Identification of medication-related problems and health care provider acceptance of pharmacist recommendations in the DiabetesCARE program

Clinical inertia in type 2 diabetes: a retrospective analysis of pharmacist-managed diabetes care vs. usual medical care

“…Following each visit, a complete note with recommendations from the pharmacist was written and sent to the patients’ primary care physician for review. In a separate published analysis of this PMDC, DeName and colleagues found that the median time of 2 weeks elapsed before the healthcare provider in this practice setting accepted a clinical medication recommendation 16. Moreover, the acceptance rate of clinical recommendations made to the provider was 60.2%.…”

Improving medication safety and diabetes management in Hong Kong: a multidisciplinary approach

“…The acceptance rate was somewhat similar to that observed in two overseas studies (60.2%-62.7%). 12,13 The physicians acknowledged the provision of service by pharmacists and were more aware of the written recommendations provided by pharmacists. In particular, the value of verbal communication between different health care professionals in resolving or preventing DRPs has been recognised in earlier studies, 10,[42][43][44][45] suggesting potential improvement in the acceptance rate if pharmacists had more time to hand over DRPs by speaking with doctors.…”

“…In several overseas studies, pharmacists have implemented timely interventions to resolve or prevent DRPs by offering recommendations to prescribers, with an acceptance rate of over 60%. [10][11][12][13] The positive impact of pharmacists in improving diabetes management or its co-morbidities has also been recognised by interventional and controlled observational studies worldwide.…”

The Pharmacist's Duty to Warn

“…77 However, a University of Kentucky study involving diabetic patient care from 2003 to 2006 showed that physicians accepted 61.4% of pharmacist clinical recommendations. 78 Even more striking, the physician acceptance rate for pharmacist recommendations was 92.8% in a Veterans Administration Medical Center study. 79 The Veterans Administration study estimated that patient harm would have occurred absent pharmacist intervention in 90% of the cases (540/600 cases).…”