Physician attitudes toward pharmacist provision of medication therapy management services
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Objective The implementation of Medicare Part D in 2006 has the potential to advance the profession of pharmacy through the provision and remuneration of pharmacist-provided medication therapy management (MTM) services. Limited research has evaluated physician attitudes toward pharmacist-provided MTM services, and little is known about factors that may affect these attitudes. The aim of this study was to test a model of physicians’ attitudes toward pharmacist-provided MTM services as a part of Medicare Part D. Setting and Method A mail survey was sent to a random sample of 500 physicians practicing in West Virginia. Multiple linear regression was used to test the model. Main outcome measure The independent variables included prescription volume, specialty type, years of practice, gender, academic affiliation, practice size, physicians’ attitudes toward collaborative agreement, and physician–pharmacist communication frequency. Additionally, physician age was included as a control variable. Results A total of 102 responses were received yielding a response rate of 22.1%. The mean for physicians’ attitude to support provision of MTM by pharmacists was 2.84 out of 5. The overall physicians’ attitudes model for provision of MTM by pharmacists was found to be significant. Physicians’ attitudes toward collaborative agreement, specialty, years of practice, physician–pharmacist communication frequency regarding patients communication, and gender had significant influences on physician attitudes toward provision of MTM by pharmacists. Conclusion The proposed model can provide insight into physicians’ attitudes toward provision of MTM by pharmacists and may be helpful in developing future approaches and policies to further improve this collaborative relationship.
KeywordsMedicare Part D Medication therapy management (MTM) services Physician–pharmacist collaborative agreement Physician pharmacist communication Physicians’ attitudes toward pharmacists
We would to thank Mrs. Susan Jarvis for her help in collecting our data.
This work was funded by the University of Charleston School of Pharmacy. The expressed views in the publication are those of the authors and not necessarily those of the University of Charleston School of Pharmacy.
Conflicts of interest
- 2.Gonzalez J, Noga M. Medication therapy management. J Manag Care Pharm. 2008;14(6):S8–11 (supplement to Journal of Managed Care Pharmacy).Google Scholar
- 3.Summary of the executive sessions on medication therapy management programs. Bethesda, Maryland, June 14 and August 18, 2004. Am J Health Syst Pharm. 2005;62:585–92.Google Scholar
- 10.Bradshaw SJ, Doucette WR. Community pharmacists as patient advocates: physician attitudes. J Am Pharm Assoc. 1998;38:598–602.Google Scholar
- 11.Ranelli P, Biss J. Physicians’ perceptions of communication with and responsibilities of pharmacists. J Am Pharm Assoc. 2000;40(5):625–30.Google Scholar
- 12.Divine H. Collaborating with physicians in the community. Pharm Today. 2008;14(7):32.Google Scholar
- 13.Schering Report V. Pharmacists and physicians: attitudes and perceptions of two professions. Kenilworth: Schering Corporation; 1983. p. 1–12.Google Scholar