Intensive Pharmacist Input Makes a Difference
But do they have the time and the resources?

Dr Iain McLean reports

20^th December 2006

Dispensing Doctors and Dispensers reading this are probably busy with their Dispensary Services Quality Scheme (link to scheme summary  ) in particular the Concordance and Compliance of Medicines Use Review The remit of dispensing doctors extends beyond handing over correct medication. Working in partnership with the patient to ensure their agreement, understanding, compliance and monitoring of treatment are implicit to our work.

It can be surprising how little of this happens in the course of other professionals work. A fascinating example was provided by an excellent study in the American Medical Association Journal (JAMA. 2006.296.21).

A relatively small group of 200 patients on multiple medication were given medication in blister packs, information on the treatments and review of treatment.

Compliance rose from 61% to 97% of their medication. Average ldl cholesterol and systolic blood pressure fell. Patients were then randomised to continued support and normal handing over of the prescription. Compliance was maintained at 95% in the supported group and reverted to 65% amongst those receiving their medication without blister packs, information and review.

Now the interesting bit is the authors conclusion that most pharmacists would neither have the time or the finance to provide such a service.

It would be good to see how well dispensing doctors engage, treat and review our patients. It seems a safe bet that good compliance is built in with the nature of a dispensing doctor/patient relationship.

We would encourage all Dispensing Doctors to see the DSQS as a positive step to improving quality in dispensing practice, which enhances the patients experience.