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  1. Pharmacy-based evaluation and treatment of minor illnesses in a culturally diverse pediatric clinic.

    Article - En anglais

    Background 

    Among medically underserved immigrant parents, access to nonprescription medicines for home treatment of minor childhood illnesses may be limited by scarce financial resources or language barriers.

    Objectives 

    To design and implement a new clinical service for an urban ambulatory pediatric clinic with a large immigrant population that allows pharmacists to evaluate and to treat children and adolescents aged 6 months to 19 years with minor acute illnesses and to provide bilingual patient education materials.

    Methods 

    We developed protocols and encounter forms for pharmacist evaluation of 5 pediatric conditions : cough/cold, fever, diaper rash, vomiting/diarrhea, and head lice.

    We published bilingual patient education materials for these conditions in 8 commonly spoken languages.

    We assessed safety by throughly reviewing the medical records of all patients who returned within 1 week of a pharmacy encounter and by asking parents in a telephone survey to compare services received through the pharmacy and the acute care clinic for treatment of the common cold.

    Results 

    During the first year of this pilot program, 191 patients were evaluated and treated, 145 (76%) for cough/cold.

    Seventy percent of the patients were immigrants.

    No unexpected or adverse outcomes were detected, although occasional deviations from established protocols were noted. (...)

    Mots-clés Pascal : Immigrant, Etats Unis, Amérique du Nord, Amérique, Pharmacien, Traitement, Diagnostic, Activité professionnelle, Enfant, Homme, Nourrisson, Accessibilité

    Mots-clés Pascal anglais : Immigrant, United States, North America, America, Chemist, Treatment, Diagnosis, Professional activity, Child, Human, Infant, Accessibility

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0435605

    Code Inist : 002B30A04D. Création : 22/03/2000.