PHARMACY PRACTICE SHIVAM DUBEY BPYN1PY18041 BARRIERS BARRIERS TO PATIENT COUNSELLING: • Patient counselling may not take place in community pharmacies due to various reasons, known as barriers. These barriers are classified as: • 1. Patient-based barriers. • 2. Provider-based barriers. • 3. System-based barriers

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PHARMACY PRACTICE
SHIVAM DUBEY
BPYN1PY18041
BARRIERS

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BARRIERS TO PATIENT COUNSELLING:
• Patient counselling may not take place in community pharmacies due
to various reasons, known as barriers. These barriers are classified as:
• 1. Patient-based barriers.
• 2. Provider-based barriers.
• 3. System-based barriers
PATIENT-BASED BARRIERS:
• In India, many patients are unware that pharmacists may provide
counselling and generally ask their prescriber about medication use.
• Gender and language differences may also inhibit patients from
asking the pharmacist about medication use information.
PROVIDER-BASED BARRIERS:
• Many pharmacists lack the confidence to counsel patients due to lack
of knowledge and counselling skills.
• A heavy patient load for prescription filling is also an important
barrier in many practice situations.
SYSTEM-BASED BARRIERS:
• In India, counselling is not a mandatory legal requirement and
officially pharmacists are not entitled to charge for dispensing or for
the information provided to patients.
• These factors act as regulatory and financial disincentives to
providing a counselling service.
• Lack of privacy in many busy community and hospital pharmacies
can also be a problem.
TYPES OF BARRIERS
STRATEGIES TO OVERCOME BARRIERS OF PATIENT COUNSELLING:
• To overcome the patient based barriers, following strategies can be
implemented.
 Using multimedia materials
 Pictograms
 Oral or written information
 Compliance aids
 Follow up schedules

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 Audio visual tapes
 Tailoring prescription instructions.
STRATEGIES TO OVERCOME BARRIERS
 Legalization of patient counselling, introduction of counselling fee
and continuous professional development programs are the
important strategies to improve the counselling activity in
pharmacies.
 Pharmacists can start by updating their knowledge and
counselling skills.
 Confidence can be developed by initially focusing on one
particular disease or group of drugs (for example, antibiotics)
 A good approach is to ask patients ‘have you used this
medication before?’ when they collect their prescription.
 Encouraging patients to ask questions about their medication or
median campaigns will also improve counselling opportunities.
REFERENCES
 https://www.slideshare.net/rameshganpisetti/strategies-to-
overcome-barriers-of-patient-counselling
 http://www.japsonline.com/admin/php/uploads/1161_pdf.p
df
 https://www.slideshare.net/rameshganpisetti/strategies-to-
overcome-barriers-of-patient-counselling
 https://slideplayer.com/slide/3019392/
 https://www.uspharmacist.com/article/barriers-to-
counseling-patients-with-mental-health-disorders