ทัศนคติและขั้นตอนการเปลี่ยนแปลงไปสู่การเข้าร่วมโครงการร้านยาคุณภาพของเภสัชกรเจ้าของธุรกิจร้านยา ในเขตอำเภอเมือง จังหวัดเชียงใหม่ Attitudes and Stage of Change Towards Participation to the Community Pharmacy Development and Accreditation Project of Pharma

Objective: To study attitudes and stage of change towards participation tothe community pharmacy development and accreditation (CPA) projectamong the pharmacists who were drug store owners and worked there fulltimein Muang district, Chiang Mai province. Methods: Mixed methodtechnique was used. In phase 1, a mailed survey was used to exploreattitudes of the full-time practicing pharmacist drug store owners who hadnot participated in the CPA project. All 134 pharmacist store owners inMuang district, Chiang Mai province were asked to respond the survey. Inphase 2, 11 pharmacists were purposively selected for an interview forfurther explanations regarding findings in phase 1. Results: The mailedsurvey response rate was 40.6%. The majority of pharmacist drug storeowners (46.0%) were in pre-contemplation phase (i.e., no intention to jointhe project), and 44.0% in contemplation phase (having a concern aboutthe project). The majority of them did not know about the process of projectparticipation, nor see clear benefits of the project; some disagreed with theproject registration fee. Findings from interviews and open-ended questionssuggested that the decision not to participate in project was not onlylimitations on the drug store side, but also on the project side, for instancelack of regular publicity and no tangible benefits to drug store owners.However, 84.4% stated they had a potential to participate in the programand 53.1% agreed that the program should be enforced by law.Conclusion: The pharmacist drug store owners, a potential target for thecommunity pharmacy development and accreditation project, were currentlyhad no intention and no motivation to join the project.Keywords: community pharmacy development and accreditation project,pharmacist, drug store, stage of chang

Towards Better CARE for Superficial Fungal Infections: A Consultation Guide for the Community Pharmacy

Superficial fungal infections (SFIs) are among the most common skin diseases worldwide and are common in many parts of Asia. Community pharmacists are well-placed to help identify and manage SFIs. However, effective management may be hindered by a suboptimal consultation process, attributed to the misalignment between consumers’ and pharmacists’ viewpoints. The Fungal CARE (Care, Assess, Recommend, Empower) guide, a patient-centered collaborative framework, was developed to improve pharmacist-led SFI consultations in community pharmacy. A survey on real-world consumer experiences with SFIs provided insights for aligning the Fungal CARE guide with consumer perspectives. To further optimize the guide, community pharmacists were surveyed on their current practice and challenges of managing SFIs, as well as views on the usefulness of the Fungal CARE guide. The pharmacists’ survey indicated that respondents engaged with some but not all of consumers’ top concerns with SFIs, such as emotional and social aspects. Pharmacists identified their greatest challenges as poor compliance with SFI treatment and limited confidence in identifying and/or managing SFIs. Encouragingly, when presented with the Fungal CARE guide, nearly all pharmacists agreed it would be helpful and would use it in practice. Implementing the Fungal CARE guide may help improve pharmacist-led consultations for SFIs and encourage better treatment outcomes