Abstract
Objective The aim of this study was to examine general practitioners’ (GPs’) views on (1) patients’ drug-related problems (DRPs) and noncompliance and (2) the role of pharmacy practitioners in DRP management. Method A brief questionnaire was designed and distributed to 224 GPs in Sweden. Results Totally 152 GPs responded (68%). Most felt that pharmacy practitioners could improve patients’ drug use by identifying DRPs. A majority of the GPs also found presentations and analyses of their local pharmacies’ DRP documentation valuable. According to the GPs’ experiences, adverse drug effects and therapy failure were the most salient problems in patients’ drug use. Half of the doctors believed that 50–75% of their patients were compliant with their prescribed drug treatments. A majority of the GPs found a 75–95% degree of compliance acceptable. Conclusion The surveyed GPs demonstrated very positive attitudes towards the role of pharmacy practitioners in improving patients’ drug use and managing DRPs. The GPs realised that many patients were not compliant with their prescribed drug treatments and accepted an imperfect compliance.
References
Chen TF, Crampton M, Krass I, Benrimoj SI. Collaboration between community pharmacists and GPs in innovative clinical services—a conceptual model. J Soc Adm Pharm. 1999;16:134–44.
Zillich AJ, Milchak JL, Carter BL, Doucette WR. Utility of a questionnaire to measure physician–pharmacist collaborative relationships. J Am Pharm Assoc (2003). 2006;46:453–8.
Bradshaw SJ, Doucette WR. Community pharmacists as patient advocates: physician attitudes. J Am Pharm Assoc. 1998;38:598–602.
Ranelli PL, Biss J. Physicians’ perceptions of communication with and responsibilities of pharmacists. J Am Pharm Assoc. 2000;40:625–30.
World Health Organization. Adherence to long-term therapies. Evidence for action. WHO/MNC/03.01. Geneva, 2003.
Krigsman K, Bastholm Rahmner P, Fuchs R, Nordström-Torpenberg I, Pettersson S, Nilsson JLG. Rational use of medicine. Use of concordance to improve patient adherence. WHO Drug Inf. 2007;21(1):27–32.
Ernst FR, Grizzle AJ. Drug-related morbidity and mortality: updating the cost-of-illness model. J Am Pharm Assoc. 2001;41:192–9.
Westerlund LOT, Björk HT. Pharmaceutical care in community pharmacies: practice and research in Sweden. Ann Pharmacother. 2006;40:1162–9. Epub 30 May 2006.
Ax F, Brånstad J-O, Westerlund T. Pharmacy counselling models—a means to improve patient drug use. J Clin Pharm Ther. Epub 30 Mar 2010. doi:10.1111/j.1365-2710.2009.01138.x.
Márquez Contreras E, de la Figuera von Wichmann M, Roig Ponsa L, Naval Chamosa J. El cumplimiento terapéutico en la hypertensión arterial en España, según la opinión de los médicos de familia. Proyecto Cumplex. [Compliance with hypertension therapy in Spain, according to the views of family doctors. Complex project.]. Aten Primaria. 2007;39:417–23. (in Spanish).
Acknowledgments
We like to thank pharmacy student Pernilla Olsson, now a MSc(Pharm), for her skilful collection and compilation of data. Also thanks to the pharmacies for kind assistance in distributing the questionnaires, to the responding GPs for making this survey possible and to Fredrik Ax, MSc(Pharm) for general support.
Funding
The study was funded by Apoteket AB.
Conflicts of interest
None.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Westerlund, T., Brånstad, JO. GPs’ views on patient drug use and the pharmacist’s role in DRP management. Pharm World Sci 32, 562–565 (2010). https://doi.org/10.1007/s11096-010-9408-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11096-010-9408-7