Pharmacist-led medication review clinics in general practice: the views of Greater Glasgow GPs

MacRae, F., Lowrie, R., MacLaren, A., Barbour, R.S. and Norrie, J. (2003) Pharmacist-led medication review clinics in general practice: the views of Greater Glasgow GPs. International Journal of Pharmacy Practice, 11(4), pp. 199-208. (doi: 10.1211/0022357022647)

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Publisher's URL: http://dx.doi.org/10.1211/0022357022647

Abstract

<b>Objectives </b>To ascertain general practitioners' views of a pharmacist-led medication review (PLMR) service. In particular, to quantify the percentage of GPs who perceived PLMR to be a useful service to their practices; to explore key service benefits, problems and areas for future improvement; and to quantify the percentage of GPs who believed service benefits outweighed problems.<p></p> <b>Method </b>Semi-structured interviews with a purposive sample of six GPs informed the development of a self-completion postal questionnaire. The questionnaire was sent to all 258 GPs in the 82 practices where PLMR clinics were held. GP views on aspects of the PLMR process were elicited using a Likert scale. Closed questions sought views on overall service value. Free-text responses were sought on benefits, problems and areas for future improvement.<p></p> <b>Key findings </b>The response rate was 84% for GPs (93% of practices were represented). Ninety-five per cent of respondents considered PLMR to be a useful service. Key perceived benefits (improved prescribing practice, raised standards of patient care and satisfaction, and increased GP knowledge and confidence) outweighed problems (space and time constraints, limited GP-pharmacist contact, occasional patient dissatisfaction). Only a minority of GPs felt that the written pharmacy referrals relating to specific patients were inappropriate. Views were divided as to whether PLMR increased or decreased practice workload. Suggestions for future improvements included increased GP-pharmacist communication and extended pharmacist roles.<p></p> <b>Conclusion </b>The Glasgow model of PLMR deployed across a large Primary Care Trust by a team of pharmacists was viewed by those GPs who had received input as a useful service. The majority of GPs exposed to the service believed benefits outweighed problems.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Norrie, Prof John and Lowrie, Dr Richard
Authors: MacRae, F., Lowrie, R., MacLaren, A., Barbour, R.S., and Norrie, J.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > General Practice and Primary Care
Journal Name:International Journal of Pharmacy Practice
ISSN:0961-7671
ISSN (Online):2042-7174
Published Online:18 February 2010

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