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Related Experiment Videos

Do community pharmacists influence prescribing?

Norman V Carroll1

  • 1Division of Pharmacy Administration, School of Pharmacy, Virginia Commonwealth University, Medical College of Virginia Campus, Richmond, VA 23298-0533, USA. nvcarroll@vcu.edu

Journal of the American Pharmacists Association : Japha
|November 25, 2003
PubMed
Summary
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Community pharmacists regularly influence prescribing decisions, often to correct clinical issues or reduce costs. Physicians generally accept and implement these recommendations, especially when pharmacists are trained in patient-centered pharmaceutical care.

Area of Science:

  • Pharmacy Practice
  • Clinical Pharmacy
  • Health Services Research

Background:

  • Community pharmacists play a crucial role in patient care.
  • Understanding their influence on prescribing is vital for optimizing medication therapy.
  • Previous research has explored pharmacist interventions, but a comprehensive evaluation of their impact on prescribing decisions is needed.

Purpose of the Study:

  • To evaluate the ability of community pharmacists to influence prescribing decisions.
  • To determine the extent to which community pharmacists influence prescriber behavior.
  • To identify factors associated with successful pharmacist interventions in prescribing.

Main Methods:

  • Systematic review of literature from International Pharmaceutical Abstracts and MEDLINE (1966-2002).

Related Experiment Videos

  • Inclusion criteria focused on studies documenting pharmacist interventions influencing prescribing in US community pharmacies.
  • Data extraction focused on the nature, extent, and outcomes of pharmacist influence on prescribing.

    • Main Results:

    • Community pharmacists frequently recommend changes in drug therapy to prescribers.
    • Physicians generally accept and implement pharmacists' suggestions.
    • Pharmacist interventions are more effective when pharmacists are trained in patient-centered pharmaceutical care.
    • In many reviewed studies, pharmacists intervened to alter therapy for the majority of patients.

    Conclusions:

    • Community pharmacists routinely intervene to influence prescribing decisions.
    • Interventions primarily aim to resolve clinical problems or improve medication affordability.
    • Physician acceptance of pharmacist recommendations is high, supporting the collaborative role in medication management.