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Determinants of the uptake of medicines use reviews (MURs) by community pharmacies in England: A multi-method study

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  • Bradley, Fay
  • Wagner, Andrew C.
  • Elvey, Rebecca
  • Noyce, Peter R.
  • Ashcroft, Darren M.

Abstract

Objectives To explore and identify the key determinants influencing the uptake of medicines use reviews (MURs), a new community pharmacy service in England.Methods Survey of all primary care organisations (PCOs) in England (n = 303, response rate = 74%) and case study investigations of 10 PCOs, involving interviews with a purposive sample of 43 key stakeholders, including PCO, Local Pharmaceutical Committee and community pharmacy representatives. National data on MUR activity were also analysed and multiple linear regression was used to test determinants of MUR uptake.Results The ownership category of the pharmacy was shown to be the most significant determinant of MUR uptake. Rates of MUR provision by multiple pharmacies were almost twice that of independent pharmacies. Interview data corroborated this finding, suggesting that organisational pressure within multiple pharmacies was driving forward MUR activity in some PCOs. Interviewees expressed concern about this quantity driven approach. The PCO survey respondents perceived the greatest barrier to MUR implementation to be a lack of support from general practitioners (GPs). Interviewees reported a lack of communication about MURs between community pharmacists and GPs.Conclusions The findings suggest that the organisational setting of the pharmacy is an important factor influencing the uptake of MURs. There is also a need for greater communication and collaboration with GPs regarding the MUR service.

Suggested Citation

  • Bradley, Fay & Wagner, Andrew C. & Elvey, Rebecca & Noyce, Peter R. & Ashcroft, Darren M., 2008. "Determinants of the uptake of medicines use reviews (MURs) by community pharmacies in England: A multi-method study," Health Policy, Elsevier, vol. 88(2-3), pages 258-268, December.
    • Handle: RePEc:eee:hepoli:v:88:y:2008:i:2-3:p:258-268
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    References listed on IDEAS

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    1. Edmunds, June & Calnan, Michael W., 2001. "The reprofessionalisation of community pharmacy? An exploration of attitudes to extended roles for community pharmacists amongst pharmacists and General Practioners in the United Kingdom," Social Science & Medicine, Elsevier, vol. 53(7), pages 943-955, October.
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    1. Schafheutle, Ellen Ingrid & Seston, Elizabeth Mary & Hassell, Karen, 2011. "Factors influencing pharmacist performance: A review of the peer-reviewed literature," Health Policy, Elsevier, vol. 102(2), pages 178-192.
    2. McDonald, Ruth & Cheraghi-Sohi, Sudeh & Sanders, Caroline & Ashcroft, Darren, 2010. "Professional status in a changing world: The case of medicines use reviews in English community pharmacy," Social Science & Medicine, Elsevier, vol. 71(3), pages 451-458, August.
    3. Patton, Sarah J. & Miller, Fiona A. & Abrahamyan, Lusine & Rac, Valeria E., 2018. "Expanding the clinical role of community pharmacy: A qualitative ethnographic study of medication reviews in Ontario, Canada," Health Policy, Elsevier, vol. 122(3), pages 256-262.
    4. Sally Jacobs & Tom Fegan & Fay Bradley & Devina Halsall & Mark Hann & Ellen I Schafheutle, 2018. "How do organisational configuration and context influence the quantity and quality of NHS services provided by English community pharmacies? A qualitative investigation," PLOS ONE, Public Library of Science, vol. 13(9), pages 1-14, September.

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