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Pharmacy World & Science

, Volume 29, Issue 6, pp 593–602 | Cite as

Implementation of a pharmaceutical care service: prescriptionists’, pharmacists’ and doctors’ views

  • Anna T. MontgomeryEmail author
  • Sofia Kälvemark-Sporrong
  • Mari Henning
  • Mary P. Tully
  • Åsa Kettis-Lindblad
Original Paper

Abstract

Objective

To identify prescriptionists’, pharmacists’ and doctors’ perceptions and experiences of a pharmaceutical care service supported by patient medication records (PMRs).

Method

Qualitative study employing focus group interviews with 16 prescriptionists and five pharmacists, and semi structured telephone interviews with 11 doctors.

Main outcome measures

Prescriptionists’, pharmacists’ and doctors’ views, experiences and perceptions of a pharmaceutical care service on Swedish community pharmacies.

Results

The provision of pharmaceutical care aided by PMRs had a positive influence on the prescriptionists’ and pharmacists’ daily work, and on their view of their professional role. They assumed greater professional responsibility, and described greater use of their pharmaceutical knowledge, greater confidence in practice and an increased awareness of their counselling role. They appreciated that the pharmaceutical care service provided an over-all picture of patients’ drug use, allowed for follow-up on counselling and made the prescriptionists’ and pharmacists’ competence tangible for patients. Perceived problems with the pharmaceutical care service included being time-consuming, record keeping being difficult, difficulty in getting understanding/support from colleagues and managers, and difficulty involving doctors. The majority of the doctors reported that they had not taken an active interest in the project, and their opinions of the pharmaceutical care service varied.

Conclusion

When prescriptionists and pharmacists apply the pharmaceutical care concept and work with PMRs, the patients are more likely to meet confident professionals that are more aware of the individual behind the drug therapy. This will hopefully contribute to informed, motivated medicine users that feel secure in their interactions with their pharmacy and receive, not only drugs, but treatment support. For such a service to be effective, however, it is vital to ensure that the doctors are fully co-operative.

Keywords

Attitudes Counselling GPs Patient medication record Pharmacists Pharmaceutical care Qualitative research Sweden 

Notes

Acknowledgements

We thank the prescriptionists, pharmacists and the doctors who were willing to discuss and answer our questions. This study was funded by Apoteket AB.

Possible conflicts of interest: Three of the authors (A.M., S.K.S., M.H.) are employed by Apoteket AB.

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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Anna T. Montgomery
    • 1
    • 2
    Email author
  • Sofia Kälvemark-Sporrong
    • 2
  • Mari Henning
    • 2
  • Mary P. Tully
    • 1
    • 3
  • Åsa Kettis-Lindblad
    • 1
  1. 1.Department of PharmacyUppsala UniversityUppsalaSweden
  2. 2.Apoteket ABStockholmSweden
  3. 3.School of Pharmacy and Pharmaceutical SciencesUniversity of ManchesterManchesterUK

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