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Pharmacy World and Science

, Volume 28, Issue 2, pp 61–64 | Cite as

Drug-related problems in general practice: results from a development project in Denmark

  • Birthe SoendergaardEmail author
  • Bente Kirkeby
  • Christine Dinsen
  • Hanne Herborg
  • Jakob Kjellberg
  • Peter Staehr
Short Research Report

Abstract

Objective

The objective of the study is identify and document drug-related problems and other possible quality problems in primary care through a pharmacist-run medication review and screening service. GPs’ acceptance and implementation rates of the pharmacist’s recommendations are evaluated.

Method

A community pharmacist worked 20 h per week for 18 months in a GP practice with three GPs.

Results

The pharmacist completed 40 reviews and identified 103 drug-related problems. GPs had a high rate of acceptance of the pharmacist’s suggested interventions (83%), and 77% of the recommendations had been implemented. 765 (12.5%) possible quality problems were identified after screening 6094 medical records. The physicians accepted 86% of the recommendations to initiate low dosage ASA and treatment was implemented for 63% of the patients. 76% of the recommendations to initiate Statin treatment were agreed on and 56% were implemented.

Conclusions

The pharmacist was able to identify drug-related problems and other possible quality problems with regard to quality assurance of individual patient’s drug treatment. The GPs accepted and implemented the pharmacist’s recommendations. It was feasible to implement the services and to establish well-functioning co-operation between the pharmacist and the GPs.

Keywords

Community pharmacist General practice Medication review Drug-related problems Acceptance rate Implementation rate Denmark 

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Notes

Acknowledgement

The study was financed by Apotekerfonden af 1991.

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Copyright information

© Springer Science+Business Media B.V. 2006 2006

Authors and Affiliations

  • Birthe Soendergaard
    • 1
    • 2
    Email author
  • Bente Kirkeby
    • 3
  • Christine Dinsen
    • 4
  • Hanne Herborg
    • 2
  • Jakob Kjellberg
    • 5
  • Peter Staehr
    • 6
  1. 1.Department of Pharmacology and Pharmacotherapy, The Danish University of Pharmaceutical SciencesDK 2100 CopenhagenDenmark
  2. 2.Danish College of Pharmacy PracticeHilleroedDenmark
  3. 3.Department of rational drug prescribingFrederiksborg CountyDenmark
  4. 4.Frederiksborg CountyDenmark
  5. 5.DSICopenhagenDenmark
  6. 6.OelstykkeDenmark

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