Medical Role-Task Boundary Maintenance: Physicians?? Opinions on Clinical Pharmacy

Medical doctors’ perceptions and expectations of the role of hospital pharmacists in Sudan

“…This finding may be because respondents were all hospital doctors and perhaps less aware of the extent to which patients rely upon community pharmacists for recommending medicines for minor ailments. It also reflects evidence that although physicians may be agreeable to pharmacists providing consultative or supporting roles, there may be more disquiet in relation to clinical pharmacy roles involving independent decision-making responsibility for pharmacists [20][21][22]. Much of this research was carried out in the United States at a time when clinical roles for pharmacists were at an earlier stage of development and is germane to the situation, now, in Sudan.…”

Physician attitudes toward pharmacist provision of medication therapy management services

“…MTM services may include the following: (1) selecting, initiating, modifying or administering medication therapy, (2) monitoring and evaluating patients' responses to therapy, (3) patient/family medication consulting, and (4) disease and wellness prevention programs [3]. Several studies have previously reported on physicians' attitudes toward pharmacists' expanded role activities and services [4][5][6]. However, this study specifically assesses physicians' attitudes toward pharmacist-provided MTM services within the context of their Medicare Part D benefit.…”

Boundary encroachment and task delegation: clinical pharmacists on the medical team

“…Their responses were then compared to the tasks outlined in two contemporary articles on the subject, one from pharmacy (Smith 1982), the other from sociology (Ritchey and Raney 1981). By collapsing and/or expanding categories, all sources more or less corresponded; the ideology had been internalised at both settings, so that the ideal clinical role would include the following tasks: 1) Pharmacists provide drug information to allied personnel in various forms, through spontaneous interaction, complex questions necessitating referral, or requests for formal consultation 316 Mark A. Mesler requiring elaborate literature review and write-up.…”

“…Even the more venerable pharmacists admitted that they did indeed 'pick their spots' when approaching physicians; as one put it. All the pharmacists related that factors such as physicians' age, status, clinical experience, type of practice, personality and medical socialisation influenced their acceptance of pharmacy input (see also, Avorn et al 1982, Bosk 1979, Kane and Kane 1969, Ritchey and Raney 1981.…”