Advertisement

International Journal of Clinical Pharmacy

, Volume 40, Issue 3, pp 566–572 | Cite as

Pharmacists in general practice: a focus on drug-related problems

  • Helen Benson
  • Cherie Lucas
  • Walter Kmet
  • Shalom I. Benrimoj
  • Kylie Williams
Research Article

Abstract

Background Team based care has been used internationally to improve the delivery of best practice primary health care. The WentWest General Practice Pharmacist Project, involving the integration of pharmacists within general practice teams, was commissioned to improve medication management of general practice patients. A particular focus of the project was the performance of medication review to allow the detection and resolution of drug related problems (DRPs). Objective The objectives of this 6-month study (October 2016–March 2017) were to: (1) identify and classify the DRPs detected as a result of pharmacist activities within a general practice primary care setting. (2) compare the number of pharmacist recommendations and GP acceptance rates as a result of pharmacist patient consultations across multiple general practice sites. Setting 15 general practice primary care sites in Western Sydney NSW Australia. A multi-centre prospective observational study conducted over a 6-month period from October 2016 to March 2017. Main outcome measure Drug-related problems (DRPs). Results Six pharmacists recorded the results from 493 patient consultations. The pharmacists identified 1124 DRPs and made 984 recommendations, of which 685 (70%) were recorded as accepted by the GP. Conclusion Pharmacists have a valuable role to play in the detection and resolution of DRP as part of the general practice team.

Keywords

Australia Collaborative care Drug-related problems General practice pharmacist Multidisciplinary care Team based care 

Notes

Acknowledgements

The authors acknowledge the contribution made by the participating pharmacists and the WentWest project team in collating and distributing the data used for the study.

Funding

Helen Benson is supported by an Australian Government Research Training Program Scholarship. This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Conflicts of interest

All authors declare that they have no personal or financial conflicts to report.

References

  1. 1.
    Körner M, Bütof S, Müller C, Zimmermann L, Becker S, Bengel J. Interprofessional teamwork and team interventions in chronic care: a systematic review. J Interprof Care. 2016;30:15–28.CrossRefPubMedGoogle Scholar
  2. 2.
    Reiss-Brennan B, Brunisholz KD, Dredge C, Briot P, Grazier K, Wilcox A, et al. Association of integrated team-based care with health care quality, utilization, and cost. JAMA. 2016;316:826–34.CrossRefPubMedGoogle Scholar
  3. 3.
    Tan EC, Stewart K, Elliott RA, George J. Pharmacist services provided in general practice clinics: a systematic review and meta-analysis. Res Social Adm Pharm. 2014;10:608–22.CrossRefPubMedGoogle Scholar
  4. 4.
    Freeman C, Cottrell WN, Kyle G, Williams I, Nissen L. Integrating a pharmacist into the general practice environment: opinions of pharmacist’s, general practitioner’s, health care consumer’s, and practice manager’s. BMC Health Serv Res. 2002;12:229.CrossRefGoogle Scholar
  5. 5.
    Weber ZA, Skelley J, Sachdev G, Kliethermes A, Haydon-Greatting A, Patel A, et al. Integration of pharmacists into team-based ambulatory care practice models. Am J Health Syst Pharm. 2015;72:745–51.CrossRefPubMedGoogle Scholar
  6. 6.
    Ellitt GR, Engblom E, Aslani P, Westerlund T, Chen TF. Drug related problems after discharge from an Australian teaching hospital. Pharm World Sci. 2010;32:622–30.CrossRefPubMedGoogle Scholar
  7. 7.
    de Consenso Comite. Third consensus of Grenada on drug related problems (DRP) and negative outcomes associated with medicines. Ars Pharm. 2007;48:5–17.Google Scholar
  8. 8.
    Patient Centred Primary Care Collaborative Robert Graham Centre. The impact of primary care practice transformation on cost, quality, and utilization a systematic review of research published in 2016. https://www.pcpcc.org/sites/default/files/resources/pcmh_evidence_es_071417%20FINAL.pdf. Accessed 19 Oct 2017.
  9. 9.
    Pen CS PEN Clinical Audit Tool. http://www.pencs.com.au/. Accessed 19 Oct 2017.
  10. 10.
    Basger BJ, Moles RJ, Chen TF. Application of drug-related problem (DRP) classification systems: a review of the literature. Eur J Clin Pharm. 2014;70:799–815.CrossRefGoogle Scholar
  11. 11.
    Basger BJ, Moles RJ, Chen TF. Development of an aggregated system for classifying causes of drug-related problems. Ann Pharmacother. 2015;49:405–18.CrossRefPubMedGoogle Scholar
  12. 12.
    IBM Corporation SPSS Statistics for Windows, Version 24. Armonk, NY2016.Google Scholar
  13. 13.
    Vande Griend JP, Saseen JJ, Bislip D, Emsermann C, Conry C, Pace WD. Prioritization of patients for comprehensive medication review by a clinical pharmacist in family medicine. J Am Board Fam Med. 2015;28:418–24.CrossRefPubMedGoogle Scholar
  14. 14.
    Tan EC, Stewart K, Elliott RA, George J. Pharmacist consultations in general practice clinics: the Pharmacists in Practice Study (PIPS). Res Social Adm Pharm. 2014;10:623–32.CrossRefPubMedGoogle Scholar
  15. 15.
    Chan DC, Chen JH, Kuo HK, We C-J, Lu I-S, Chiu L-S, et al. Drug-related problems (DRPs) identified from geriatric medication safety review clinics. Arch Gerontol Geriatr. 2012;54:168–74.CrossRefPubMedGoogle Scholar
  16. 16.
    Reeve E, Thompson W, Farrell B. Deprescribing: a narrative review of the evidence and practical recommendations for recognizing opportunities and taking action. Eur J Intern Med. 2017;38:3–11.CrossRefPubMedGoogle Scholar
  17. 17.
    Jorgenson D, Laubscher T, Lyons B, Palmer R. Integrating pharmacists into primary care teams: barriers and facilitators. Int J Pharm Pract. 2014;22:292–9.CrossRefPubMedGoogle Scholar
  18. 18.
    Freeman CR, Cottrell WN, Kyle G, Williams ID, Nissen L. An evaluation of medication review reports across different settings. Int J Clin Pharm. 2013;35:5–13.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.University of Technology SydneySydneyAustralia
  2. 2.WentWestWestern Sydney Primary Health NetworkBlacktownAustralia

Personalised recommendations