Pharmacist consultations in general practice clinics: The Pharmacists in Practice Study (PIPS)

Edwin Chin Kang Tan, Kay Stewart, Rohan Andrew Elliott, Johnson George

Research output: Contribution to journalArticleResearchpeer-review

52 Citations (Scopus)

Abstract

Background: Medication-related problems (MRPs) are a concern in primary care settings. Pharmacists based in the community or community pharmacies are able to identify, resolve and prevent MRPs; however, the lack of a formal partnership with physicians and poor access to patients medical records are limitations. In Australia, delivery of pharmacist services within general practice clinics is rare. Objectives: To evaluate the effectiveness of consultations by pharmacists based within primary care medical practices. Methods: A prospective, before-after intervention study was conducted at two primary health care (general practice) clinics in Melbourne, Australia. Participants were clinic patients who had risk-factors for MRPs (e.g. polypharmacy). Patients received a consultation with the pharmacist in a private consulting room at the clinic or in their home. The pharmacist reviewed the patient s medication regimen and adherence, with full access to their medical record, provided patient education, and produced a report for the general practitioner. The primary outcome was the number of MRPs identified by the pharmacist, and the number that remained unresolved 6 months after the pharmacist consultation. Secondary outcomes included medication adherence, health service use, and patient satisfaction. Results: Eighty-two patients were recruited and 62 (75.6 ) completed the study. The median number of MRPs per patient identified by the practice pharmacist was 2 (interquartile range [IQR] 1, 4). Six months after review, this fell to 0 (IQR 0, 1), P
Original languageEnglish
Pages (from-to)623 - 632
Number of pages10
JournalResearch in Social and Administrative Pharmacy
Volume10
Issue number4
DOIs
Publication statusPublished - 2014

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