Does a primary care practice pharmacist improve the timeliness and completion of medication management reviews?

Int J Pharm Pract. 2012 Dec;20(6):395-401. doi: 10.1111/j.2042-7174.2012.00213.x. Epub 2012 Jun 1.

Abstract

Objective: To describe the effect of integrating a pharmacist into the general practice team on the timeliness and completion of pharmacist-conducted medication reviews.

Method: A pharmacist was integrated into an Australian inner-city suburb general practice medical centre to provide medication reviews for practice patients. A retrospective analysis of medication reviews with two time periods was conducted: pre-integration of the practice pharmacist and post-integration of the practice pharmacist. In an effort to obtain a measure of external validity the data were compared to data from the Division of General Practice in which the medical centre is located.

Key findings: There were 70 patients referred for medication review in the pre-integration phase and 314 patients referred in the post-integration phase. The time to complete the medication review process was significantly reduced from a median of 56 days to 20 days with a practice pharmacist. Prior to having a practice pharmacist 52% of patients did not have the service billed by the general practitioner, which was reduced to 6% during the post-integration phase.

Conclusion: The results from this trial show that the integration of a pharmacist into the general practice team was associated with an increase in the timeliness and completion rate of medication reviews.

Publication types

  • Validation Study

MeSH terms

  • Aged
  • Aged, 80 and over
  • Australia
  • Drug Utilization Review / organization & administration*
  • Female
  • Humans
  • Male
  • Patient Care Team / organization & administration
  • Pharmaceutical Services / organization & administration*
  • Pharmacists / organization & administration*
  • Primary Health Care / organization & administration*
  • Professional Role
  • Referral and Consultation
  • Retrospective Studies
  • Suburban Health Services / organization & administration
  • Time Factors