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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
Article

Abstract

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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References

  1. 1.
    Tinke JL, Griens AM. Facts and figures 2003, cost development of pharmaceutical aid. The Hague, The Netherlands: Founda-tion for Pharmaceutical Statistics, 1999.Google Scholar
  2. 2.
    Hepler CD, Grainger-Rousseau TJ. Pharmaceutical care versustraditional drug treatment. Is there a difference? Drugs 1995; 49: 1–10.Google Scholar
  3. 3.
    Beney J, Bero LA, Bond C. Expanding the roles of outpatient pharmacists: effects on health services utilisation, costs, and pa-tient outcomes. The Cochrane Library. Oxford, 2001.Google Scholar
  4. 4.
    De Vries CS. Collaboration in healthcare. The tango to drug safety [Dissertation]. Groningen, The Netherlands: University of Groningen, 1998.Google Scholar
  5. 5.
    Mil JWF. Pharmaceutical care, the future of pharmacy, theory, research and practice. Thesis. Groningen, The Netherlands: J.W.F. van Mil 1999. ISBN 9090133674.Google Scholar
  6. 6.
    Muijrers P, Knottnerus A, Sijbrandij J et al. Changing relationships, differences in opinions between general practitioners and pharmacists and the attitude of general practitioners towards the role of the community pharmacist. Pharm World Sci 2003; 25: 235–41.CrossRefPubMedGoogle Scholar
  7. 7.
    de Gier JJ. The Electronic Pharmaceutical Dossier: an effective aid to documenting pharmaceutical care data. Pharm World Sci 1996; 18: 241–3.PubMedGoogle Scholar
  8. 8.
    Kirking DM, Thomas JW, Ascione FJ, Boyd EL. Detecting and pre-venting adverse drug interactions: the potential contribution of computers in pharmacies. Soc Sci Med 1986; 22: 1–8.CrossRefPubMedGoogle Scholar
  9. 9.
    van Mil JW, Dudok van Heel MC, Boersma M, Tromp TF. Inter-ventions and documentation for drug-related problems in Dutch community. Pharmacies. Am J Health Syst Pharm 2001; 58: 1428–31.Google Scholar
  10. 10.
    Mason HL. Using attitudes and subjective norms to predict phar-macist counseling behaviors. Patient Couns Health Edu 1983; 4: 190–6.Google Scholar
  11. 11.
    Odedina FT, Hepler CD, Segal R, Miller D. The Pharmacists' Im-plementation of Pharmaceutical Care (PIPC) model. Pharm Res 1997; 14: 135–44.CrossRefPubMedGoogle Scholar
  12. 12.
    Matheson C, Bond CM, Mollison J. Attitudinal factors associated with community pharmacists' involvement in services for drug misusers. Addiction 1999; 94: 1349–59.CrossRefPubMedGoogle Scholar
  13. 13.
    Farris KB, Schopflocher DP. Between intention and behavior: an application of community pharmacists' assessment of pharma-ceutical care. Soc Sci Med 1999; 49: 55–66.CrossRefPubMedGoogle Scholar
  14. 14.
    Statistics Netherlands. http://www.cbs.nl/en (1 May 2003).Google Scholar
  15. 15.
    The Dutch Pharmacist Organisation KNMP. Apotheekcheck op het basispakket farmaceutische zorg [Pharmacycheck for basic pharmaceutical care]. The Hague, The Netherlands: KNMP Sep-tember 2000.Google Scholar
  16. 16.
    Questionnaires Hapo-project. http: //www.hag.unimaas.nl/ onderzoek/hapo.htm (5 December 2003).Google Scholar
  17. 17.
    Bond C, Matheson C, Williams S et al. Repeat prescribing: a role for community pharmacists in controlling and monitoring repeat prescriptions. Br J Gen Pract 2000; 50: 271–5.PubMedGoogle Scholar
  18. 18.
    Timmer JW, de Smet PA, Schuling J et al. Patient education to users of oral hypoglycemic agents: the perspective of Dutch community pharmacists. Pharm World Sci 1999; 21: 200–4.CrossRefPubMedGoogle Scholar
  19. 19.
    Strikwerda P, Bootsma-de Langen AM, Berghuis F, Meyboom-de Jong B. Farmacotherapie in een verzorgingshuis; gunstige inv-loed van feed-back door de apotheker op het voorschrijfgedrag van de huisarts. [Drug therapy in a nursing home; favorable ef-fect of feedback by the pharmacist on family physician's pre-scribing behavior.] Ned Tijdschr Geneesk 1994; 138: 1770–4.Google Scholar
  20. 20.
    Peterson GM, Stanton LA, Bergin JK, Chapman GA. Improving the prescribing of antibiotics for urinary tract infection.J Clin Pharm Ther 1997;22:147–53PubMedGoogle Scholar

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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