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Evaluating pharmacist input into the pharmaceutical care of patients in dispensing medical practices in remote and rural areas of Scotland.

Stewart, Derek C.; Anthony, Breda; Morrison, Clare; MacRae, Yvonne; Dixon, Lucy; Friel, Emer; Yoong, Evelyn; Cunningham, Scott; MacLure, Katie

Authors

Derek C. Stewart

Breda Anthony

Clare Morrison

Yvonne MacRae

Lucy Dixon

Emer Friel

Evelyn Yoong

Scott Cunningham

Katie MacLure



Abstract

Background. - The Highlands and the Western Isles are the two most remote and rural areas of Scotland, with many medical practices in areas where pharmacies would not be viable. Recent regulations state that that dispensing medical practices in these areas must receive pharmacist support for patients who would benefit. Objective. - This study aimed to evaluate pilot services, which centred on the provision of patient centred pharmaceutical care. Methods. A realist type evaluation was conducted by an independent research team comprising collecting quantitative data around what occurred during the consultation followed by interviews with purposive samples of staff (n = 14) and patients (n = 18). Results. - A total of 873 medicines related issues were identified in 473 patients reviewed, with the main issue being 'inappropriate dose, frequency, duration'. Just under half (39.7%) of issues were managed by the pharmacist without any medical input. Interviews indicated a high level of appreciation, although there was an increase in workload for some staff. While the need for telephone based pharmacist consultations for some patients was understood, there was a preference for face to face. All were supportive of continuing and extending the service. Conclusion. - The clinical pharmacist service was both needed and valued highly by staff and patients. In Scotland, this aligns with the Government vision and action plan, 'Prescription for Excellence', that by 2023 all patient facing pharmacists will be independent prescribers with those in remote and rural areas entitled to 'equity of access to such expertise'.

Journal Article Type Article
Publication Date Aug 1, 2017
Journal Family practice
Print ISSN 0263-2136
Electronic ISSN 1460-2229
Publisher Oxford University Press (OUP)
Peer Reviewed Peer Reviewed
Volume 34
Issue 4
Pages 491-499
Institution Citation STEWART, D., ANTHONY, B., MORRISON, C., MACRAE, Y., DIXON, L., FRIEL, E., YOONG, E., CUNNINGHAM, S. and MACLURE, K. 2017. Evaluating pharmacist input into the pharmaceutical care of patients in dispensing medical practices in remote and rural areas of Scotland. Family practice [online], 34(4), pages 491-499. Available from: https://doi.org/10.1093/fampra/cmx014
DOI https://doi.org/10.1093/fampra/cmx014
Keywords Access to care; Patient adherence; Pharmacology / drug reactions; Primary care; Rural health

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