Supporting prescribing in Irish primary care: protocol for a non-randomised pilot study of a general practice pharmacist (GPP) intervention to optimise prescribing in primary care

Pilot and Feasibility Studies
Karen CardwellGeneral Practice Pharmacist (GPP) Study Group

Abstract

Prescribing for patients taking multiple medicines (i.e. polypharmacy) is challenging for general practitioners (GPs). Limited evidence suggests that the integration of pharmacists into the general practice team could improve the management of these patients. The aim of this study is to develop and test an intervention involving pharmacists, working within GP practices, to optimise prescribing in Ireland, which has a mixed public and private primary healthcare system. This non-randomised pilot study will use a mixed-methods approach. Four general practices will be purposively sampled and recruited. A pharmacist will join the practice team for 6 months. They will participate in the management of repeat prescribing and undertake medication reviews (which will address high-risk prescribing and potentially inappropriate prescribing, deprescribing and cost-effective and generic prescribing) with adult patients. Pharmacists will also provide prescribing advice regarding the use of preferred drugs, undertake clinical audits, join practice team meetings and facilitate practice-based education. Throughout the 6-month intervention period, anonymised practice-level medication (e.g. medication changes) and cost data will be collected. A ne...Continue Reading

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Citations

Nov 2, 2019·Journal of the American Geriatrics Society·Frank MoriartyCaitriona Cahir
Apr 29, 2020·The International Journal of Pharmacy Practice·Oisín N KavanaghDervla Kelly
May 22, 2020·Irish Journal of Psychological Medicine·John C Hayden, Rebecca Parkin
Jun 1, 2020·Age and Ageing·Karen Cardwell
Jan 28, 2021·International Journal of Environmental Research and Public Health·Thilini SudeshikaSam Kosari
Oct 15, 2021·PloS One·Thilini SudeshikaSam Kosari

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Software Mentioned

SPPiRE
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