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Physician perceptions of pharmacist-provided medication therapy management: qualitative analysis
Stephanie Harriman McGrath1, Margie E Snyder, Gladys Garcia Dueñas
1Rite Aid Pharmacy, 900 Mount Royal Blvd., Pittsburgh, PA 15223, USA. stephanie.harriman@gmail.com
Journal of the American Pharmacists Association : Japha
|January 26, 2010
Summary
Physicians perceive medication therapy management (MTM) benefits, particularly updated medication lists, but prefer physician-led MTM. Pharmacists should emphasize communication and updated lists to foster collaboration.
Area of Science:
- Pharmacy Practice
- Health Services Research
- Physician Education
Background:
- Community pharmacist-provided medication therapy management (MTM) is expanding.
- Understanding physician perceptions is crucial for successful MTM implementation and collaboration.
Purpose of the Study:
- To identify physician perceptions of community pharmacist-provided medication therapy management (MTM).
Main Methods:
- Three focus groups were conducted with 23 family and internal medicine physicians in Pennsylvania.
- A semistructured topic guide facilitated discussions on MTM.
- Participants completed an exit survey.
Main Results:
- Physicians identified nonadherence, adverse effects, and cost as common medication issues.
- The greatest perceived MTM benefit was receiving a complete patient medication list.
- Physicians expressed concerns regarding pharmacist payment, physician reimbursement for coordination, and pharmacist training, while preferring physician-led MTM.
Conclusions:
- Pharmacists should highlight the benefit of updated medication lists and emphasize direct communication to physicians for MTM collaboration.
- Building a trusting relationship between primary care physicians and pharmacists is essential for effective MTM.
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