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Pharmacists as Agents of Change for Rational Drug Therapy

Published online by Cambridge University Press:  10 March 2009

Helene Levens Lipton ,
Patricia J. Byrns ,
Stephen B. Soumerai  and
Elizabeth A. Chrischilles
Helene Levens Lipton
Affiliation:
University of California, San Francisco
Patricia J. Byrns
Affiliation:
University of Colorado Health Sciences Center
Stephen B. Soumerai
Affiliation:
Harvard Medical School and Harvard Community Health Plan
Elizabeth A. Chrischilles
Affiliation:
University of Iowa
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Abstract

We analyze what is known and unknown about the contribution of the pharmacist as patient educator, physician consultant, and agent to affect patient outcomes in ambulatory settings. The need for pharmacist services is discussed, as are the theoretical underpinnings and quality of the scientific evidence to support their efficacy. The analysis is conducted in the context of a shift in pharmacists' roles from product to patient orientation as well as recent U.S. legislation mandating enhanced pharmacists' roles via drug utilization review for all Medicaid patients. We conclude with a research and action agenda, calling for stronger research designs in evaluating pharmacists' interventions. The shifting paradigm in the pharmacy profession, coupled with the implementation of the Omnibus Budget Reconciliation Act of 1990, provide unique opportunities for rigorous evaluations of pharmacists as agents of change for rational drug therapy.

Type
Special Section: The Rational Use of Therapeutic Drugs
Information
International Journal of Technology Assessment in Health Care , Volume 11 , Issue 3 , Summer 1995 , pp. 485 - 508
Copyright
Copyright © Cambridge University Press 1995

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