Qualitative analysis of community pharmacists' opinions on their involvement in reducing potentially inappropriate prescribing

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dc.contributor.author Raae Hansen, Christina
dc.contributor.author Byrne, Stephen
dc.contributor.author O'Mahony, Denis
dc.contributor.author Kearney, Patricia M.
dc.contributor.author Sahm, Laura J.
dc.date.accessioned 2018-12-17T09:47:41Z
dc.date.available 2018-12-17T09:47:41Z
dc.date.issued 2018-10-20
dc.identifier.citation Raae Hansen, C., Byrne, S., O'Mahony, D., Kearney, P. M. and Sahm, L. J. (2018) 'Qualitative analysis of community pharmacists' opinions on their involvement in reducing potentially inappropriate prescribing', European Journal of Clinical Pharmacology. doi:10.1007/s00228-018-2578-2 en
dc.identifier.issn 1432-1041
dc.identifier.issn 0031-6970
dc.identifier.uri http://hdl.handle.net/10468/7226
dc.identifier.doi 10.1007/s00228-018-2578-2
dc.description.abstract Purpose: Older people are at risk of potentially inappropriate prescribing (PIP) due to polypharmacy arising from multi-morbidity. Despite available explicit criteria to reduce PIP, it is highly prevalent. Whilst community pharmacists have the required knowledge to help reduce PIP, they are not currently engaged with the problem. This study explores the views of community pharmacists on their potential involvement in reducing PIP and determines the challenges to its implementation. Methods: Semi-structured interviews with pharmacists working in community pharmacies in Ireland. The theoretical domains framework (TDF) was used to develop the topic guide and to analyse the transcripts. Domains of highest relevance for PIP reduction were identified based on their frequency or whether the participants emphasised the impact of constructs within a domain. Local ethical approval was obtained. Results: Of 18 participants, 12 were female, median age was 30 years (IQR, 27–35) with a median of 6 years (IQR, 3–8) of experience. Seven TDF domains were identified as relevant to PIP reduction. Pharmacists were uncertain about their role in reducing PIP and reluctant to challenge physicians’ prescribing decisions. Challenges pertained to the environment, knowledge, social influences, professional role and identity. Conclusions: Pharmacists welcomed new responsibilities in reducing PIP as part of their daily practice but expressed a need for removal of social and environmental barriers as well as, provision of relevant guidelines and education about PIP. This study provides useful insights into the target domains for overcoming barriers of pharmacist involvement in reducing PIP. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Springer Nature Switzerland AG en
dc.rights © 2018, Springer-Verlag GmbH Germany, part of Springer Nature. The final publication is available at Springer via https://doi.org/10.1007/s00228-018-2578-2 en
dc.subject Pharmacist en
dc.subject Primary care en
dc.subject Older patients en
dc.subject Prescribing en
dc.subject Qualitative en
dc.title Qualitative analysis of community pharmacists' opinions on their involvement in reducing potentially inappropriate prescribing en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Christina Raae-Hansen, School Of Pharmacy, University College Cork, Cork, Ireland. +353-21-490-3000 Email: christina.raaehansen@ucc.ie en
dc.internal.availability Full text available en
dc.check.info Access to this article is restricted until 12 months after publication by request of the publisher. en
dc.check.date 2019-10-20
dc.date.updated 2018-12-14T11:53:03Z
dc.description.version Accepted Version en
dc.internal.rssid 465541604
dc.description.status Peer reviewed en
dc.identifier.journaltitle European Journal of Clinical Pharmacology en
dc.internal.copyrightchecked Yes en
dc.internal.licenseacceptance Yes en
dc.internal.IRISemailaddress christina.raaehansen@ucc.ie en
dc.internal.IRISemailaddress denis.omahony@ucc.ie en
dc.internal.IRISemailaddress l.sahm@ucc.ie en
dc.internal.bibliocheck Check for vol. / issue / page numbers. Amend citation as necessary.

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