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Microbial Control and Monitoring Strategies for Cleanroom Environments and Cellular Therapies

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Pharmacy practice in Virginia in 2011.

Leticia R Moczygemba¹, Jean-Venable R Goode, Janet A Silvester

¹Department of Pharmacotherapy & Outcomes Science, Virginia Commonwealth University, P.O. Box 980533, Richmond, VA 23298, USA. lrmoczygemba@vcu.edu

The Annals of Pharmacotherapy

|April 14, 2012

Summary

This summary is machine-generated.

Pharmacists in Virginia strongly support direct patient care and medication therapy management (MTM) services. Key barriers to expanding these pharmacy practice reforms include time, staffing, and reimbursement issues.

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Area of Science:

Pharmacy Practice Research
Health Services Research
Pharmacist Workforce Studies

Background:

Pharmacy practice reform is a key area for advancement at state and national levels.
The Virginia Commonwealth University (VCU) School of Pharmacy established a working group to explore these opportunities and promote pharmacy practice in Virginia.

Purpose of the Study:

To evaluate pharmacist perceptions of chronic and acute care practice.
To assess confidence levels in delivering patient care and medication therapy management (MTM) services.
To characterize the current work activities of pharmacists across Virginia.

Main Methods:

A cross-sectional online survey was distributed to VCU School of Pharmacy preceptors, students, and faculty.
The survey included questions on perceptions of chronic and acute care pharmacy practice and confidence in patient care and MTM activities.
Demographic and practice site data were also collected.

Main Results:

High response rates were achieved: 34% for preceptors (n=335), 30% for students (n=155), and 53% for faculty (n=41).
Respondents generally viewed direct patient care roles favorably in both chronic and acute care settings.
While confident in many MTM and patient care activities, confidence was lowest in pharmacogenomics and business planning for new services.
Many pharmacists provided some patient care services, but few did so regularly, citing inadequate time, staffing, reimbursement, and perceived value as primary barriers.

Conclusions:

VCU stakeholders strongly advocate for pharmacists to engage in direct patient care and MTM.
Defining the pharmacist's role, responsibilities, and expected outcomes is crucial for practice transformation.
Addressing time, staffing, compensation, and engaging patients and providers are essential for advancing pharmacy practice.