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International Journal of Clinical Pharmacy

, Volume 38, Issue 6, pp 1445–1456 | Cite as

Current perceptions of the term Clinical Pharmacy and its relationship to Pharmaceutical Care: a survey of members of the European Society of Clinical Pharmacy

  • Tobias DreischulteEmail author
  • Fernando Fernandez-Llimos
Research Article
First Online:

Abstract

Background The definitions that are being used for the terms ‘clinical pharmacy’ and ‘pharmaceutical care’ seem to have a certain overlap. Responsibility for therapy outcomes seems to be especially linked to the latter term. Both terms need clarification before a proper definition of clinical pharmacy can be drafted. Objective To identify current disagreements regarding the term ‘Clinical Pharmacy’ and its relationship to ‘Pharmaceutical Care’ and to assess to which extent pharmacists with an interest in Clinical Pharmacy are willing to accept responsibility for drug therapy outcomes. Setting The membership of the European Society of Clinical Pharmacy. Methods A total of 1,285 individuals affiliated with the European Society of Clinical Pharmacy were invited by email to participate in an online survey asking participants to state whether certain professional activities, providers, settings, aims and general descriptors constituted (a) ‘Clinical Pharmacy only’, (b) ‘Pharmaceutical Care only’, (c) ‘both’ or (d) ‘neither’. Further questions examined pharmacists’ willingness to accept ethical or legal responsibility for drug therapy outcomes, under current and ideal working conditions. Main outcome measures Level of agreement with a number of statements. Results There was disagreement (<80% agreement among all participants) regarding ‘Clinical Pharmacy’ activities, whether non-pharmacists could provide ‘Clinical Pharmacy’ services, and whether such services could be provided in non-hospital settings. There was disagreement (<80% agreement among those linking items to Clinical Pharmacy) as to whether Pharmaceutical care also encompassed certain professional activities, constituted a scientific discipline and targeted cost effectiveness. The proportions of participants willing to accept legal responsibility under current/ideal working conditions were: safety (32.7%/64.3%), effectiveness (17.9%/49.2%), patient-centeredness (17.1%/46.2%), cost-effectiveness (20.3%/44.0%). Conclusions The survey identified key disagreements around the term ‘Clinical Pharmacy’ and its relationship to ‘Pharmaceutical Care’, which future discussions around a harmonised definition of ‘Clinical Pharmacy’ should aim to resolve. Further research is required to understand barriers and facilitators to pharmacists accepting responsibility for drug therapy outcomes.

Keywords

Clinical pharmacy Definition ESCP Europe Pharmaceutical care 
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Notes

Acknowledgments

We would like to thank all experts, who helped to validate the survey as well as all survey participants.

Funding

The study was conducted without specific external funding.

Conflicts of interest

The authors declare they have no conflicts of interest.

Supplementary material

11096_2016_385_MOESM1_ESM.pdf (316 kb)
Supplementary material 1 (PDF 315 kb)

References

  1. 1.
    Miller RR. An overview of clinical pharmacy and clinical pharmacology. J Clin Pharmacol. 1981;21(5):238–40.CrossRefPubMedGoogle Scholar
  2. 2.
    Hutchinson RBD. Clinical pharmacy practice-its functional relationship to drug information service. Drug Intell. 1971;5:181–5.Google Scholar
  3. 3.
    Rising LW. The Washington experiment. Am J Pharm Educ. 1947;11(2):257–64.PubMedGoogle Scholar
  4. 4.
    van der Kleyn E. Description of clinical pharmacy. Development of therapy-directed pharmacy in the United States and considerations of its significance for the Netherlands. Pharm Weekbl. 1970;105(40):1150–6.PubMedGoogle Scholar
  5. 5.
    United Kingdom Clinical Pharmacy Association (UKCPA). Statement on Pharmaceutical Care. http://www.ukcpa.net/wp-content/uploads/2014/02/Statement-on-Pharmaceutical-Care-Nov2013.pdf (2013). Accessed 15 Jan 2015.
  6. 6.
    Franklin BD, van Mil JW. Defining clinical pharmacy and pharmaceutical care. Pharm World Sci. 2005;27(3):137.CrossRefPubMedGoogle Scholar
  7. 7.
    American College of Clinical Pharmacy. The definition of clinical pharmacy. Pharmacotherapy. 2008;28(6):816–7.CrossRefGoogle Scholar
  8. 8.
    Mikeal RL, Brown TR, Lazarus HL, Vinson MC. Quality of pharmaceutical care in hospitals. Am J Hosp Pharm. 1975;32(6):567–74.PubMedGoogle Scholar
  9. 9.
    Hepler C, Strand L. Opportunities and responsibilities in pharmaceutical care. Am J Hosp Pharm. 1990;47:533–43.PubMedGoogle Scholar
  10. 10.
    Barber N. Pharmaceutical care and medicines management—is there a difference? Pharm World Sci. 2001;23(6):210–1.CrossRefPubMedGoogle Scholar
  11. 11.
    Rodis JPM, Casper KA, Bennett MS, Mehta BH. The importance of terminology in the profession of pharmacy. Am J Pharm Educ. 2009;10(73):74.CrossRefGoogle Scholar
  12. 12.
    Small RH. Clinical pharmacy term is outdated. Am J Hosp Pharm. 1991;48(7):1443–7.PubMedGoogle Scholar
  13. 13.
    Hepler CD. Pharmacotherapy. 2004;24(11):1491–8.CrossRefPubMedGoogle Scholar
  14. 14.
    Brock TPFB. Differences in pharmacy terminology and practice between the United Kingdom and the United States. Am J Health Syst Pharm. 2007;64(14):1541–6.CrossRefPubMedGoogle Scholar
  15. 15.
    European Society of Clinical Pharmacy. What is Clinical Pharmacy? 2011. http://www.escpweb.org/cms/clinical_pharmacy. Accessed 09 Dec 2015.
  16. 16.
    Donabedian A. The quality of care: how can it be assessed? JAMA. 1988;260(12):1743–8.CrossRefPubMedGoogle Scholar
  17. 17.
    Fernandez-Llimos F, Tuneu L, Baena MI, Garcia-Delgado A, Faus MJ. Morbidity and mortality associated with pharmacotherapy. Evolution and current concept of drug-related problems. Curr Pharm Des. 2004;10(31):3947–67.CrossRefPubMedGoogle Scholar
  18. 18.
    van Mil JW, Fernandez-Llimos F. What is ‘pharmaceutical care’ in 2013? Int J Clin Pharm. 2013;35(1):1–2.CrossRefPubMedGoogle Scholar
  19. 19.
    Allemann SS, van Mil JW, Botermann L, Berger K, Griese N, Hersberger KE, et al. Pharmaceutical care: the PCNE definition 2013. Int J Clin Pharm. 2014;36(3):544–55.CrossRefPubMedGoogle Scholar
  20. 20.
    Hepler CD. Pharmacy as a clinical profession. Am J Hosp Pharm. 1985;42(6):1298–306.PubMedGoogle Scholar
  21. 21.
    Planas LG, Kimberlin CL, Segal R, Brushwood DB, Hepler CD, Schlenker BR, et al. A pharmacist model of perceived responsibility for drug therapy outcomes. Soc Sci Med. 2005;60(10):2393–403.CrossRefPubMedGoogle Scholar
  22. 22.
    Traub SL, Haddad A, Lambert I. Definition of clinical pharmacy. Am J Hosp Pharm. 1979;36(3):296.PubMedGoogle Scholar
  23. 23.
    Bundesvereinigung Deutscher Apothekerverbaende (ABDA) und Deutsche Pharmazeutische Gesellschaft (DPhG). Was kann Klinische Pharmazie, und für wen ist sie? Pharm Ztg 1998; 143(1962):1210.Google Scholar
  24. 24.
    Swiss association of Public Health Administration and Hospital Pharmacists. 2011. http://www.gsasa.ch/pages/activites/activites-cliniques. Accessed 06 Dec 2015.
  25. 25.
    Società Italiana di Farmacia Clinica (Italian Society of Hospital Pharmacy). http://www.sifac.it/node/149. Accessed 06 Dec 2015.
  26. 26.
    Calop J, Allenet B, Brudieu E. Definition de la pharmacie clinique. In: Gimenez FCJ, Limat S, Fernandez C, editors. Pharmacie Clinique et Therapeutique. Paris: Elsevier-Masson; 2008.Google Scholar
  27. 27.
    Norske Sykehusfarmasøyters Forening. 2007. http://medlem.sykehusfarmasi.org/. Accessed 06 Dec 2015.
  28. 28.
    The Danish Medicines Agency’s working group on clinical pharmacy. Brug medicinen bedre: Perspektiver i klinisk farmaci [Better use of medicine: Perspectives of clinical pharmacy]. Kailow Graphic A/S. June 2004. ISBN 87-90301-16-1.Google Scholar

Copyright information

© Springer International Publishing 2016

Authors and Affiliations

  1. 1.NHS Tayside and Division of Population Health SciencesUniversity of DundeeDundeeUK
  2. 2.Department of Social Pharmacy, Faculty of PharmacyUniversity of LisbonLisbonPortugal

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