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Research ArticleResearch

Collaboration between family physicians and community pharmacists

Opinions of graduates in family medicine

Luc Côté, Michelle Normandeau, Brigitte Maheux, Louise Authier and Louise Lefort
Canadian Family Physician September 2013; 59 (9) e413-e420;
Luc Côté
Professor in the Department of Family Medicine and Emergency Medicine at Laval University in Quebec city, Que.
MSW PhD
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  • For correspondence: luc.cote{at}fmed.ulaval.ca
Michelle Normandeau
MSc
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Brigitte Maheux
MD MPH PhD
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Louise Authier
MD FCMF
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Louise Lefort
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Article Figures & Data

Tables

    • View popup
    Table 1

    Population size, number of respondents, and response rate for each cohort

    COHORTPOPULATION SIZE, NRESPONDENTS, NRESPONSE RATE, %
    2010
      • Women1176757.3
      • Men441431.8
      • Total1618150.3
    2011
      • Women1288667.2
      • Men541935.2
      • Total18210557.7
    Total34318654.2
    • View popup
    Table 2

    Percentage of respondents who reported how many of their supervisors expected various information to be written on prescriptions: N = 171.

    INFORMATION TO BE WRITTEN ON A PRESCRIPTIONRESPONDENTS WHO REPORTED HOW MANY OF THEIR SUPERVISORS EXPECTED THEM TO WRITE THE INFORMATION ON PRESCRIPTIONS, %*
    ALMOST ALL SUPERVISORSMOST SUPERVISORSABOUT HALF OF THE SUPERVISORSA MINORITY OF SUPERVISORSALMOST NONE
    Physician’s name, in block letters or stamped43.926.915.28.75.3
    Changes made to the drug prescribed (discontinue, increase or reduce dose)38.022.24.616.418.7
    Creatinine clearance (if patient suffers from renal impairment)33.932.215.212.95.8
    Child’s weight (if appropriate)18.78.24.713.555.0
    Therapeutic intent4.74.17.122.461.5
    • ↵* Some percentages do not add to 100% owing to rounding.

    • View popup
    Table 3

    Respondents’ frequency of and reasons for telephone consultations with community pharmacists in the past 12 months: N = 172.

    REASON FOR CONSULTATIONRESPONDENTS’ REPORTED FREQUENCY OF TELEPHONE CONSULTATIONS WITH PHARMACISTS, %
    > 5 TIMES2 TO 5 TIMESONCENEVER
    Obtain a complete list of medications a patient is taking93.65.80.60.0
    Ask for a pharmacotherapeutic opinion40.141.312.26.4
    Verify adherence to treatment35.547.18.78.7
    Check the possibility of drug interactions30.247.115.17.6
    • View popup
    Table 4

    Percentage of respondents who attribute prescription information responsibilities to physicians or community pharmacists: N = 170.

    RESPONSIBILITYRESPONDENTS’ ATTRIBUTION OF PRESCRIPTION RESPONSIBILITIES, %
    ONLY PHYSICIANSMOSTLY PHYSICIANSBOTH PHYSICIANS AND PHARMACISTSMOSTLY PHARMACISTSONLY PHARMACISTS
    Check the contraindications to the prescribed drugs0.68.271.717.12.4
    Explain the expected effects of the medication to the patient2.916.570.010.60.0
    Inform a patient about adverse effects0.02.460.635.21.8
    Determine the optimal conditions (eg, time of day, with or without food) for taking the medication0.00.69.462.927.1
    • View popup
    Table 5

    Percentage of respondents who attribute various responsibilities regarding the management of patients with chronic illnesses to physicians or community pharmacists: N = 170.

    RESPONSIBILITYRESPONDENTS’ ATTRIBUTION OF ACTIVITIES REGARDING MANAGEMENT OF PATIENTS WITH CHRONIC ILLNESSES, %
    ONLY PHYSICIANSMOSTLY PHYSICIANSBOTH PHYSICIANS AND PHARMACISTSMOSTLY PHARMACISTSONLY PHARMACISTS
    Assess adherence to treatment0.013.578.87.70.0
    Motivate patients so that they take their medication0.017.877.54.70.0
    Ensure that patients get the information they need to manage their disease3.549.444.72.40.0
    Counsel patients on their lifestyle habits5.360.033.51.20.0
    Manage drug interactions0.02.448.747.11.8
    • View popup
    Table 6

    Percentage of respondents who agreed that community pharmacists should adjust treatment, according to protocols based on therapeutic guidelines, for patients with various chronic conditions: N = 170.

    CHRONIC ILLNESSRESPONDENTS, %*
    COMPLETELY AGREESOMEWHAT AGREESOMEWHAT DISAGREECOMPLETELY DISAGREE
    Anticoagulant therapy52.435.96.55.3
    Asthma23.540.622.912.9
    Diabetes23.537.127.012.4
    Hypercholesterolemia24.740.024.111.2
    Hypertension24.137.127.611.2
    Pain relief15.934.735.314.1
    • ↵* Some percentages do not add to 100% owing to rounding.

    • View popup
    Table 7

    Percentage of respondents who agreed that community pharmacists should initiate treatment, according to a collective prescription, for patients with various chronic conditions: N = 170.

    CHRONIC CONDITIONRESPONDENTS, %*
    COMPLETELY AGREESOMEWHAT AGREESOMEWHAT DISAGREECOMPLETELY DISAGREE
    Traveler’s diarrhea31.848.811.87.6
    Juvenile acne (topical treatment)29.444.716.59.4
    Allergic rhinitis (treatment other than antihistamines)27.146.516.510.0
    Regular hormonal contraception22.934.727.115.3
    Uncomplicated cystitis18.837.128.815.3
    Pharyngitis10.014.752.922.4
    • ↵* Some percentages do not add to 100% owing to rounding.

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Canadian Family Physician: 59 (9)
Canadian Family Physician
Vol. 59, Issue 9
1 Sep 2013
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Collaboration between family physicians and community pharmacists
Luc Côté, Michelle Normandeau, Brigitte Maheux, Louise Authier, Louise Lefort
Canadian Family Physician Sep 2013, 59 (9) e413-e420;

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