Western Australia. BMC Complement Altern Med. 2013;13:317.CrossRefPubMedPubMedCentral
54.
go back to reference Morgan TK, Williamson M, Pirotta M, Stewart K, Myers SP, Barnes J. A national census of medicines use: a 24-hour snapshot of Australians aged 50 years and older. Med J Aust. 2012;196(1):50–3.CrossRefPubMed Morgan TK, Williamson M, Pirotta M, Stewart K, Myers SP, Barnes J. A national census of medicines use: a 24-hour snapshot of Australians aged 50 years and older. Med J Aust. 2012;196(1):50–3.CrossRefPubMed
55.
go back to reference Braun LA, Tiralongo E, Wilkinson JM, Poole S, Spitzer O, Bailey M, Dooley M. Adverse reactions to complementary medicines: the Australian pharmacy experience. Int J Pharm Pract. 2010;18(4):242–4.CrossRefPubMed Braun LA, Tiralongo E, Wilkinson JM, Poole S, Spitzer O, Bailey M, Dooley M. Adverse reactions to complementary medicines: the Australian pharmacy experience. Int J Pharm Pract. 2010;18(4):242–4.CrossRefPubMed
56.
go back to reference Moses GM, McGuire TM. Drug interactions with complementary medicines. Aust Prescr. 2010;33:177–80.CrossRef Moses GM, McGuire TM. Drug interactions with complementary medicines. Aust Prescr. 2010;33:177–80.CrossRef
61.
go back to reference Joyce AW, Sunderland VB, Burrows S, McManus A, Howat P, Maycick B. Community pharmacy’s role in promoting healthy behaviours. J Pharm Pract Res. 2007;37:42–4.CrossRef Joyce AW, Sunderland VB, Burrows S, McManus A, Howat P, Maycick B. Community pharmacy’s role in promoting healthy behaviours. J Pharm Pract Res. 2007;37:42–4.CrossRef
62.
go back to reference Kanjanarach T, Krass I, Cumming R. Australian community pharmacists’ practice in complementary medicines: a structural equation modeling approach. Patient Educ Couns. 2011;83:352–9.CrossRefPubMed Kanjanarach T, Krass I, Cumming R. Australian community pharmacists’ practice in complementary medicines: a structural equation modeling approach. Patient Educ Couns. 2011;83:352–9.CrossRefPubMed
63.
go back to reference Braun LA, Tiralongo E, Wilkinson JM, Spitzer O, Bailey M, Poole S, Dooley M. Perceptions, use and attitudes of pharmacy customers on complementary medicines and pharmacy practice. BMC Complement Altern Med. 2010;10:38.CrossRefPubMedPubMedCentral Braun LA, Tiralongo E, Wilkinson JM, Spitzer O, Bailey M, Poole S, Dooley M. Perceptions, use and attitudes of pharmacy customers on complementary medicines and pharmacy practice. BMC Complement Altern Med. 2010;10:38.CrossRefPubMedPubMedCentral
64.
go back to reference Guirguis K. The use of nonprescription medicines among elderly patients with chronic illness and their need for pharmacist interventions. Consult Pharm. 2010;25(7):433–9.CrossRefPubMed Guirguis K. The use of nonprescription medicines among elderly patients with chronic illness and their need for pharmacist interventions. Consult Pharm. 2010;25(7):433–9.CrossRefPubMed
65.
go back to reference Bushett NJ, Dickson-Swift VA, Willis JA, Wood P. Rural Australian community pharmacists’ views on complementary and alternative medicine: a pilot study. BMC Complement Altern Med. 2011;11:103.CrossRefPubMedPubMedCentral Bushett NJ, Dickson-Swift VA, Willis JA, Wood P. Rural Australian community pharmacists’ views on complementary and alternative medicine: a pilot study. BMC Complement Altern Med. 2011;11:103.CrossRefPubMedPubMedCentral
66.
go back to reference Kwan D, Hirschkorn K, Boon H. U.S. and Canadian pharmacists’ attitudes, knowledge, and professional practice behaviors toward dietary supplements: a systematic review. BMC Complement Altern Med. 2006;6:31.CrossRefPubMedPubMedCentral Kwan D, Hirschkorn K, Boon H. U.S. and Canadian pharmacists’ attitudes, knowledge, and professional practice behaviors toward dietary supplements: a systematic review. BMC Complement Altern Med. 2006;6:31.CrossRefPubMedPubMedCentral
67.
go back to reference Asahina Y, Hori S, Sawada Y. Community pharmacists’ attitudes relating to patients’ use of health products in Japan. Int J Clin Pharm. 2012;34(4):529–37.CrossRefPubMed Asahina Y, Hori S, Sawada Y. Community pharmacists’ attitudes relating to patients’ use of health products in Japan. Int J Clin Pharm. 2012;34(4):529–37.CrossRefPubMed
68.
go back to reference Tran S, Calabretto JP, Sorich M. Consumer-pharmacist interactions around complementary medicines: agreement between pharmacist and consumer expectations, satisfaction and pharmacist influence. Int J Pharm Pract. 2013;21(6):378–85.CrossRefPubMed Tran S, Calabretto JP, Sorich M. Consumer-pharmacist interactions around complementary medicines: agreement between pharmacist and consumer expectations, satisfaction and pharmacist influence. Int J Pharm Pract. 2013;21(6):378–85.CrossRefPubMed
69.
go back to reference Welna EM, Hadsall RS, Schommer JC. Pharmacists’ personal use, professional practice behaviors, and perceptions regarding herbal and other natural products. J Am Pharm Assoc. 2003;43(5):602–11.CrossRef Welna EM, Hadsall RS, Schommer JC. Pharmacists’ personal use, professional practice behaviors, and perceptions regarding herbal and other natural products. J Am Pharm Assoc. 2003;43(5):602–11.CrossRef
70.
go back to reference Braun L, Cohen M. Australian hospital pharmacists’ attitudes, perceptions, knowledge and practices of CAMs. J Pharm Pract Res. 2007;37(3):220–3.CrossRef Braun L, Cohen M. Australian hospital pharmacists’ attitudes, perceptions, knowledge and practices of CAMs. J Pharm Pract Res. 2007;37(3):220–3.CrossRef
71.
go back to reference Brown JA, Roufogalis BD, Williamson M. Complementary medicines: hospital pharmacists’ attitude, knowledge and information seeking behaviour. J Pharm Pract Res. 2009;39:281–5.CrossRef Brown JA, Roufogalis BD, Williamson M. Complementary medicines: hospital pharmacists’ attitude, knowledge and information seeking behaviour. J Pharm Pract Res. 2009;39:281–5.CrossRef
73.
go back to reference Freymann H, Rennie T, Bates I, Nebel S, Heinrich M. Knowledge and use of complementary and alternative medicine among British undergraduate pharmacy students. Pharm World Sci. 2006;28:13–8.CrossRefPubMed Freymann H, Rennie T, Bates I, Nebel S, Heinrich M. Knowledge and use of complementary and alternative medicine among British undergraduate pharmacy students. Pharm World Sci. 2006;28:13–8.CrossRefPubMed
74.
go back to reference Kreitzer MJ, Mitten D, Harris I, Shandeling J. Attitudes toward CAM among medical, nursing, and pharmacy faculty students: a comparative analysis. Altern Ther Health Med. 2002;8(44–7):50–3. Kreitzer MJ, Mitten D, Harris I, Shandeling J. Attitudes toward CAM among medical, nursing, and pharmacy faculty students: a comparative analysis. Altern Ther Health Med. 2002;8(44–7):50–3.
75.
go back to reference Tiralongo E, Wallis M. Attitudes and perceptions of Australian pharmacy students towards complementary and alternative medicine - a pilot study. BMC Complement Altern Med. 2008;8:2.CrossRefPubMedPubMedCentral Tiralongo E, Wallis M. Attitudes and perceptions of Australian pharmacy students towards complementary and alternative medicine - a pilot study. BMC Complement Altern Med. 2008;8:2.CrossRefPubMedPubMedCentral
76.
go back to reference Sewitch MJ, Cepoiu M, Rigillo N, Sproule D. A literature review of health care professional attitudes toward complementary and alternative medicine. Complement Health Pract Rev. 2008;13:139–54.CrossRef Sewitch MJ, Cepoiu M, Rigillo N, Sproule D. A literature review of health care professional attitudes toward complementary and alternative medicine. Complement Health Pract Rev. 2008;13:139–54.CrossRef
77.
go back to reference Naidu S, Wilkinson J, Simpson M. Attitudes of Australian pharmacists toward complementary and alternative medicines. Ann Pharmacother. 2005;39:1456–61.CrossRefPubMed Naidu S, Wilkinson J, Simpson M. Attitudes of Australian pharmacists toward complementary and alternative medicines. Ann Pharmacother. 2005;39:1456–61.CrossRefPubMed
78.
go back to reference Semple SJ, Hotham E, Rao D, Martin K, Smith CA, Bloustien GF. Community pharmacists in Australia: barriers to information provision on complementary and alternative medicines. Pharm World Sci. 2006;28:366–73.CrossRefPubMed Semple SJ, Hotham E, Rao D, Martin K, Smith CA, Bloustien GF. Community pharmacists in Australia: barriers to information provision on complementary and alternative medicines. Pharm World Sci. 2006;28:366–73.CrossRefPubMed
80.
go back to reference Brooks PM. It’s time to plan our future health system. Med J Aust. 2005;183:545.PubMed Brooks PM. It’s time to plan our future health system. Med J Aust. 2005;183:545.PubMed
81.
go back to reference Brooks PM. Undergraduate teaching of complementary medicine. Med J Aust. 2004;181:275.PubMed Brooks PM. Undergraduate teaching of complementary medicine. Med J Aust. 2004;181:275.PubMed
82.
go back to reference Owen D, Lewith GT. Teaching integrated care: CAM familiarisation courses. Med J Aust. 2004;181:276–8.PubMed Owen D, Lewith GT. Teaching integrated care: CAM familiarisation courses. Med J Aust. 2004;181:276–8.PubMed
83.
go back to reference Mills E, Hollyer T, Saranchuk R, Wilson K. Teaching evidence-based complementary and alternative medicine (EBCAM); changing behaviours in the face of reticence: a cross-over trial. BMC Med Educ. 2002;2:2.CrossRefPubMedPubMedCentral Mills E, Hollyer T, Saranchuk R, Wilson K. Teaching evidence-based complementary and alternative medicine (EBCAM); changing behaviours in the face of reticence: a cross-over trial. BMC Med Educ. 2002;2:2.CrossRefPubMedPubMedCentral
84.
go back to reference Taing MW, Tan ETX, Williams GM, Clavarino AM, McGuire TM. Herbal and nutrient complementary medicines for weight loss: community pharmacists’ practices, attitudes, recommendations, information and education needs. Int J Pharm Pract. 2016;24:160–9.CrossRefPubMed Taing MW, Tan ETX, Williams GM, Clavarino AM, McGuire TM. Herbal and nutrient complementary medicines for weight loss: community pharmacists’ practices, attitudes, recommendations, information and education needs. Int J Pharm Pract. 2016;24:160–9.CrossRefPubMed
85.
go back to reference Culverhouse SE, Wohlmuth H. Factors affecting pharmacists’ recommendation of complementary medicines – a qualitative pilot study of Australian pharmacists. BMC Complement Altern Med. 2012;12:183.CrossRefPubMedPubMedCentral Culverhouse SE, Wohlmuth H. Factors affecting pharmacists’ recommendation of complementary medicines – a qualitative pilot study of Australian pharmacists. BMC Complement Altern Med. 2012;12:183.CrossRefPubMedPubMedCentral
86.
go back to reference Easton K and National Prescribing Service (Australia). Complementary medicines : attitudes and information needs of consumers and healthcare professionals. National Prescribing Service Limited, Surry Hills, N.S.W; 2007. Easton K and National Prescribing Service (Australia). Complementary medicines : attitudes and information needs of consumers and healthcare professionals. National Prescribing Service Limited, Surry Hills, N.S.W; 2007.
87.
go back to reference Banks J, Shaw A, Weiss MC. The community pharmacy and discursive complexity: a qualitative study of interaction between counter assistants and customers. Health Soc Care Community. 2007;15:313–21.CrossRefPubMed Banks J, Shaw A, Weiss MC. The community pharmacy and discursive complexity: a qualitative study of interaction between counter assistants and customers. Health Soc Care Community. 2007;15:313–21.CrossRefPubMed
88.
go back to reference Stevenson FA, Leontowitsch M, Duggan C. Over the-counter medicines: professional expertise and consumer discourses. Sociol Health Illn. 2008;30:913–28.CrossRefPubMed Stevenson FA, Leontowitsch M, Duggan C. Over the-counter medicines: professional expertise and consumer discourses. Sociol Health Illn. 2008;30:913–28.CrossRefPubMed
89.
go back to reference Iyer P, McFarland R, La Caze A. Expectations and responsibilities regarding the sale of complementary medicines in pharmacies: perspectives of consumers and pharmacy support staff. Int J Pharm Pract. 2017;25(4):292–300. Iyer P, McFarland R, La Caze A. Expectations and responsibilities regarding the sale of complementary medicines in pharmacies: perspectives of consumers and pharmacy support staff. Int J Pharm Pract. 2017;25(4):292–300.
90.
go back to reference Bensoussan A, Lewith GT. Complementary medicine research in Australia: a strategy for the future. Med J Aust. 2004;181(6):331–3.PubMed Bensoussan A, Lewith GT. Complementary medicine research in Australia: a strategy for the future. Med J Aust. 2004;181(6):331–3.PubMed
92.
go back to reference McGuire TM, Walters JA, Dean AJ, Van Driel M, Del Mar C, Kotsirilos V, Moses GM, Chong S, Deed G, Eldred B, Hardy J, Heussler H, Hollingworth S, Marron L, Mendel J, Pache D, Steadman K, Trenerry H, Brown J, Williamson M. Review of the quality of complementary medicines information resources: Summary report. Australia: National prescribing service limited; 2009. p. 1-54. McGuire TM, Walters JA, Dean AJ, Van Driel M, Del Mar C, Kotsirilos V, Moses GM, Chong S, Deed G, Eldred B, Hardy J, Heussler H, Hollingworth S, Marron L, Mendel J, Pache D, Steadman K, Trenerry H, Brown J, Williamson M. Review of the quality of complementary medicines information resources: Summary report. Australia: National prescribing service limited; 2009. p. 1-54.
93.
go back to reference Brown JMT, et al. Complementary medicines information use and needs of health professionals: general practitioners and pharmacists. Sydney: National Prescribing Service; 2008. Brown JMT, et al. Complementary medicines information use and needs of health professionals: general practitioners and pharmacists. Sydney: National Prescribing Service; 2008.
94.
go back to reference van Eikenhorst L, Salema NE, Anderson C. A systematic review in select countries of the role of the pharmacist in consultations and sales of non-prescription medicines in community pharmacy. Res Social Adm Pharm. 2017;13(1):17–38. van Eikenhorst L, Salema NE, Anderson C. A systematic review in select countries of the role of the pharmacist in consultations and sales of non-prescription medicines in community pharmacy. Res Social Adm Pharm. 2017;13(1):17–38.
95.
go back to reference Westerlund LOT, Marklund BRG, Handl WHA, Thunberg ME, Allebeck P. Nonprescription drug related problems and pharmacy interventions. Ann Pharmacother. 2001;35:1343–9.CrossRefPubMed Westerlund LOT, Marklund BRG, Handl WHA, Thunberg ME, Allebeck P. Nonprescription drug related problems and pharmacy interventions. Ann Pharmacother. 2001;35:1343–9.CrossRefPubMed
Metadata
Title
Key stakeholder perspectives on the barriers and solutions to pharmacy practice towards complementary medicines: an Australian experience
Authors
Carolina Oi Lam Ung
Joanna Harnett
Hao Hu
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Complementary Medicine and Therapies / Issue 1/2017
Electronic ISSN: 2662-7671
DOI
https://doi.org/10.1186/s12906-017-1899-5

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