Medication adherence: where are we now? A UK perspective: Table 1

Barnett, Nina

doi:10.1136/ejhpharm-2013-000373

Cited by 18 publications

(20 citation statements)

References 14 publications

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“…15 MBBS students reported a greater emphasis on polypharmacy in their undergraduate teaching as opposed to MPharm students, who ranked medication adherence as the second emphasis behind starting medicines. This may be explained by the significant profile of adherence within the pharmacy profession, including Royal Pharmaceutical Society leadership and literature on the need for pharmacy to engage, 16,17 which has profoundly influenced the inclusion of adherence-related education in many pharmacy schools across the UK.…”

Section: Discussionmentioning

confidence: 99%

Education around medication review and deprescribing: a survey of medical and pharmacy students’ perspectives

Poots

Jubraj

Ward

et al. 2020

Therapeutic Advances in Drug Safety

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Research into the practice of medication review is developing across the world in response to the ever-increasing burden of inappropriate polypharmacy. Education, training and support of undergraduates and novice practitioners to equip them to participate in the medication review process could lead to long-term shifts in practice. The purpose of this study was to explore the awareness of pharmacy and medical undergraduates about medication review, deprescribing and polypharmacy, in order to inform improvement strategies. In November 2016, all final-year medical and pharmacy students at a London (UK) university were invited to complete a short questionnaire survey. Qualitative analysis inductively themed free-text comments and quantitative analysis used descriptive statistics to summarize responses, with chi-square tests used to indicate differences between the groups. The overall response rate was 34% (171/500). The terms ‘medication review’ and ‘polypharmacy’ were known to the students, whilst the term ‘deprescribing’ was unfamiliar with no difference between the groups. The term ‘medication review’ meant different things to the groups: pharmacy students suggested a focus on adherence and patient understanding, whilst medical students focused on interactions and whether medicines were still indicated. The groups differed in their perceptions of who they thought undertook reviews, who identifies potentially inappropriate medicines, who makes the final decision to deprescribe and the frequency of medication reviews. Both groups reported that on qualification they would not be comfortable stopping a medicine without discussion with a senior colleague, but would be comfortable prompting a senior colleague to review. Both groups had some awareness of medication review tools. The meaning of the term ‘medication review’ differed between the student groups. While medical students focused on clinical aspects, pharmacy students emphasized patient experience. Both groups anticipated a lack of confidence in deprescribing without senior support, highlighting the need for alignment between education and professional development syllabi in a way that combines the variety of professional perspectives. Prompts by juniors could lead to more medication reviews within existing practice, and may give them invaluable experience in reviewing medicines in their future careers as seniors.

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Section: Discussionmentioning

confidence: 99%

Education around medication review and deprescribing: a survey of medical and pharmacy students’ perspectives

Poots

Jubraj

Ward

et al. 2020

Therapeutic Advances in Drug Safety

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“…The 2016 Pharmacy action Plan expresses a vision for pharmacists to be located across health and social care sectors. 28 The ideal arrangement will harness the benefits of accessibility when pharmacists are located within community pharmacies 32 to strengthen contribution in areas such as self-care 33 and minor ailment management, 34 medicines adherence, 35 health literacy, 36 and public health. 6 Yet, it will also position pharmacists in other areas of the sector to capitalise on different skills.…”

Section: Discussionmentioning

confidence: 99%

Beyond the four walls: an exploratory survey of location, employment and roles of pharmacists in primary health care

2017

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INTRODUCTION:Recognition of the need to reduce harm and optimise patient outcomes from the use of medicines is contributing to an evolution of pharmacy practice in primary health care internationally. This evolution is changing community pharmacy and leading to new models of care that enable pharmacist contribution beyond traditional realms. There is little information about the extent of these changes in New Zealand. AIM:The aim of this study was to investigate emerging roles of pharmacists in primary health care. METHODS:A 10-question electronic survey was used to collect quantitative data about location, employment and roles of pharmacists practising in primary health care.RESULTS: There were 467 survey responses. Although most pharmacists are employed by (78%, n = 357/458) and located in (84%, n = 393/467) community pharmacies, small numbers are dispersed widely across the primary health care sector. Of the 7% (n = 31/467) working in general practices, most are employed by Primary Health Organisations or District Health Boards. Limited cognitive pharmacy service provision is evident in the sector overall, but is much greater for pharmacists spending time located within general practices. DISCUSSION:The large proportion of pharmacists practising in community pharmacies emphasises the importance of the Community Pharmacy Services Agreement in facilitating increased cognitive pharmacy service provision to optimise patient outcomes. The small numbers of pharmacists located elsewhere in the primary health care sector suggest there is scope to improve collaboration and integration in these areas. Flexible funding models that promote innovation and support sustainable practice change are key.

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“…For Foucault (1980), a 'rationality' describes the underlying assumptions, reasoning and ideologies that 'programme' behaviours and associated forms of social order (Lemke, 2011). Reflecting on national policies, training guides and corporate documentation (Barnett, 2014; Centre for Postgraduate Pharmacy Education, 2014; PSNC 2014b), and studying the M A N U S C R I P T…”

Section: Discussionmentioning

confidence: 99%

“…The implementation of the NMS in England involves a range of contractual incentives, organisational and workflow changes, and educational interventions for community pharmacy; made possible by the 2005 community pharmacy contract (Barnett 2014;PSNC, 2014aPSNC, ,2014b. The service is configured around three points of pharmacist-patient interaction.…”

Section: The New Medicine Servicementioning

confidence: 99%

Pastoral power in the community pharmacy: A Foucauldian analysis of services to promote patient adherence to new medicine use

Waring

Latif

Boyd

et al. 2016

Social Science & Medicine

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Medication adherence: where are we now? A UK perspective: Table 1

Cited by 18 publications

References 14 publications

Education around medication review and deprescribing: a survey of medical and pharmacy students’ perspectives

Education around medication review and deprescribing: a survey of medical and pharmacy students’ perspectives

Beyond the four walls: an exploratory survey of location, employment and roles of pharmacists in primary health care

Pastoral power in the community pharmacy: A Foucauldian analysis of services to promote patient adherence to new medicine use

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