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Pharmacists in general practice: what do they do? A qualitative case study
Thomas Gerardus Hendrik Kempen1,2,3, Rouzi Koumi4,5, Sofia Kälvemark Sporrong4
1Department of Pharmacy, Uppsala University, Uppsala, Sweden. thomas.kempen@farmaci.uu.se.
Pharmacists in Swedish general practice manage medication reviews for older patients with multiple prescriptions. They address drug-related issues and improve healthcare collaboration, facing challenges in defining roles and meeting demand.
Area of Science:
- Pharmaceutical Practice
- General Practice Pharmacy
- Healthcare Services Research
Background:
- Pharmacists in general practice are emerging roles in Europe.
- Understanding their tasks can support role implementation and healthcare contributions.
Purpose of the Study:
- To explore the diverse tasks undertaken by pharmacists within Swedish general practices.
Main Methods:
- A case study involving 7 general practices in Uppsala County, Sweden.
- Data collection through self-reported activities, participant observation, and semi-structured interviews.
- Analysis using descriptive statistics for quantitative data and conventional content analysis for qualitative data.
Main Results:
- Eight pharmacists self-reported 174 activities, with medication reviews for older patients with polypharmacy being a primary focus.
- Pharmacists handled various drug-related queries and treatment follow-ups, noting increased efficiency and collaboration.
- Enhanced accessibility to other healthcare professionals and face-to-face patient interaction were highlighted benefits.
Conclusions:
- Pharmacists in Swedish general practice are integral in identifying, resolving, and preventing drug-related problems, particularly for elderly patients with polypharmacy.
- Future efforts should focus on task clarification, increased responsibility, and addressing the growing demand for these roles.
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