Perspectives from Pharmacists, Prescribers and Patients on Sharing Medication Reason for Use

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Date

2020-05-05

Authors

Whaley, Colin

Advisor

Grindrod, Kelly

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University of Waterloo

Abstract

Pharmacists rarely receive the reason a medication was prescribed, often referred to as reason for use (RFU). Pharmacists can use this information to better counsel patients, support patients in taking medications safely, and improve patient understanding of why they are taking their medications. RFU can also be added to medication labels, giving patients another tool in helping them stay informed and safe when taking their medications. A total of 60 semi-structured interviews were conducted with pharmacists, prescribers and patients. Twenty interviews were conducted with each group, and were analyzed using thematic analysis to determine the impact of adding RFU on prescriptions and medication labels. Specifically, the impact to clinicians’ workflows, on interprofessional communication and patient safety and privacy were examined. Additionally, aspects relating to the logistics of including RFU on prescriptions and medications were considered. Most participants identified a number of benefits to including RFU on prescriptions and medication labels and ensuring that pharmacists are made aware of RFU. Participants from all groups noted that some patients may not want RFU listed on their medication bottles for privacy reasons, especially for medications to treat sensitive illnesses. These results indicate a need to ensure all members of the healthcare team are informed about why a medication is being taken, and to support patients in taking their medications safely.

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Keywords

reason for use, medication, drug safety, pharmacy services, primary care, medication therapy management, medication adherence

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