20.500.12556/RUL-143745 Pharmacist-led clinical medication review service in primary care the perspective of general practitioners Background: An advanced level medication review service (CMR) is systematically reimbursed and available nationwide in Slovenian primary care since 2016. CMR is performed by clinical pharmacists (CP). Close collaboration with general practitioner (GP) is required as they perform patient selection and make clinical decisions regarding patient’s medication. Methods: A prospective observational study was conducted in 2018 aiming to evaluate the perspective of GPs on the implementation of pharmacist-led medication review service in Community Health Care Centre Ljubljana, Slovenia. GPs of the patients, who provided written informed consent were invited for the interviews. The semi-structured interview consisted of 5 open ended questions addressing reasons for referral of the patients, implementation of CP recommendations and the GPs’ perspective of the service in general. Interviews were audio recorded with GPs written consent, transcribed verbatim and inductive content analysis was performed in NVivo11 Pro. Results: In total 38 interviews with 24 GPs were performed. The emerged themes were nested under 3 main domains representing Donabedian model of quality healthcare – structure, process, outcomes. The service structure is built on broad pharmacotherapy knowledge as the main CP competency, good accessibility, and complementarity of healthcare professions. Patients are mainly referred to the CMR due to polypharmacotherapy, however in majority there is a more in-depth reason behind (e.g., adverse events, etc.). Lack of time to recognize eligible patients and additional workload to study and implement the recommendations present the major challenges in the service process and therefore low number of referrals. CPs recommendations are mostly accepted, although the implementation time varies. When recommendation addresses medicines prescribed by a clinical specialist, the CMR report is forwarded to them for decision regarding implementation. The empowerment of the patients in medicines use was emphasized as the major benefit of the CMR, which consequently supports and enhances the quality of GP’s patient care. Transferability of recommendations to similar cases and high satisfaction with the service of GPs and patients, were mentioned. Conclusion: GPs experiences with CMR are encouraging and supportive and present a base for further growth of the service. clinical medication review clinical pharmacist general practitioner primary care pharmacotherapy klinični pregled zdravil klinični farmacevt splošni zdravnik primarno zdravstvo true false true Angleški jezik Slovenski jezik Članek v reviji 2023-01-11 09:10:05 2023-01-11 09:10:09 2023-01-12 04:02:38 0000-00-00 00:00:00 2023 0 0 13 str. art. 6 Vol. 24 2023 0000-00-00 Zaloznikova NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 615.15:616-085:616-083 2731-4553 10.1186/s12875-022-01963-w 137115139 s12875-022-01963-w.pdf s12875-022-01963-w.pdf 1 98CE0CD84AEB7A27E0798183E340D927 edcf512b818cecb44c658a5eb258e032ade12d2de3a2477942580d55b867812b 42e00e6a-9187-11ed-9c94-00155dcfd717 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=165650 https://bmcprimcare.biomedcentral.com/articles/10.1186/s12875-022-01963-w 1 22f031e2-9187-11ed-9c94-00155dcfd717 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=165649 Fakulteta za farmacijo 0 0 0