Pharmacy World and Science

, Volume 25, Issue 5, pp 235–241 | Cite as

Changing relationships: attitudes and opinions of general practitioners and pharmacists regarding the role of the community pharmacist

  • P. E. M. Muijrers
  • J.A. Knottnerus
  • J. Sijbrandij
  • R. Janknegt
  • R.P.T.M. Grol


Background: Relationship between general practitioners and pharmacists.Aim: To explore similarities and differences in opinions between general practitioners and pharmacists about the pharmacist's role. To identify factors which determine the attitude of the general practitioner towards the role of the pharmacist as a care provider.Design: Cross‐sectional questionnaire survey. Setting: The Netherlands, 2001.Participants: 926 non‐dispensing general practitioners, 93 dispensing general practitioners and 328 community pharmacists.Methods: Statements about the pharmacist's position in primary care were formulated. The attitude towards the pharmacist's care‐providing function was determined by adding the scores to the statements. Data were collected on age, gender, professional experience, trainership, type and size of practice, electronic communication, urbanisation level, part‐time work, work pressure, postgraduate training, pharmacotherapy audit meetings (PTAMs), the mutual relationship and the desired role of the pharmacist in pharmacotherapy.Results: No significant differences in opinions were found between pharmacists and non‐dispending general practitioners with respect to a number of the pharmacist's signalling tasks. Eighty‐six percent (CI 83–89) of non‐dispensing general practitioners and eighty‐two percent (CI 76–87) of pharmacists shared the opinion that pharmacists need to provide the general practitioner with feedback on prescription figures. Furthermore, 85% (CI 82–88) of the non‐dispensing general practitioners and 80% (CI 75–86) of the pharmacists believed that pharmacists should suggest items for the PTAM agenda, based on prescription patterns they notice in their pharmacy.The attitude of general practitioners towards the care‐providing function of the community pharmacist correlates significantly with the relationship between general practitioners and pharmacists (p < 0.001). There is also a significant difference (p < 0.001) in the attitude score between dispensing and non‐dispensing general practitioners: dispensing general practitioners scored lower on the attitude scale.Conclusion: Pharmacists and general practitioners largely agree on the pharmacotherapeutic signalling role that a pharmacist should fulfil. A good relationship benefits the attitude of general practitioners towards the pharmacist's care‐providing function.

Attitude Function Opinion Pharmacists Prescribing Primary health care Role Survey The Netherlands 


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  1. 1.
    Mil JWF. Pharmaceutical Care, the future of pharmacy, theory, research and practice [Thesis]. Groningen, The Netherlands: J.W.F. van Mil 1999.Google Scholar
  2. 2.
    Tinke JL. Facts and figures, cost development of pharmaceutical care. The Hague: Stichting Farmaceutische Kengetallen, 1995.Google Scholar
  3. 3.
    De Vries CS. Collaboration in healthcare, the tango to drug safety [Thesis]. Groningen, The Netherlands: C.S. de Vries, 1998.Google Scholar
  4. 4.
    Van de Poel G. Cooperation between general practitioners and pharmacists [Thesis]. Rotterdam, The Netherlands: G.Th. Van de Poel, 1988.Google Scholar
  5. 5.
    Harding G, Taylor KM. Professional relationships between general practitioners and pharmacists in health centres. Br J Gen Pract 1990; 40(340): 464–6.Google Scholar
  6. 6.
    Blom AT, Paes AH, Bakker A, Koopman CJ, van der Meer C. Pharmacist-physician co-operation at a regional level. Pharm World Sci 1994; 16(1): 13–7.Google Scholar
  7. 7.
    Diwan VK, Wahlstrom R, Tomson G, Beermann B, Sterky G, Eriksson B. Effects of 'group detailing' on the prescribing of lipid-lowering drugs: a randomized controlled trial in Swedish primary care. J Clin Epidemiol 1995;48(5):705–11.Google Scholar
  8. 8.
    Krska J, Cromarty JA, Arris F, Jamieson D, Hansford D, Duffus PR et al. Pharmacist-led medication review in patients over 65: a randomized, controlled trial in primary care. Age Ageing 2001;30(3):205–11.Google Scholar
  9. 9.
    Bond C, Matheson C, Williams S, Williams P, Donnan P. Repeat prescribing: a role for community pharmacists in controlling and monitoring repeat prescriptions. Br J Gen Pract 2000; 50(453): 271–5.Google Scholar
  10. 10.
    Zunker RJ, Carlson DL. Economics of using pharmacists as advisers to physicians in risk-sharing contracts. Am J Health Syst Pharm 2000; 57(8): 753–5.Google Scholar
  11. 11.
    Rodgers S, Avery AJ, Meechan D, Briant S, Geraghty M, Doran K, et al. Controlled trial of pharmacist intervention in general practice: the effect on prescribing costs. Br J Gen Pract 1999; 49(446): 717–20.Google Scholar
  12. 12.
    Hawksworth GM, Corlett AJ, Wright DJ, Chrystyn H. Clinical pharmacy interventions by community pharmacists during the dispensing process. Br J Clin Pharmacol 1999; 47(6): 695–700.Google Scholar
  13. 13.
    Kocken GA. Medication discussion groups in the Netherlands: five years of experience. Med Educ 1999; 33(5): 390–3.Google Scholar
  14. 14.
    Sondergaard B, Thorleifsson S, Herborg H, Frokjaer B, Hepler CD, Ersboll BK. Quality assurance of drug therapy for patients with asthma. Health economic analysis. Ugeskr Laeger 2000; 162(4): 480–6.Google Scholar
  15. 15.
    Morrison A, Wertheimer AL. Evaluation of studies investigating the effectiveness of pharmacists' clinical services. Am J Health Syst Pharm 2001; 58(7): 569–77.Google Scholar
  16. 16.
    Zermansky AG, Petty DR, Raynor DK, Freemantle N, Vail A, Lowe CJ. Randomised controlled trial of clinical medication review by a pharmacist of elderly patients receiving repeat prescriptions in general practice. BMJ 2001; 323(7325): 1340–3.Google Scholar
  17. 17.
    Beney J, Bero LA, Bond C. Expanding the roles of outpatient pharmacists: Effects on health services utilisation, costs, and patient outcomes. Cochrane Database Syst Rev 2000(3): CD000336.Google Scholar
  18. 18.
    Anonymus. Wereldorganisatie artsen wijst pharmaceutical care af. [World Medical Association adopts statements on pharmaceutical care.] Pharm Weekbl 1999; 134: 1589.Google Scholar
  19. 19.
    Spencer JA, Edwards C. Pharmacy beyond the dispensary: general practitioners' views. BMJ 1992; 304(6843): 1670–2.Google Scholar
  20. 20.
    Ellis BC, Dovey SM, Collins DM, Tilvard MW, Clark DW. General practitioners' views on the role of the community pharmacist. N Z Med J 1992; 105(943): 403–5.Google Scholar
  21. 21.
    Nathan A, Sutters CA. A comparison of community pharmacists' and general practitioners' opinions on rational prescribing, formularies and other prescribing related issues. J R Soc Health 1993; 113(6): 302–7.Google Scholar
  22. 22.
    Statistics Netherlands. Retrieved from on 1 July 2002.Google Scholar
  23. 23.
    Royal Dutch Association for the Advancement of Pharmacy (KNMP). Apotheekcheck op het basispakket farmaceutische zorg. [Pharmacycheck for basic pharmaceutical care.] September 2000 KNMP Den Haag.Google Scholar
  24. 24.
    Questionnaires Hapo-project. Retrieved from on 1 July 2002.Google Scholar
  25. 25.
    Streiner DL, Norman GR. Health measurements scales, a practical guide to their developement and use, 2nd ed. Oxford: Oxford University Press, 1995.Google Scholar
  26. 26.
    Cancrinus-Matthijsse AM, Lindenberg SM, Bakker A, Groenewegen PP. The quality of the professional practice of community pharmacists: what can still be improved in Europe? Pharm World Sci 1996;18(6):217–28.Google Scholar
  27. 27.
    Ranelli PL, Biss J. Physicians' perceptions of communication with and responsibilities of pharmacists. J Am Pharm Assoc (Wash) 2000;40(5):625–30.Google Scholar
  28. 28.
    Muijrers PEM. Apotheker en voorschrijver, collega's in de zorg. [Pharmacist and physician colleagues in healthcare.] Pharm Weekbl 1998;133: 294–7.Google Scholar
  29. 29.
    Edmunds J, Calnan MW. The reprofessionalisation of community pharmacy? An exploration of attitudes to extended roles for community pharmacists amongst pharmacists and General Practioners in the United Kingdom. Soc Sci Med 2001; 53(7): 943–55.Google Scholar
  30. 30.
    Mrazek M. Increasing demand while decreasing costs of generic medicines. Lancet 2000; 356: 1784–5.Google Scholar
  31. 31.
    Dijkers, FWD. Repeat prescriptions, a study in general practice in the Netherlands [Thesis]. Rotterdam: F.W.D. Dijkers, 1997.Google Scholar
  32. 32.
    Dowell J, Cruikshand J, Bain J, Staines H. Repeat dispensing by community pharmacists: advantages for patients and practitioners. Br J Gen Pract 1998; 48(437): 1858–9.Google Scholar
  33. 33.
    Ten Hoopen MM. Zorg op recept, de relatie apothekergeneesmiddelengebruiker in veranderend maatschappelijk en juridisch perspectief. [Relationship between pharmacist and patient, the legal position of the pharmacist and changes in the field of pharmacy and in society.] [Thesis]. Maastricht, The Netherlands: Boom Juridische Uitgevers, 2001.Google Scholar

Copyright information

© Kluwer Academic Publishers 2003

Authors and Affiliations

  • P. E. M. Muijrers
    • 1
  • J.A. Knottnerus
    • 2
  • J. Sijbrandij
    • 3
  • R. Janknegt
    • 4
  • R.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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