A community pharmacist-led anticoagulation management service: attitudes towards a new collaborative model of care in New Zealand†

Shaw, John; Harrison, Jeff; Harrison, Jenny

doi:10.1111/ijpp.12097

Cited by 26 publications

(51 citation statements)

References 31 publications

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“…The response rate from both the patients (81%) and physicians (44%) was comparable or better than other similar studies [13–17, 26, 27]. We also increased our response rate to the survey by mailing out a second survey to all potential participants 2 weeks after the original survey as a reminder to complete the survey.…”

Section: Discussionmentioning

confidence: 56%

“…In a community-pharmacy led anticoagulation service, attitudes towards a pharmacist model of management showed that most patients (79%) and physicians (89%) were confident in the pharmacist’s ability to manage therapy [26]. In an outpatient pharmacist-managed anticoagulation clinic that was associated with a local hospital, both patient and physicians demonstrated a high level of satisfaction with the service [27].…”

Section: Discussionmentioning

confidence: 99%

“…If needed, study authors were contacted. Existing surveys were taken into consideration when developing the surveys used in the present study, along with articles on how to design questionnaires [13, 14, 16, 20–26]. The surveys were designed with input from all research team members.…”

Section: Methodsmentioning

confidence: 99%

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Patients’ and physicians’ satisfaction with a pharmacist managed anticoagulation program in a family medicine clinic

et al. 2015

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BackgroundA pharmacist managed anticoagulation service was initiated in a multi-physician family medicine clinic in December 2006. In order to determine the patient and physician satisfaction with the service, a study was designed to describe the patients’ satisfaction with the warfarin education and management they received from the pharmacist, and to describe the physicians’ satisfaction with the level of care provided by the pharmacist for patients taking warfarin. A self-administered survey was completed by both eligible patients receiving warfarin and physicians prescribing warfarin between December 2006 and May 2008. The patient survey collected information on patient demographics, satisfaction with warfarin education and daily warfarin management. The physician survey collected data about the satisfaction with patient education and daily anticoagulation management by the pharmacist.ResultsSeventy-six of 94 (81%) patients completed the survey. Fifty-nine percent were male with a mean age of 65 years (range 24–90). Ninety-six percent agreed/strongly agreed the pharmacist did a good job teaching the importance of warfarin adherence, the necessity of INR testing and the risks of bleeding. Eighty-five percent agreed/strongly agreed the risk of blood clots was well explained, 79% felt the pharmacist did a good job teaching about dietary considerations and 77% agreed/strongly agreed the pharmacist explained when to see a doctor. All patients felt the pharmacist gave clear instructions on warfarin dosing and INR testing. Four of nine physicians (44%) completed the survey. All agreed/strongly agreed the pharmacist was competent in the care provided, were confident in the care their patients received, would like the pharmacist to continue the service, and would recommend this program to other clinics.ConclusionsPatients and family physicians were satisfied with the pharmacist managed anticoagulation program and recommended continuation of the program. These results support the role of the pharmacist in the management of anticoagulation in a multi-physician family medicine clinic.

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Section: Discussionmentioning

confidence: 56%

Section: Discussionmentioning

confidence: 99%

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Patients’ and physicians’ satisfaction with a pharmacist managed anticoagulation program in a family medicine clinic

et al. 2015

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“…In New Zealand, for example, there is an instituted programme directly linking community pharmacies and GP practices so that information is shared, and both professionals are constantly up-to-date with the way the patient is managing his therapy. 45 In Portugal, a shared information system between all medical practices has been developing, where it is possible to continuously monitor the tests and treatments instituted, as well as episodes of hospital admission. The citizen is responsible for deciding who has access to his/her information, and it is expected that this will include pharmacists.…”

Section: Integrated Care Ensuring Multiprofessional Collaborationmentioning

confidence: 99%

The patient pathway in cardiovascular care: A position paper from the International Pharmacists for Anticoagulation Care Taskforce (iPACT)

Costa

Rydant²,

Antoniou

2020

Evaluation Clinical Practice

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Background This position paper highlights the opportunistic integral role of the pharmacist across the patient pathway utilizing cardiovascular care as an example. The paper aims to highlight the potential roles that pharmacists worldwide can have (or already have) to provide efficient patient care in the context of interprofessional collaboration. Methods It results from a literature review and experts seeking advice to identify existing interventions and potential innovative interventions. We developed a conceptual framework highlighting seven critical phases in the patient pathway and for each of those listed some of the initiatives identified by our experts worldwide. Results Existing pharmacists' interventions in each of these phases have been identified globally. Various examples in the area of prevention and self‐management were found to exist for long; the contribution for early detection and subsequently to timely diagnosis were also quite clear; integration of care was perhaps one of the areas needing greater development, although interventions in secondary care were also quite common. Tertiary care and end of life interventions were found to often be left for other healthcare professionals. Conclusion On the basis of the findings, we can argue that much has been done but globally consider that pharmacists are still an untapped resource potentially useful for improved patient care.

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“…Analysis of the acceptability of the new service to participants found that it was well accepted by an overwhelming majority of patients and practitioners alike, with widespread support for its continuation and expansion, which is happening. [32] The pharmacist-led service was designed as a collaborative arrangement between patient, pharmacist and primary-care practice. It reduces the complexity of care by the incorporation of blood sampling, testing and dose adjustment into one consultation involving a single health professional.…”

Section: Implications Of the Findingsmentioning

confidence: 99%

Anticoagulation management by community pharmacists in New Zealand: an evaluation of a collaborative model in primary care

Harrison

Shaw

Harrison

2014

International Journal of Pharmacy Practice

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A community pharmacist-led anticoagulation management service: attitudes towards a new collaborative model of care in New Zealand†

Cited by 26 publications

References 31 publications

Patients’ and physicians’ satisfaction with a pharmacist managed anticoagulation program in a family medicine clinic

Patients’ and physicians’ satisfaction with a pharmacist managed anticoagulation program in a family medicine clinic

The patient pathway in cardiovascular care: A position paper from the International Pharmacists for Anticoagulation Care Taskforce (iPACT)

Anticoagulation management by community pharmacists in New Zealand: an evaluation of a collaborative model in primary care

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