TY - JOUR
T1 - Evaluating the potential outcomes of pharmacist-led activities in the Australian general practice setting
T2 - a prospective observational study
AU - Sudeshika, Thilini
AU - Deeks, Louise S
AU - Naunton, Mark
AU - Peterson, Gregory M
AU - Kosari, Sam
N1 - Funding Information:
All the general practice pharmacists from the eight study sites in the Australian Capital Territory (ACT) and Ms. Kate List are acknowledged. The CHN: ACT’s primary health network is acknowledged for the financial support.
Publisher Copyright:
© 2023, The Author(s).
PY - 2023/8
Y1 - 2023/8
N2 - BACKGROUND: Pharmacists have been co-located in general practice teams to support the quality use of medicines and optimise patient health outcomes. Evidence of the impact of pharmacist-led activities in Australian general practices is sparse.AIM: This study aimed to evaluate the potential outcomes of pharmacist-led activities in Australian general practices.METHOD: A prospective observational study was conducted in eight general practices in the Australian Capital Territory, where each general practice employed a pharmacist on a part-time basis for 18 months. A recommended, but flexible, list of activities was provided for pharmacists. Descriptive information on general practice pharmacist-led activities, collected with an online diary, was analysed. The potential clinical, economic, and organisational impact of pharmacist-led clinical activities was evaluated using the CLinical Economic Organisational (CLEO) tool, with a modified economic dimension.RESULTS: Nine pharmacists reported 4290 activities over 3918.5 work hours in general practice. Medication management services were the primary clinical activity of pharmacists. In medication reviews, 75% of the pharmacists' recommendations were fully accepted by general practitioners. Conducting clinical audits, updating patients' medical records, and providing information to patients and staff were other major activities of pharmacists. Of 2419 clinical activities, around 50% had the potential for a moderate or major positive clinical impact on patients. Sixty-three per cent of activities had the potential to decrease healthcare costs. Almost all the pharmacist-led clinical activities had a positive organisational impact.CONCLUSION: Most pharmacist-led clinical activities in general practice had the potential for a positive impact on patients and reduction in healthcare costs, supporting the expansion of this model in Australia.
AB - BACKGROUND: Pharmacists have been co-located in general practice teams to support the quality use of medicines and optimise patient health outcomes. Evidence of the impact of pharmacist-led activities in Australian general practices is sparse.AIM: This study aimed to evaluate the potential outcomes of pharmacist-led activities in Australian general practices.METHOD: A prospective observational study was conducted in eight general practices in the Australian Capital Territory, where each general practice employed a pharmacist on a part-time basis for 18 months. A recommended, but flexible, list of activities was provided for pharmacists. Descriptive information on general practice pharmacist-led activities, collected with an online diary, was analysed. The potential clinical, economic, and organisational impact of pharmacist-led clinical activities was evaluated using the CLinical Economic Organisational (CLEO) tool, with a modified economic dimension.RESULTS: Nine pharmacists reported 4290 activities over 3918.5 work hours in general practice. Medication management services were the primary clinical activity of pharmacists. In medication reviews, 75% of the pharmacists' recommendations were fully accepted by general practitioners. Conducting clinical audits, updating patients' medical records, and providing information to patients and staff were other major activities of pharmacists. Of 2419 clinical activities, around 50% had the potential for a moderate or major positive clinical impact on patients. Sixty-three per cent of activities had the potential to decrease healthcare costs. Almost all the pharmacist-led clinical activities had a positive organisational impact.CONCLUSION: Most pharmacist-led clinical activities in general practice had the potential for a positive impact on patients and reduction in healthcare costs, supporting the expansion of this model in Australia.
KW - Clinical activities
KW - Clinical impact
KW - Economic impact
KW - Evaluation
KW - General practice pharmacist
KW - Medicines
KW - Organisational impact
UR - http://www.scopus.com/inward/record.url?scp=85160854354&partnerID=8YFLogxK
U2 - 10.1007/s11096-023-01604-x
DO - 10.1007/s11096-023-01604-x
M3 - Article
C2 - 37269443
SN - 0928-1231
VL - 45
SP - 980
EP - 988
JO - International Journal of Clinical Pharmacy
JF - International Journal of Clinical Pharmacy
IS - 4
ER -