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Original Research

The perspectives of patients and physicians on the role of pharmacists in improving medication adherence in type 2 diabetes: a qualitative study

, ORCID Icon &
Pages 1527-1543 | Published online: 09 Sep 2019
 

Abstract

Background

Pharmacy practice has been expanded to include responsibility for the outcomes of medication therapy. However, in developing countries the pharmacist’s role is still limited to dispensing medications. The aim of this study is to explore the perspectives of patients and physicians on the pharmacist’s role in improving medication adherence in type 2 diabetes.

Methods

Data were collected via semi-structured interviews with patients and physicians. The interviews were audio-recorded, transcribed verbatim and analysed using thematic analysis.

Results

A total of 40 patients and 21 physicians were interviewed. The interviews revealed different pharmacy-related issues that negatively affected patients’ adherence, such as a lack of pharmacist counselling and inappropriate scheduling of refills. Various recommendations to improve adherence were emphasised such as dedicating some pharmacists to counselling patients and providing pharmacists with the appropriate training.

Conclusion

From the perspectives of patients and physicians, the pharmacist’s role in the management of type 2 diabetes is still limited to dispensing medications. In order to improve medication adherence and consequently patient outcomes, policy-makers need to be aware of the importance of supporting pharmacists and providing them with the appropriate training.

Acknowledgment

The authors would like to thank all patients and physicians who took part in this study. Without their cooperation, this research would not have been possible.

Disclosure

The authors confirm that they have no conflicts of interest to declare in this work.