Pharmacy client's attitudes to expanded pharmacist prescribing and the role of agency theory on involved stakeholders

Objective To examine the views of regular pharmacy clients on pharmacist prescribing and employ agency theory in considering the relationship between the stakeholders involved. Methods Computer assisted telephone interviews were conducted with 400 pharmacy clients recruited around Australia. Potenti...

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Main Authors: Hoti, Kreshnik, Hughes, Jeffery, Sunderland, Vivian
Format: Journal Article
Published: Pharmaceutical Press 2011
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/35215
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author Hoti, Kreshnik
Hughes, Jeffery
Sunderland, Vivian
author_facet Hoti, Kreshnik
Hughes, Jeffery
Sunderland, Vivian
author_sort Hoti, Kreshnik
building Curtin Institutional Repository
collection Online Access
description Objective To examine the views of regular pharmacy clients on pharmacist prescribing and employ agency theory in considering the relationship between the stakeholders involved. Methods Computer assisted telephone interviews were conducted with 400 pharmacy clients recruited around Australia. Potential respondents were identified using a random number generation function in Microsoft Excel. Data were analysed with SPSS version 17 using one-way analysis of variance, principal component analysis and linear regression. The relationships between the main stakeholders involved were explored using agency theory.Key findings A total of 1153 answered calls recruited 400 consenting pharmacy clients. Most respondents (71%) trusted pharmacists adopting an expanded role in prescribing, however the majority (66%) supported this only after a diagnosis had been made by a doctor. Those who accepted pharmacist diagnosing and prescribing preferred that this was limited to pain management and antibiotics. Most respondents (64%) considered that expanded pharmacist prescribing would improve their access to prescription medicines, although those over 65 years of age were less supportive than younger respondents. Factors which contributed positively to clients' perception of trust in an expanded prescribing role for pharmacists were identified, and improved access to medicines was found to be the strongest predictor (P < 0.0001). Conclusion Most pharmacy clients trusted pharmacists adopting an expanded prescribing role, but preferred that this was limited to doctors performing the initial diagnosis. Agency theory would conceptualize the introduction of pharmacist prescribers, as disrupting the principal (patient) agent (doctor) relationship. Its introduction would best be facilitated by careful change management.
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spelling curtin-20.500.11937-352152017-09-13T16:08:35Z Pharmacy client's attitudes to expanded pharmacist prescribing and the role of agency theory on involved stakeholders Hoti, Kreshnik Hughes, Jeffery Sunderland, Vivian Australian pharmacy pharmacy clients pharmacist prescribing agency theory community pharmacists Objective To examine the views of regular pharmacy clients on pharmacist prescribing and employ agency theory in considering the relationship between the stakeholders involved. Methods Computer assisted telephone interviews were conducted with 400 pharmacy clients recruited around Australia. Potential respondents were identified using a random number generation function in Microsoft Excel. Data were analysed with SPSS version 17 using one-way analysis of variance, principal component analysis and linear regression. The relationships between the main stakeholders involved were explored using agency theory.Key findings A total of 1153 answered calls recruited 400 consenting pharmacy clients. Most respondents (71%) trusted pharmacists adopting an expanded role in prescribing, however the majority (66%) supported this only after a diagnosis had been made by a doctor. Those who accepted pharmacist diagnosing and prescribing preferred that this was limited to pain management and antibiotics. Most respondents (64%) considered that expanded pharmacist prescribing would improve their access to prescription medicines, although those over 65 years of age were less supportive than younger respondents. Factors which contributed positively to clients' perception of trust in an expanded prescribing role for pharmacists were identified, and improved access to medicines was found to be the strongest predictor (P < 0.0001). Conclusion Most pharmacy clients trusted pharmacists adopting an expanded prescribing role, but preferred that this was limited to doctors performing the initial diagnosis. Agency theory would conceptualize the introduction of pharmacist prescribers, as disrupting the principal (patient) agent (doctor) relationship. Its introduction would best be facilitated by careful change management. 2011 Journal Article http://hdl.handle.net/20.500.11937/35215 10.1111/j.2042-7174.2010.00077.x Pharmaceutical Press restricted
spellingShingle Australian pharmacy
pharmacy clients
pharmacist prescribing
agency theory
community pharmacists
Hoti, Kreshnik
Hughes, Jeffery
Sunderland, Vivian
Pharmacy client's attitudes to expanded pharmacist prescribing and the role of agency theory on involved stakeholders
title Pharmacy client's attitudes to expanded pharmacist prescribing and the role of agency theory on involved stakeholders
title_full Pharmacy client's attitudes to expanded pharmacist prescribing and the role of agency theory on involved stakeholders
title_fullStr Pharmacy client's attitudes to expanded pharmacist prescribing and the role of agency theory on involved stakeholders
title_full_unstemmed Pharmacy client's attitudes to expanded pharmacist prescribing and the role of agency theory on involved stakeholders
title_short Pharmacy client's attitudes to expanded pharmacist prescribing and the role of agency theory on involved stakeholders
title_sort pharmacy client's attitudes to expanded pharmacist prescribing and the role of agency theory on involved stakeholders
topic Australian pharmacy
pharmacy clients
pharmacist prescribing
agency theory
community pharmacists
url http://hdl.handle.net/20.500.11937/35215