The role of community pharmacists as advisors on prescription medication

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منو

" The role of community pharmacists as advisors on prescription medication "
Gerrett, David

Document Type	:	Latin Dissertation
Record Number	:	1097949
Doc. No	:	TLets526827
Main Entry	:	Gerrett, David
Title & Author	:	The role of community pharmacists as advisors on prescription medication\ Gerrett, David
College	:	University of Derby
Date	:	1995
student score	:	1995
Degree	:	Ph.D.
Abstract	:	This thesis describes the historical and functional evolution of British community pharmacistsshowing the succession of a compounding role by a supply function with incumbentbureaucracy. Development of a role as advisors on prescription medication is reviewed andthe potential benefit explored by reviewing patients' lack of understanding about theirmedication following advice from general medical practitioners. Although ethical directivesand specific guidance could be identified for the application and use of additional labels, littlewas found for provision of verbal advice.No comprehensive research was found to describe the prescription medication advisory roleof community pharmacists. The present thesis primarily addresses this lack of knowledge.For a total of 651/2d ays between June 1988 and February 1989 the discussions of twenty oftwenty four randomly selected community pharmacists which involved prescriptionmedication were tape recorded, transcribed and the circumstances observed. For half thistime a poster advertising community pharmacists' advisory service was displayed.Verbal advice was provided by the community pharmacist to 473 of 3519 individualsinvolved with prescription medication. Two types of community pharmacists were identified,proactive and reactive. Irrespective of type, a constant level of requests for advice wasnoted. Overall, display of the poster was not associated with any significant effect on thequantity of advice; however, it was associated with changes in the nature of advice withgreater emphasis on 'Specific problem' and 'Side effects' over 'What is prescribed' and 'Whatto do with it'. Although reiteration of the prescribers' directions and verbalising additionallabel warnings accounted for the majority of verbal advice, qualitative analysis revealed anelement of independent judgement. The sociological literature on the professions provides anunderstanding for the observations. It is argued that guidance for verbal advice provided inthe British National Formulary may facilitate community pharmacists' prescription medicationadvisory role.
Added Entry	:	University of Derby