{Reference Type}: Journal Article
{Title}: Pharmacist Roles in the Medication Use Process: Qualitative Analysis of Stakeholder Perceptions.
{Author}: Kim E;Worley MM;Yum S;Law AV;
{Journal}: J Am Pharm Assoc (2003)
{Volume}: 0
{Issue}: 0
{Year}: 2024 Jul 11
暂无{DOI}: 10.1016/j.japh.2024.102186
{Abstract}: <B>BACKGROUND: </B>Pharmacist roles in the Medication Use Process (MUP) have advanced along with new healthcare delivery models and interprofessional collaborative practice. It is unclear whether stakeholder perceptions of pharmacist roles have evolved simultaneously.<BR><B>OBJECTIVE: </B>Examine patient, pharmacist, and physician perceptions of pharmacist roles in the MUP.<BR><B>METHODS: </B>This IRB-approved study used a cross-sectional design with Qualtrics panels of patients, pharmacists, and physicians. Role Theory was used as a framework to develop 12-item surveys to study pharmacist role perceptions in the MUP: prescribing, transcribing, dispensing, administration, and monitoring. Content analysis was performed on the responses to open-ended questions.<BR><B>RESULTS: </B>From 1004 patients, a total of 7,217 comments were obtained on 9 questions (740-1004 comments), resulting in an average of 802 comments per question or 0.8 comments per question per respondent (CQR). Similarly, 1,620 comments from 205 pharmacists on 11 questions (121-205 comments) averaged 0.72 CQR; and 1,561 comments from 200 physicians on 11 questions (136-200 comments) equated to 0.74 CQR. Content analysis revealed recurring themes across the stakeholders: 'pharmacists', 'physicians', 'insurance', 'technology', 'collaboration', 'time', 'communication', and 'patient's responsibility'. Some role congruence was seen regarding pharmacist roles by all 3 stakeholders; noting pharmacist roles in improving all steps of the MUP, except transcribing. Pharmacists highlighted professional challenges such as staffing issues, burnout, and competing demands; which were not acknowledged by patients and physicians indicating the need to increase awareness.<BR><B>CONCLUSIONS: </B>This study showed increased visibility and awareness of pharmacist roles in the MUP by all stakeholders, compared to previous research showing pharmacist roles limited to dispensing. Known barriers to pharmacy practice such as lack of provider status and reimbursement were not reported by any of the stakeholders in this study. There is a need to continuously inform stakeholders about pharmacists' expanding roles in the MUP through advocacy and marketing.