Exploring patients’ perspectives of pharmacist supplementary prescribing in Scotland

Stewart, Derek; George, Johnson; Bond, Christine; Cunningham, Scott; Diack, Lesley; McCaig, Dorothy

doi:10.1007/s11096-008-9248-x

Cited by 61 publications

(86 citation statements)

References 15 publications

(24 reference statements)

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“…Published research has focused on the experiences of pharmacist prescribers [6,7], doctors and patients who have experienced the service [7][8][9][10] and the general public [11]. Whilst acknowledging small sample sizes and recruitment and response biases, findings have been largely positive.…”

Section: Introductionmentioning

confidence: 99%

A cross sectional survey of the views of newly registered pharmacists in Great Britain on their potential prescribing role: a cautious approach

McIntosh

Munro

McLay

et al. 2012

Brit J Clinical Pharma

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WHAT IS ALREADY KNOWN ABOUT THIS SUBJECT • Pharmacists, along with certain other health professionals, may train and practice as supplementary or independent prescribers. The implementation and sustainability of pharmacist prescribing services throughout Britain will require a sizeable workforce. However, a survey of GB pharmacists highlighted that only a minority has taken any action to investigate prescribing training. Newly registered pharmacists may be keen to explore extended clinical roles and their engagement is likely to be key to the future success of this initiative. WHAT THIS STUDY ADDS • Newly registered pharmacists are cautious in their approach to taking on prescribing training and roles. While almost all expressed interest in prescribing training, they acknowledged training needs in clinical examination, patient monitoring and medico‐legal aspects of prescribing. Longitudinal research on a cohort of newly registered pharmacist prescribers is warranted, aiming to identify later prescribing training actions and subsequent impact on patient care. AIM To investigate newly registered pharmacists' awareness of pharmacist prescribing and views on potential future roles as prescribers. METHODS A mailed questionnaire was sent to all 1658 pharmacists joining the Pharmacist Register in 2009. RESULTS The response rate was 25.2% (n= 418). While most (86.4%) expressed interest in prescribing training, they acknowledged training needs in clinical examination, patient monitoring and medico‐legal aspects of prescribing. Two thirds of respondents (66.3%) thought the current requirement of being registered as a pharmacist for 2 years prior to commencing prescribing training was appropriate. CONCLUSION Newly registered pharmacists are cautious in their approach to taking on prescribing training and roles.

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Section: Introductionmentioning

confidence: 99%

A cross sectional survey of the views of newly registered pharmacists in Great Britain on their potential prescribing role: a cautious approach

McIntosh

Munro

McLay

et al. 2012

Brit J Clinical Pharma

View full text Add to dashboard Cite

show abstract

“…Research conducted from the perspectives of pharmacist prescribers, physicians, patients who have experienced the services, other health professionals and the general public have largely generated positive findings [7][8][9][10][11][12][13][14][15]. However, many of these studies are limited by small sample sizes; sampling, recruitment, response and recall biases; and notably few have focused on secondary care.…”

Section: Introductionmentioning

confidence: 99%

“…However, implementation of hospital based pharmacist prescribing requires clear and systematic planning, with defined and well communicated roles and responsibilities to ensure that services are sustainable. Several authors have specifically commented on the lack of clear strategic direction in hospital based pharmacist prescribing service developments [2,6,7,[12][13][14].…”

Section: Introductionmentioning

confidence: 99%

Development of consensus guidance to facilitate service redesign around pharmacist prescribing in UK hospital practice

et al. 2014

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“…[267,268] There were some reservations in PAC with regards to the trust in the pharmacist to take on the extended role over the usual model of care, which again was in line with UK research in 2006 which explored patient perspectives, as part of a study of pharmacist prescribers in both primary and secondary care. [274] The results showed positive consultation experiences, and positive attitudes towards pharmacist prescribing. However, 65% of patients reported they would rather see a doctor.…”

Section: Discussionmentioning

confidence: 93%

“…[168,247,263] A recent review suggested consultations with patients need to be treated as partnerships, and patients must be given the confidence, skills and knowledge to be partners. [264] A questionnaire for assessing satisfaction with General Practitioner (GP) consults was developed in 1990, with the appreciation that patient satisfaction is an important outcome of care, and in light of previous research which showed satisfied patients are more likely to cooperate with treatment.…”

Section: Discussionmentioning

confidence: 99%

Doctor - pharmacist collaborative prescribing in a multidisciplinary surgical preadmission clinic: Expanding the role of the preadmission clinic pharmacist

Hale¹

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Non-medical prescribing has been introduced in to several countries, with prescribing privileges being granted to health practitioners other than doctors, including pharmacists. The objectives behind the introduction of this new model of health care have been to create a more flexible system for the prescribing, dispensing and administration of medicines, increase access for the general public to safe and appropriate prescription medications, and to better utilise the skills of the current health workforce.Current research on non-medical prescribing is predominantly qualitative, with little evidence as to the safety, appropriateness, effectiveness or cost effectiveness of the prescribing. Pharmacist prescribing is yet to be introduced in Australia, and in light of some resistance it is important to ensure that this potential model of care meets expectation, prior to implementation.The overall aim of this thesis is to evaluate a model of pharmacist prescribing in an elective surgery pre admission clinic (PAC), using the validated National Health Performance Framework (NHPF), which was revised and approved by Australian Ministers in 2009. The framework uses six dimensions to assess how a health system performs; 'effectiveness', 'safety', 'responsiveness', 'continuity of care', 'accessibility' and 'efficiency and sustainability'.A randomised controlled trial was undertaken in PAC, with 400 patients randomised in to either the intervention or control arm. Patients in the intervention arm were seen by a nurse, Resident Medical Officer (RMO), anaesthetist and the pharmacist prescriber. The pharmacist was responsible for the taking of a medication history, and prescribing the national inpatient medication chart (NIMC) to reflect the patient's regular medications and the plan for medications peri operatively. Within the pharmacist's agreed scope of practice was also the initiation of venous thromboembolism (VTE) prophylaxis, following a risk and contraindication assessment. Patients randomised in to the control arm still saw the same four healthcare professionals, including a pharmacist for usual care duties.The prescribing of the medication chart, including VTE prophylaxis, was the responsibility of the Resident Medical Officer (RMO) from the treating surgical team. The primary end point of the study was the safety and accuracy of the NIMC. The secondary end point was the appropriateness of VTE prophylaxis prescribed in clinic.Medications charts were audited against the medication history and plan for medication peri operatively. Medication charts in the intervention arm contained significantly fewer omissions of regular medications, significantly less prescribing errors involving selection of drug, dose or frequency and significantly fewer orders with at least one component of the prescription missing, incorrect or unclear. VTE risk assessments were documented, and prophylaxis was prescribed, significantly more appropriately in clinic.iii The significant differences between arms in omissions of medication p...

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Exploring patients’ perspectives of pharmacist supplementary prescribing in Scotland

Abstract: Most patient respondents were satisfied with, and had a positive attitude towards, pharmacist prescribing consultations. However, most patients would still elect to see a doctor given the choice.

Cited by 61 publications

References 15 publications

A cross sectional survey of the views of newly registered pharmacists in Great Britain on their potential prescribing role: a cautious approach

A cross sectional survey of the views of newly registered pharmacists in Great Britain on their potential prescribing role: a cautious approach

Development of consensus guidance to facilitate service redesign around pharmacist prescribing in UK hospital practice

Doctor - pharmacist collaborative prescribing in a multidisciplinary surgical preadmission clinic: Expanding the role of the preadmission clinic pharmacist

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