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Indigenous and immigrant populations’ use and experience of community pharmacies in New Zealand

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Authors:
Summary:

These researchers reviewed the literature on counselling in pharmacy and interaction length as an indicator of counselling quality, focusing on what services indigenous (Māori) and immigrant populations use pharmacies for, and length of interactions with pharmacy staff. 1,086 interactions were discretely observed in 36 pharmacies in 5 New Zealand cities. Māori or Pacific people, as well as men, were more likely to treat pharmacies as prescription ‘depots’; they were less likely to buy over-the-counter or pharmacist-only medicines (ORs: 0.25 to 0.72). Demographic factors had scant influence upon interaction length (|B|s < 7.7 s). The study authors suggest that the weak effect of ethnicity on interaction length indicates that pharmacies are providing advice of relatively consistent quality to different population groups. They discuss possible barriers to use of pharmacies for primary healthcare, including over-the-counter medicines in Māori and Pacific people.

Comment:
The authors have openly acknowledged the limitations to this study. However, these findings are of interest given the increasing attention given to the roles of community pharmacists in health promotion and management of chronic conditions.
Reference: J Immigr Minor Health. 2012 Jan 18. [Epub ahead of print]
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

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