Perceived factors influencing the development of primary care-based pharmaceutical care in Scotland

Abstract

Abstract Objective To obtain the views of key pharmacists in Scotland (potential policy-makers and innovative practising pharmacists) on a systematic approach to pharmaceutical care and on the factors important in its development. Method Semi-structured interviews, based on factors identified from the literature as resources required for, or barriers to, pharmaceutical care development. Key findings All 16 interviewees agreed with the systematic approach and identified community pharmacies as the key locus for the delivery of pharmaceutical care in primary care. Many expressed similar views in relation to remuneration, the need for training, physical resources, relationships with general practitioners to facilitate access to clinical information from medical records, repeat dispensing systems and improvements to existing computer systems to support the necessary documentation. Divergent opinions were expressed on the need for registration of patients with community pharmacies, on the use of dispensing technicians and on what specific literature and information from medical records would be required to support pharmaceutical care. While all agreed that there was insufficient evidence available of the benefits of pharmaceutical care, many felt that its development should nonetheless be progressed. Conclusion Many of the views expressed are similar to those identified among community pharmacists in similar studies. Planning of future services needs to involve community pharmacists if indeed they are key to pharmaceutical care provision.