“Prescribing for the whole person”: A qualitative study exploring prescribing pharmacist views on type 2 diabetes management in New Zealand

Abstract Background Pharmacist prescribers have comprehensive pharmacotherapy knowledge that can be useful for management of complex health conditions such as type 2 diabetes, yet the number of pharmacist prescribers working in New Zealand primary care is low. Aim To explore the experiences of pharm...

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Main Authors: Kimberley Norman, Shemana Cassim, Valentina Papa, Leanne Te-Karu, Penny Clark, Hilde Mullins, Lynne Chepulis
Format: Article
Language:English
Published: BMC 2023-10-01
Series:BMC Health Services Research
Subjects:
Online Access:https://doi.org/10.1186/s12913-023-09877-8
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author Kimberley Norman
Shemana Cassim
Valentina Papa
Leanne Te-Karu
Penny Clark
Hilde Mullins
Lynne Chepulis
author_facet Kimberley Norman
Shemana Cassim
Valentina Papa
Leanne Te-Karu
Penny Clark
Hilde Mullins
Lynne Chepulis
author_sort Kimberley Norman
collection DOAJ
description Abstract Background Pharmacist prescribers have comprehensive pharmacotherapy knowledge that can be useful for management of complex health conditions such as type 2 diabetes, yet the number of pharmacist prescribers working in New Zealand primary care is low. Aim To explore the experiences of pharmacist prescribers in supporting type 2 diabetes management in New Zealand primary care. Methods Qualitative research design using semi-structured interviews with six pharmacist prescribers working in NZ primary care. Thematic analysis guided this study and themes were finalised with the wider research team. Results Three major themes were identified: team approach, health inequity and the role of a pharmacist prescriber. This study found that pharmacist prescribers may improve health equity by providing advanced pharmacotherapy knowledge within a wider primary care team to support complex patient needs and understanding the wider social determinants of health that impact effective diabetes management. Participants reportedly had more time to spend with patients (than GPs or nurses) and could also contribute to improving health outcomes by directly educating and empowering patients. Conclusion The views of pharmacist prescribers have seldom been explored and this study suggests that their role may be under-utilised in primary care. In particular, pharmacist prescribers can provide specialist prescribing (and often mobile) care, and may contribute to improving health outcomes and reducing inequity when used as part of a multi-disciplinary team.
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spelling doaj.art-11afbdfad0cd4800a17b77e49c249e172023-11-26T12:44:25ZengBMCBMC Health Services Research1472-69632023-10-012311810.1186/s12913-023-09877-8“Prescribing for the whole person”: A qualitative study exploring prescribing pharmacist views on type 2 diabetes management in New ZealandKimberley Norman0Shemana Cassim1Valentina Papa2Leanne Te-Karu3Penny Clark4Hilde Mullins5Lynne Chepulis6Medical Research Centre, Te Huataki Waiora School of Health, University of WaikatoTe Kura Hinengaro Tangata School of Psychology, Massey UniversityMedical Research Centre, Te Huataki Waiora School of Health, University of WaikatoFaculty of Medical and Health Sciences, University of AucklandNorthcare Medical CentreDepartment of Nursing, Te Huataki Waiora School of Health, University of WaikatoMedical Research Centre, Te Huataki Waiora School of Health, University of WaikatoAbstract Background Pharmacist prescribers have comprehensive pharmacotherapy knowledge that can be useful for management of complex health conditions such as type 2 diabetes, yet the number of pharmacist prescribers working in New Zealand primary care is low. Aim To explore the experiences of pharmacist prescribers in supporting type 2 diabetes management in New Zealand primary care. Methods Qualitative research design using semi-structured interviews with six pharmacist prescribers working in NZ primary care. Thematic analysis guided this study and themes were finalised with the wider research team. Results Three major themes were identified: team approach, health inequity and the role of a pharmacist prescriber. This study found that pharmacist prescribers may improve health equity by providing advanced pharmacotherapy knowledge within a wider primary care team to support complex patient needs and understanding the wider social determinants of health that impact effective diabetes management. Participants reportedly had more time to spend with patients (than GPs or nurses) and could also contribute to improving health outcomes by directly educating and empowering patients. Conclusion The views of pharmacist prescribers have seldom been explored and this study suggests that their role may be under-utilised in primary care. In particular, pharmacist prescribers can provide specialist prescribing (and often mobile) care, and may contribute to improving health outcomes and reducing inequity when used as part of a multi-disciplinary team.https://doi.org/10.1186/s12913-023-09877-8Pharmacist prescriberInequityDiabetesPrimary care
spellingShingle Kimberley Norman
Shemana Cassim
Valentina Papa
Leanne Te-Karu
Penny Clark
Hilde Mullins
Lynne Chepulis
“Prescribing for the whole person”: A qualitative study exploring prescribing pharmacist views on type 2 diabetes management in New Zealand
BMC Health Services Research
Pharmacist prescriber
Inequity
Diabetes
Primary care
title “Prescribing for the whole person”: A qualitative study exploring prescribing pharmacist views on type 2 diabetes management in New Zealand
title_full “Prescribing for the whole person”: A qualitative study exploring prescribing pharmacist views on type 2 diabetes management in New Zealand
title_fullStr “Prescribing for the whole person”: A qualitative study exploring prescribing pharmacist views on type 2 diabetes management in New Zealand
title_full_unstemmed “Prescribing for the whole person”: A qualitative study exploring prescribing pharmacist views on type 2 diabetes management in New Zealand
title_short “Prescribing for the whole person”: A qualitative study exploring prescribing pharmacist views on type 2 diabetes management in New Zealand
title_sort prescribing for the whole person a qualitative study exploring prescribing pharmacist views on type 2 diabetes management in new zealand
topic Pharmacist prescriber
Inequity
Diabetes
Primary care
url https://doi.org/10.1186/s12913-023-09877-8
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