| Topic: Perception of the training program |
| Subtopic |
Supporting quotations |
| Increased knowledge on evidence-based diabetes management |
In my practice, I learn something new because previously I did not write any intervention, I mean I just counselled the patient based on their medication but now I am comfortable to make an intervention. (P1M) |
| Increased confidence to provide diabetes care |
You know what’s good, the example you gave us in the Simpler™ training of the little lecture that you sent to the doctor about the patients that is helpful. But I haven’t sent anything to the doctor, but I still have the confidence to send the doctor something like that. (P7A) |
| Useful as a refresher |
“It reminded me, I mean like a revision. The Framingham score for example, I forgot about that.” (P6M) |
| Topic: Perceived effectiveness of the Simpler™ tool |
| Subtopic |
Supporting quotations |
| Content relevant, structured, concise and easy to understand |
Well I think that diabetes is so overwhelming, you just don’t know where to start, how to begin so having a structured approach is very beneficial. (P6A)
I think this is straight to the point. The existing guide for pharmacists, can be irrelevant and quite time consuming for us to go through. (P5A)
Simpler™ tool is a compact tool and one of the easiest. In one word, you can summarize everything. (P1M)
|
| Point of reference |
Yes, because all the indicators in the tool are proven from local guidelines and Australian guidelines so no one will dispute the contents. (P2M)
So far, I rely heavily on the tool because it has all the targets and it is based on Australian guidelines. (P2A)
|
| Reminder of factors associated with diabetes management (aide memoir) |
Patients deviate, I come back I might have missed the blood pressure component but with the tool, when they deviate, I need to go through the checklist, all these points, so it’s a good thing. (P3A) |
| Able to conduct comprehensive medication review |
I go a bit thorough and ask more questions according to the tool and find out a little more and counsel and educate patients a little bit more. So, usually when I’m doing my diabetes MedsCheck, I run through what’s on the existing software program but then it’s not enough so the Simpler™ tool pushes [me] to do a bit more. (P7A)
Initially when we first applied it, since I was not familiar, it was more time consuming. The whole session took me about an hour for the first patient. (P5A)
I need to go through all these checklists, all these points, so it’s a good thing, it’s longer but in a good way… (P3A).
|
| Focus on glycaemic improvement |
Before this we only focussed on the education part, now the interesting part is the aim to reduce HbA1c. (P4M) |
| Facilitate documentation of interventions |
Because I’m using Simpler™, I wrote clearly inside the patients’ book, the doctor complimented that it was good and well written. They salute the pharmacy, but before this I only used simple words and my notes were incomplete. (P4M) |
| Facilitated pharmacist role in diabetes management |
Really good thing and I think if a pharmacist can set themselves up to be a specialist in diabetes management through using the Simpler™ tool reporting back to the GP with six monthly progress. (P6A) |
| Specific aid for diabetes management |
That one you have to print from the Guild Care program [software to support provision of professional services] itself. Yes…You have to click, you just register your patients and you just print it out. It doesn’t ask anything…all it asks is, does this patient have T2DM? And then classifies as diabetes MedsCheck so it doesn’t have what Simpler™ has, specifically for patients with diabetes. (P3A) |
| Topic: Barriers to effective use of the Simpler™ tool |
| Subtopic |
Supporting quotations |
| Unable to make intervention unless a Home Medicine Review (HMR) pharmacist |
It’s fine but the only thing from the Simpler™ tool I found that it would be much more applicable for an HMR pharmacist as opposed to a regular pharmacist in a pharmacy unless that pharmacist has been specifically trained in or even a diabetes educator. (P3A) |
| Difficult to access laboratory results (Australia) |
The only thing with diabetes MedsCheck and using the tool is that I can’t have access to their blood HbA1C results and I even tried to get it from the surgery. (P2A)
It was just at one point there was not enough laboratory test results. In fact, when I did medication review using Simpler™, I could only say” ‘Yes that there is statin’ but I do not know what the statin level was and what the cholesterol level was. (P3A)
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