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INFORMATION-RELATED ROLES AND PHARMACISTS: PUBLIC OPINION
Mackridge AJ1, Marriott JF2
1School of Pharmacy and Chemistry, Liverpool John Moores University, Byrom
Street, Liverpool, L3 3AF
2Pharmacy Practice Research Group, Aston University, Aston Street, Birmingham,
B4 7ET
A.Mackridge@ljmu.ac.uk
Introduction
The pharmacists' role in providing information about medicines has
expanded recently to include medication reviews (MR), although nurses
and GPs also provide these.1,2 The aim of this study was to identify the
general public's preferences for obtaining medicines information and medication
review.
Method
Data were gathered during a study of unused medicines approved by
East Birmingham LREC. One hundred randomly selected people from each of
the edited electoral rolls for all ten political wards in Eastern Birmingham
PCT received a postal questionnaire. This asked about repeat medicine
use, history of MR and preferences for who should provide reviews, where
and sources of medicines information. Respondents could give multiple
responses to the preference questions. Follow up mailings were issued
to non-responders after four and eight weeks. Statistical analysis was
performed by Mann-Whitney U and Chi-Squared tests in Minitab v14.
Results
A total of 404 (40%) valid questionnaires were returned, with no significant
difference in response rates between wards. Respondents were similar to
the PCT population in terms of sex (58% female) and adult (>18) age
distribution, although ethnic minorities were poorly represented. Two
thirds (60%) of respondents were receiving medicines on repeat prescription.
Twenty respondents (5%) expressed no preference for the healthcare professional
providing their MR; of the 363 who did, 316 (87%) indicated doctor, 91
(25%) nurse and 17 (5%) pharmacist. Seven (2%) had no preference for the
location of a MR. Of the 372 who indicated preferences, 344 (92%) ticked
GP surgery, 43 (12%) their home and 25 (7%) a community pharmacy. Respondents
who had received a review in the past year were more likely to prefer
frequent reviews (p < 0.001).
Most respondents were satisfied with information on how (90%) and why
(75%) they were taking medicines, although satisfaction was greater among
those taking repeats (p<0.001). The most popular source of information
on these aspects was the GP (66%, 59%) with patient information leaflets
(PIL) as second choice (40%, 47%). Many desired more information on ADRs
(42%) and how medicines worked (40%). Again PILs and GPs were the most
popular sources of this information (50-53%).
Pharmacies were selected much less frequently as a source for any information
(17-26%).
Discussion
Opinions were gathered from a random sample of the general population,
without targeting patients taking repeat medicines or receiving MR, although
many respondents had experience of both. They thus represent a wider cross-section
of the population likely to require information on medicines and reviews.
Respondents indicated only limited support for pharmacist- and nurse-led
MR, despite wanting to receive reviews, and did not identify pharmacies
as a useful source of information, preferring to use their GP or a PIL.
The extent to which views were influenced by previous experience of different
professions providing reviews and information is not known. It is also
acknowledged that the proportion taking repeat medicines was high compared
to the general population. However the public's preferences for using
pharmacies and pharmacists appear to be less than that desired by the
profession.
References
1. Pharmaceutical Services Negotiating Committee. The new contract for
community pharmacy. Aylesbury: PSNC, 2004.
2. Krska J, Ross S, Watts M. Medication reviews provided by general medical
practitioners (GPs) and nurses: an evaluation of their quality. International
Journal of Pharmacy Practice 2005;13:77-84.
Presented at the HSRPP Conference 2006, Bath
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