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Title : PREDICTORS OF PHYSICIANS ACCEPTANCE OF CLINICAL PHARMACY RECOMMENDATIONS AT A MILITARY HOSPITAL IN THE UNITED ARAB EMIRATES
Authors : Loai M. Saadah, Yazied M Nazzal, Shady I. Abdelmaksoud, Mary K. Nazzal, Eyad L. Abu Sabiha, Ayesha A. Al Qasemi
Abstract : The objective of the present work is to study the effect of a number of factors on acceptance by clinicians for clinical pharmacy recommendations. Clinical Pharmacy team documented their recommendations since June 2010 till March 2013 in a dedicated excel file. We performed univariate analyses to determine the significance of certain variables in predicting physician’s acceptance of recommendations made in 2011. Out of a total 8,451 recommendations documented in our database, 3,871 (45.3%) were made in 2011. Only 1982 (51.2 %) recommendations were fully documented with clinical pharmacist identification and therefore were available for analysis. Overall physician acceptance rate was 81.7%. Factors resulting in a higher acceptance were clinical pharmacy experience of more than 3 years (33% vs. 21%, P < 0.0001), board certification (46% vs. 37%, P = 0.002), doctor of pharmacy degree (33% vs. 21%, P < 0.0001), and post-bachelor professional education (42% vs. 32%, P = 0.001). Specialties associated with a significantly higher acceptance were critical care (21% vs. 14%, 0.002), pediatrics (12% vs. 7%, P = 0.009) and oncology (19% vs. 6%, P < 0.0001). Recommendations to stop medications were significantly more likely to be accepted (25% vs. 20%, P = 0.021). Finally, recommendations concerning antiinfectives were more likely to be accepted (26% vs. 18%, P = 0.002). Clinicians acceptance of clinical pharmacy recommendations can be predicted by variables of education, experience, specialty, medication class and type of recommendation. We recommend investing more in clinical pharmacy in the areas of critical care, pediatrics, oncology, and infectious diseases.

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