Chronicles of a primary care practice pharmacist

Freeman, Chris; Cottrell, Neil; Kyle, Greg; Williams, Ian; Nissen, Lisa

doi:10.2147/iprp.s38102

Cited by 9 publications

(18 citation statements)

References 15 publications

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“…differs from other typologies described by Farrell et al 2 and others, 3,4 where the practice pharmacist is physically located within the medical practice for the majority of the time.…”

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confidence: 67%

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Role of pre-admission clinic and emergency department pharmacists in medication reconciliation

Tolley

Welch

et al. 2015

J Pharm Pract Res

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“…differs from other typologies described by Farrell et al 2 and others, 3,4 where the practice pharmacist is physically located within the medical practice for the majority of the time.…”

mentioning

confidence: 67%

“…While we happily acknowledge that comprehensive medication review is a central role of the practice pharmacist, it should not overshadow other roles that are just as significant. 4,5 Many of these roles are explored in the references cited by Angley et al while others can be drawn from the local and international literature.…”

mentioning

confidence: 99%

Role of pre-admission clinic and emergency department pharmacists in medication reconciliation

Tolley

Welch

et al. 2015

J Pharm Pract Res

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“…Research into the day-to-day role and function of general practice pharmacists is in its infancy, particularly in Australia. 3,4 In this pilot study, it was found that general practice pharmacists conducted activities that were, in order of decreasing time commitment, related to quality of practice, administration, medication review and patient education. Overall, two-thirds of their time was spent in clinically related duties.…”

Section: Discussionmentioning

confidence: 99%

“…The activities of one Australian general practice pharmacist over a period of three months were reported by Freeman et al, who ascertained that the most common roles conducted were medication review, advice on the therapeutic management of individual patients, student supervision, drug information and administrative tasks. 4 To contribute to the limited Australian research on this topic, three general practices in the Australian Capital Territory (ACT) each employed a parttime, non-dispensing pharmacist in a pilot trial. This was an initiative of the Capital Health Network, ACT's Primary Health Network, who funded the payment of each pharmacist.…”

Section: Discussionmentioning

confidence: 99%

What can pharmacists do in general practice? A pilot trial

Deeks¹,

Naunton²,

Tay³

et al. 2018

Aust J Gen Pract

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INTERNATIONALLY, pharmacists have become increasingly integrated into general practice clinics. 1,2 It has been reported that general practice pharmacists perform a range of clinical and administrative duties related to their expertise in medication use and safety; the clinical activities typically include providing drug information to practice staff, educating patients, reviewing medication, undertaking health promotion, and conducting disease management clinics. 1-4 The primary purpose of a general practice pharmacist is to support general practitioners (GPs) to minimise the risks associated with medicines and optimise patient outcomes through the quality use of medicines. 2 The co-location of pharmacists with GPs can enhance interprofessional communication and the development of collaborative working relationships. It can also reduce fragmentation of care and facilitate the delivery of patient-centred interdisciplinary chronic disease and medication management services. A general practice pharmacist can also improve communication between GPs and pharmacists working in community pharmacies and provide a link to existing community pharmacy services. 2 Evidence suggests that general practice-based medication reviews by a pharmacist can be more facilitating than a community pharmacybased service, 5 with key facilitators being: • an established pharmacist-GP relationship • pharmacists having access to medical records to improve the quality and appropriateness of their recommendations • a face-to-face meeting (case conference) between pharmacist and GP to discuss the pharmacist's recommendations. A systematic review by Tan et al found that pharmacists co-located in general practice clinics delivered a range of activities with favourable results in chronic disease management and the quality use of medicines, yet none of the included studies were from Australia. 1 Drawing on the skills of other health professionals is also one approach to tackling the workload pressures in general practice, although previous studies suggest that the main impact of practice-based pharmacists is on quality and safety rather than on GPs' workload. 6 While there has been a strong move to incorporate allied health professionals and nurses within GP-led multidisciplinary teams in Australia, this, to a large extent, has not included pharmacists. 7 Instead, the integration of pharmacists into general practice in Australia has been developing slowly, 2,3 particularly in comparison to the UK, where NHS England has committed to fund an extra 1500 pharmacists to work in general practice by 2020-21 (bringing the coverage to >40% of all practices). 8 In 2015, the Australian Medical Association (AMA) proposed a model whereby general practice

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“…[10][11][12] Research in Australia has demonstrated the broad range of activities performed by pharmacists in general practice and shown effectiveness in resolving medicine-related problems and improving adherence. [13][14][15][16] In the United States, patientcentred medical home models have been established to provide comprehensive and coordinated primary care with integrated health care teams, including pharmacists. 17 In 2015, with the identification of benefits to both patients and practices by including pharmacists in primary care teams 5 and to counter a GP workload crisis, 18 England's National Health Service initiated the addition of pharmacists in general practice by recruiting 490 clinical pharmacists working across 650 GP practices.…”

Section: Introductionmentioning

confidence: 99%

Clinical pharmacist facilitators in primary care: a descriptive study of their roles and services provided in general practices of southern New Zealand

et al. 2020

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INTRODUCTION:Internationally, the inclusion of pharmacists into general practice as clinical pharmacy facilitators has improved patient outcomes. However, clinical pharmacists are relatively new to southern New Zealand general practices and their range of services has not been studied. AIMS:To describe the implementation of clinical pharmacist services in general practices in the Southern region; to examine the tasks conducted by clinical pharmacy facilitators; and to determine the characteristics of patients who access this service. METHODS:The establishment and development of the clinical pharmacy facilitator role was determined by documentation held within the local Primary Health Organisation. The activities performed by clinical pharmacy facilitators were collected from patient medical records for the period 31 March 2015 to 31 March 2018. To describe the characteristics of patients receiving these services, a retrospective case note review of patients seen by the facilitators was conducted. RESULTS:The clinical pharmacy facilitator role was initiated with three pharmacists in three geographical locations across the region. Within 18 months, the number of facilitators was increased to eight. As a result of collaboration with the general practice team, 42% of referrals came from general practitioners directly. Overall, 2621 medicine-related problems were identified in 2195 patients. Dosage adjustment was the most common recommendation made by pharmacy facilitators. They consulted mostly older patients and patients taking five or more medicines. DISCUSSION:With effective collaboration, clinical pharmacy facilitators can play a key role in optimisation of medicines therapy.

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Chronicles of a primary care practice pharmacist

Cited by 9 publications

References 15 publications

Role of pre-admission clinic and emergency department pharmacists in medication reconciliation

Role of pre-admission clinic and emergency department pharmacists in medication reconciliation

What can pharmacists do in general practice? A pilot trial

Clinical pharmacist facilitators in primary care: a descriptive study of their roles and services provided in general practices of southern New Zealand

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