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Effective strategies are now needed to shift demand for minor ailment management away from EDs and general practices to the community pharmacy setting.
There is an urgent need to shift demand for minor ailment management from high-cost settings to potentially cheaper alternatives, for example, community pharmacies.
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The Clontibret man sustained a troublesome ankle injury in early May last year and while he was able to line out in all of Monaghan's championship games, his ailment needed careful management.
Despite providing a definition of 'minor ailment', the ED doctors and GPs demonstrated considerable variation and, in some cases, a very conservative approach, to what constitutes a minor ailment suitable for management in a community pharmacy.
Guiding patients' decisions by raising awareness of symptoms and ailments suitable for management by community pharmacy personnel may help to change health-seeking behaviour.
In total, of the 494 general practice and 550 ED consultations assessed, 13.2%[95%% confidence interval (CI): 18.6 25.9%] and 5.3%95%5% CI: 4.0 8.0%), respectively, were categorized as minor ailments suitable for management in community pharmacies.
Patients in pharmacies were excluded if they were collecting prescription items for target minor ailments or purchasing treatment for the future management of those ailments.
Improvements were seen in the majority of services evaluated: stop smoking, emergency hormonal contraception, minor ailments, alcohol awareness, weight management, medicines use reviews, new medicines service, substance misuse and a medication dispenser system.
Most patients attend primary healthcare facilities for either minor ailments or chronic disease management.
The shifting trend in the management of ailments from synthetic compounds and drugs to nutraceutical and natural products has gained momentum in the last two decades.
The low level of consensus among the uni-disciplinary panels suggests wide variation in doctors' perceptions of minor ailments suitable for pharmacy management.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com