Opportunities and responsibilities in pharmaceutical care

Hepler, Charles D.; Strand, Linda M.

doi:10.1093/ajhp/47.3.533

Cited by 1,696 publications

(1,649 citation statements)

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“…Study results can thus be used to increase the awareness of pharmacy staff, so that whenever they meet a patient from one of the three patient groups, they will be alert to the fact that these patients are likely candidates for DRPs. Identifying DRPs in only the first step in providing pharmaceutical care, and the process must be continued by working to resolve or prevent undesirable patient outcomes [47].…”

Section: Discussion Of Resultsmentioning

confidence: 99%

Drug-related problems in patients with angina pectoris, type 2 diabetes and asthma – interviewing patients at home

Haugbølle¹,

Sørensen²

2006

Pharm World Sci

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The study provided a profile of a pharmacy-based population of 414 patients visiting the pharmacy, all of whom are at high risk of experiencing drug-related problems. Pharmacy staff needs to take this high rate of DRPs in people with angina pectoris, asthma and type 2 diabetes into account when dispensing medicines to and advising patients from the three groups, especially when explaining how to use medicines appropriately.

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Section: Discussion Of Resultsmentioning

confidence: 99%

Drug-related problems in patients with angina pectoris, type 2 diabetes and asthma – interviewing patients at home

Haugbølle¹,

Sørensen²

2006

Pharm World Sci

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“…However, more recent epistemological developments in pharmacy, in which the concept of pharmaceutical care has become paramount, represent a move by the pharmacy profession away from merely dispensing towards a more patient-centred role (Hepler and Strand 1990). The crux of pharmaceutical care is that pharmacists will have more involvement with patients, and despite resultant increasing demands on pharmacists, this has been widely embraced within the profession internationally (Cooksey et al 2002).…”

Section: Historical Perspectives-the Divergence Of Medicine and Pharmacymentioning

confidence: 99%

Improving the working relationship between doctors and pharmacists: is inter-professional education the answer?

Gallagher

2010

Adv in Health Sci Educ

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Despite their common history, there are many cultural, attitudinal and practical differences between the professions of medicine and pharmacy that ultimately influence patient care and health outcomes. While poor communication between doctors and pharmacists is a major cause of medical errors, it is clear that effective, deliberate doctor-pharmacist collaboration within certain clinical settings significantly improves patient care. This may be particularly true for those patients with chronic illnesses and/or requiring regular medication reviews. Moreover, in hospitals, clinical and antibiotic pharmacists are successfully influencing prescribing and infection control policy. Under the new Irish Pharmacy Act (2007), pharmacists are legally obliged to provide pharmaceutical care to their patients, thus fulfilling a more patient-centred role than their traditional 'dispensing' one. However, meeting this obligation relies on the existence of good doctor-pharmacist working relationships, such that inter-disciplinary teamwork in monitoring patients becomes the norm in all healthcare settings. As discussed here, efforts to improve these relationships must focus on the strategic introduction of agreed changes in working practices between the two professions and on educational aspects of pharmaceutical care. For example, standardized education of doctors/medical students such that they learn to prescribe in an optimal manner and ongoing inter-professional education of doctors and pharmacists in therapeutics, are likely to be of paramount importance. Here, insights into the types of factors that help or hinder the improvement of these working relationships and the importance of education and agreed working practices in defining the separate but inter-dependent professions of pharmacy and medicine are reviewed and discussed.

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“…In 1990, Hepler and Strand introduced the concept of pharmaceutical care as a further development of the pharmaceutical profession [12]. They understand "pharmaceutical care as the responsible provision of drug therapy for the purpose of achieving definite outcomes that improve a patient' quality of life.…”

Section: Pharmaceutical Carementioning

confidence: 99%

From oncology pharmacy to pharmaceutical care: new contributions to multidisciplinary cancer care

Liekweg

Westfeld

Jaehde

2004

Supportive Care in Cancer

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In recent years a paradigm shift towards a patient-focused rather than a disease-focused approach occurred in many health care systems. The pharmacy profession experienced an accordant development. The traditional drug-oriented services expanded towards patient-oriented services. In oncology, pharmacists established central services for compounding of cytotoxic drugs and offered therapeutic drug monitoring for critical substances. Pharmaceutical care concepts are now being introduced to optimize individual drug therapy. Pharmaceutical care aims at improving safety and therapeutic outcomes and consequently, the patient's quality of life. These objectives imply a close relationship to supportive care. To achieve this, a multidisciplinary approach seems to be beneficial.

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Opportunities and responsibilities in pharmaceutical care

Cited by 1,696 publications

References 0 publications

Drug-related problems in patients with angina pectoris, type 2 diabetes and asthma – interviewing patients at home

Drug-related problems in patients with angina pectoris, type 2 diabetes and asthma – interviewing patients at home

Improving the working relationship between doctors and pharmacists: is inter-professional education the answer?

From oncology pharmacy to pharmaceutical care: new contributions to multidisciplinary cancer care

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