Pharmacy World and Science

, Volume 26, Issue 5, pp 256–262 | Cite as

Pharmacists in primary care Determinants of the care-providing function of Dutch community pharmacists in primary care

  • Paul E.M. Muijrers
  • J. André Knottnerus
  • Jildou Sijbrandij
  • Rob Janknegt
  • Richard P.T.M. Grol


Objective: To identify determinants of the care-providing function of the community pharmacists (CPs) to explain variations in professional practice.

Setting: The Netherlands 2001.

Participants: 328 CPs.

Method: A cross-sectional questionnaire survey was performed. Questionnaires were used to collect data about the care provided in pharmacies. As dependent variables three partial constructs: ‘individual patient care’, ‘registration of the care’, and ‘cooperation with GPs’, and one total construct: ‘care function’ were formed. Independent variables were: gender, work experience, attitude to the care-providing function, tenure, relationship with GPs, pharmacist trainer, frequency of postgraduate training, workload, part-time working, frequency of contact with pharmaceutical representatives, presence of technicians with a specialised caring duty, size of the pharmacy, urbanisation, competition, franchise pharmacy, presence of sufficient personnel. A multiple-regression analysis was performed.

Results: Respondents 71% of the respondents 29% never enquired about the patient’s experience when supplying a medication for the second time. The supply of self-care remedies was never registered by 11% of respondents. Ninety percent of pharmacists participate more than four times per year in Pharmacotherapy Audit Meetings. The attitude of the pharmacist, relationship with the GP, presence of specialised technicians, frequency of postgraduate training and the type of tenure are significantly positively correlated with a care-providing function. Being a pharmacist trainer is significantly positively related with ‘individual patient care’, the frequency of postgraduate training is significantly positively correlated with ‘registration of the care’ and the number of years in service is significantly negatively correlated with ‘cooperation with GPs’. There is a negative correlation between the cooperation with GPs and the number of years a pharmacist has been in service.

Conclusion: Based on this survey, the development of programmes focused on optimal attitude, and cooperation between pharmacists and GPs is recommended.

Attitude Care-providing function Community pharmacists Determinants Patient care Primary health care The Netherlands 


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Copyright information

© Kluwer Academic Publishers 2004

Authors and Affiliations

  • Paul E.M. Muijrers
    • 1
  • J. André Knottnerus
    • 2
  • Jildou Sijbrandij
    • 3
  • Rob Janknegt
    • 4
  • Richard P.T.M. Grol
    • 5
  1. 1.Division HealthcareCZ Health Insurance CompanySittardThe Netherlands E-mail
  2. 2.Netherlands School of Primary Care ResearchMaastricht UniversityThe Netherlands
  3. 3.Centre for Data and Information ManagementMaastricht UniversityThe Netherlands
  4. 4.Department of Clinical Pharmacy and ToxicologyMaasland HospitalSittardThe Netherlands
  5. 5.Centre for Quality of Care ResearchMaastricht University and University of NijmegenThe Netherlands

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