Valuing the extended role of prescribing pharmacist in general practice: results from a discrete choice experiment
Valuing the extended role of prescribing pharmacist in general practice: results from a discrete choice experiment
Objectives: to quantify patients’ preferences for new pharmacist independent prescribing (PIP) services in general practice for managing common existing long term conditions compared with usual medical prescribing.
Methods: A Discrete Choice Experiment (DCE) cross-sectional survey was conducted in five general practices in England (Oct-Nov 2009). Four service attributes reported on length of consultation and aspects of patient-professional interaction. A novel PIP service (‘prescribing pharmacist’) when managing diagnosed hypertension was compared with ‘own (family) doctor’ or ‘available (family) doctor’ service. Alternative regression models were compared according to their goodness of fit and the preferred one was used to inform policy analysis.
Results: 451 patients completed questionnaires. Respondents preferred a ‘pharmacist’ or ‘own doctor’ compared with ‘available doctor’, with a larger value given to ‘own doctor’. All attributes on patient-professional interaction were important in choosing how to manage diagnosed hypertension, whilst ‘length of consultation’ (p=0.42) did not have any impact. The impact of introducing a ‘pharmacist’ prescribing service into a general practice setting was estimated from these findings. Patients’ preferences suggested about 16% of consultations with a patient’s own doctor can be switched to a prescribing pharmacist instead. Although there is a stronger preference for seeing ‘own doctor’, alternative combinations of attribute levels can be used to compensate and re-configure a more preferred prescribing pharmacist service.
Conclusions: The ‘pharmacist’ service is valued by patients as an alternative to doctor prescribing in primary care and therefore represents an acceptable form of service delivery when informing policy about how to develop patient-focused services.
discrete choice experiment (dce), nmp services, patient preferences, pharmacist independent prescribing services, primary care
699-707
Gerard, Karen
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Tinelli, Michela
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Latter, Sue
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Blenkinsopp, Alison
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Smith, Aleshsa
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July 2012
Gerard, Karen
1aef0321-add2-425f-8cd6-48f1adeef928
Tinelli, Michela
2e4c3281-1836-475d-be90-c31d9020bd53
Latter, Sue
83f100a4-95ec-4f2e-99a5-186095de2f3b
Blenkinsopp, Alison
12c72c8c-3d75-432f-9097-4776af11b5d1
Smith, Aleshsa
40b26bef-4d87-4d1c-9390-820b38da4d5e
Gerard, Karen, Tinelli, Michela, Latter, Sue, Blenkinsopp, Alison and Smith, Aleshsa
(2012)
Valuing the extended role of prescribing pharmacist in general practice: results from a discrete choice experiment.
Value in Health, 15 (5), .
(doi:10.1016/j.jval.2012.02.006).
Abstract
Objectives: to quantify patients’ preferences for new pharmacist independent prescribing (PIP) services in general practice for managing common existing long term conditions compared with usual medical prescribing.
Methods: A Discrete Choice Experiment (DCE) cross-sectional survey was conducted in five general practices in England (Oct-Nov 2009). Four service attributes reported on length of consultation and aspects of patient-professional interaction. A novel PIP service (‘prescribing pharmacist’) when managing diagnosed hypertension was compared with ‘own (family) doctor’ or ‘available (family) doctor’ service. Alternative regression models were compared according to their goodness of fit and the preferred one was used to inform policy analysis.
Results: 451 patients completed questionnaires. Respondents preferred a ‘pharmacist’ or ‘own doctor’ compared with ‘available doctor’, with a larger value given to ‘own doctor’. All attributes on patient-professional interaction were important in choosing how to manage diagnosed hypertension, whilst ‘length of consultation’ (p=0.42) did not have any impact. The impact of introducing a ‘pharmacist’ prescribing service into a general practice setting was estimated from these findings. Patients’ preferences suggested about 16% of consultations with a patient’s own doctor can be switched to a prescribing pharmacist instead. Although there is a stronger preference for seeing ‘own doctor’, alternative combinations of attribute levels can be used to compensate and re-configure a more preferred prescribing pharmacist service.
Conclusions: The ‘pharmacist’ service is valued by patients as an alternative to doctor prescribing in primary care and therefore represents an acceptable form of service delivery when informing policy about how to develop patient-focused services.
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Published date: July 2012
Keywords:
discrete choice experiment (dce), nmp services, patient preferences, pharmacist independent prescribing services, primary care
Organisations:
Faculty of Health Sciences
Identifiers
Local EPrints ID: 209539
URI: http://eprints.soton.ac.uk/id/eprint/209539
ISSN: 1098-3015
PURE UUID: ca7e3bc0-39f4-49d4-bfcc-a758edff8e29
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Date deposited: 31 Jan 2012 13:07
Last modified: 15 Mar 2024 03:06
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Contributors
Author:
Karen Gerard
Author:
Michela Tinelli
Author:
Alison Blenkinsopp
Author:
Aleshsa Smith
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