Abstract
Objective The implementation of Medicare Part D in 2006 has the potential to advance the profession of pharmacy through the provision and remuneration of pharmacist-provided medication therapy management (MTM) services. Limited research has evaluated physician attitudes toward pharmacist-provided MTM services, and little is known about factors that may affect these attitudes. The aim of this study was to test a model of physicians’ attitudes toward pharmacist-provided MTM services as a part of Medicare Part D. Setting and Method A mail survey was sent to a random sample of 500 physicians practicing in West Virginia. Multiple linear regression was used to test the model. Main outcome measure The independent variables included prescription volume, specialty type, years of practice, gender, academic affiliation, practice size, physicians’ attitudes toward collaborative agreement, and physician–pharmacist communication frequency. Additionally, physician age was included as a control variable. Results A total of 102 responses were received yielding a response rate of 22.1%. The mean for physicians’ attitude to support provision of MTM by pharmacists was 2.84 out of 5. The overall physicians’ attitudes model for provision of MTM by pharmacists was found to be significant. Physicians’ attitudes toward collaborative agreement, specialty, years of practice, physician–pharmacist communication frequency regarding patients communication, and gender had significant influences on physician attitudes toward provision of MTM by pharmacists. Conclusion The proposed model can provide insight into physicians’ attitudes toward provision of MTM by pharmacists and may be helpful in developing future approaches and policies to further improve this collaborative relationship.
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Doucette WR, Witry M, Alkhateeb F, Farris K, Urmie J. Attitudes of Medicare beneficiaries toward pharmacist-provided medication therapy management activities as part of the Medicare Part D benefit. J Am Pharm Assoc. 2003;47(6):758–62. doi:10.1331/JAPhA.2007.07041.
Gonzalez J, Noga M. Medication therapy management. J Manag Care Pharm. 2008;14(6):S8–11 (supplement to Journal of Managed Care Pharmacy).
Summary of the executive sessions on medication therapy management programs. Bethesda, Maryland, June 14 and August 18, 2004. Am J Health Syst Pharm. 2005;62:585–92.
Ritchey FJ, Raney MR. Medical role-task boundary maintenance: physicians’ opinions on clinical pharmacy. Med Care. 1981;19(1):90–103. doi:10.1097/00005650-198101000-00010.
Bernstein LR, Klett EA, Jacoby KE. Physicians’ attitudes toward the use of clinical pharmaceutical services in private medical practice. Am J Hosp Pharm. 1978;35(6):715–7.
Nelson AA Jr, Meinhold JM, Hutchinson RA. Changes in physicians’ attitudes toward pharmacists as drug information consultants following implementation of clinical pharmaceutical services. Am J Hosp Pharm. 1978;35(10):1201–6.
Paul EM, Knottnerus JA, Sijbrandij J, Janknegt R, Grol RP. Changing relationships: attitudes and opinions of general practitioners and pharmacists regarding the role of the community pharmacist. Pharm World Sci. 2003;25(5):235–41. doi:10.1023/A:1025872907411.
Adamcik BA, Ransford HE, Oppenheimer PR, Brown JF, Eagan PA, Eagan PA, et al. New clinical roles for pharmacists: a study of role expansion. Soc Sci Med. 1986;23(11):1187–200. doi:10.1016/0277-9536(86)90338-2.
Ritchey FJ, Raney MR. Effect of exposure on physicians’ attitudes toward clinical pharmacists. Am J Hosp Pharm. 1981;38(10):1459–63.
Bradshaw SJ, Doucette WR. Community pharmacists as patient advocates: physician attitudes. J Am Pharm Assoc. 1998;38:598–602.
Ranelli P, Biss J. Physicians’ perceptions of communication with and responsibilities of pharmacists. J Am Pharm Assoc. 2000;40(5):625–30.
Divine H. Collaborating with physicians in the community. Pharm Today. 2008;14(7):32.
Schering Report V. Pharmacists and physicians: attitudes and perceptions of two professions. Kenilworth: Schering Corporation; 1983. p. 1–12.
Hughes CM, McCann S. Perceived interprofessional barriers between community pharmacists and general practitioners: a qualitative assessment. Br J Gen Pract. 2003;53(493):600–6.
Mitchell JL. Building cooperation with physicians: an interview with Charles Fortner. Am Pharm. 1990;NS30:24–6.
Grussing P, Goff D, Kraus D, Mueller CE. Development and validation of an instrument to measure physicians’ attitudes toward the clinical pharmacist’s role. Drug Intell Clin Pharm. 1984;18:635–40.
Acknowledgment
We would to thank Mrs. Susan Jarvis for her help in collecting our data.
Funding
This work was funded by the University of Charleston School of Pharmacy. The expressed views in the publication are those of the authors and not necessarily those of the University of Charleston School of Pharmacy.
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Alkhateeb, F.M., Clauson, K.A., McCafferty, R. et al. Physician attitudes toward pharmacist provision of medication therapy management services. Pharm World Sci 31, 487–493 (2009). https://doi.org/10.1007/s11096-009-9304-1
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DOI: https://doi.org/10.1007/s11096-009-9304-1