title: Pharmacists' roles in oncology pharmacy services: Results of a global survey.
abstract: Background Oncology pharmacists are capable of providing medication therapy management (MTM) because of their level of training, practice experiences, and responsibilities. Very little data exist about their current practice, including changing roles in the multidisciplinary team, overall impact, and effects in the education of patients and healthcare professionals. Methods A 70-item survey about oncology pharmacists' activities in oral chemotherapy programs, MTM, and collaborative practice agreements (CPAs) was deployed using a web survey tool (Qualtrics, Provo, UT, USA), targeting pharmacist members of American College of Clinical Pharmacy (ACCP) Hematology/Oncology Practice and Research Network (PRN). The objective of this study was to determine oncology pharmacists' activities in areas of oral chemotherapy programs, MTM, and CPAs. A cross-sectional survey was distributed to the ACCP Hematology/Oncology PRN membership. Investigational Review Board approval was obtained. Results Of the 795 members who were sent the survey, 81 members (10%) responded; 33 respondents (47%) are involved with an oral chemotherapy program; with 42% measuring outcomes of programs. Only six pharmacists (19%) have published or presented their data. A total of 28 (35%) respondents provide MTM services, with almost half (43%) of these MTM services being dictated by CPAs. A small fraction of these pharmacists (21.4%) reported conducting quality assurance evaluations of their MTM services and three pharmacists (10.7%) reported publishing their results. Those pharmacists practicing under CPAs ( n = 28) were surveyed as to activities included in their CPA. The most common activities included adjusting medication, ordering, interpreting, and monitoring lab tests, developing therapeutic plans and educating patients. Reimbursement for providing these services was uncommon: MTM (4%), oral chemotherapy program (6%), and CPA services (11%). Reported obstacles to reimbursement included lack of understanding, administrative assistance, or time with setting up reimbursement models within the institution. Conclusion Many oncology pharmacists are participating in oral chemotherapy programs, MTM, and/or CPAs and perceived barriers were identified. Increased efforts should be directed toward prospectively reporting and assessing the impact these services have on patient care.
authors: 1 Department of Pharmacy Practice, UConn School of Pharmacy, Storrs, CT, USA.
authors: Lisa M
authors: LM
authors: Holle
authors: 2 Department of Pharmacy Practice, MCPHS University, Boston, MA, USA.
authors: Christy S
authors: CS
authors: Harris
authors: 3 Department of Pharmacy, National University of Singapore, Singapore, Singapore.
authors: Alexandre
authors: A
authors: Chan
authors: 4 Fairview Pharmacy Services, University of Minnesota Health Cancer Care, Burnsville, MN, USA.
authors: Rebecca J
authors: RJ
authors: Fahrenbruch
authors: 5 Department of Pharmacy, Memorial Hermann Cancer Center - TMC, Houston, TX, USA.
authors: Bonnie A
authors: BA
authors: Labdi
authors: 6 Oncology/Specialty Pharmacy Services, St. Cloud Veterans Affairs Health Care System, St. Cloud, MN, USA.
authors: Jocelyn E
authors: JE
authors: Mohs
authors: 7 Department of Clinical Pharmacy and Outcomes Sciences, South Carolina College of Pharmacy, Columbia, SC, USA.
authors: Leann B
authors: LB
authors: Norris
authors: 8 Department of Pharmacotherapy and Clinical Research, University of South Florida College of Pharmacy, Tampa, FL, USA.
authors: Janelle
authors: J
authors: Perkins
authors: 9 Department of Pharmacy, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA.
authors: Cory M
authors: CM
authors: Vela
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003299:Cooperative Behavior; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008495:Medical Oncology; D054539:Medication Therapy Management / Q000458:organization & administration; D008875:Middle Aged; D010595:Pharmacists / Q000458:organization & administration*; D010607:Pharmacy Service, Hospital; D024382:Professional Role; D011795:Surveys and Questionnaires; D000078329:Workforce
keywords: Oncology pharmacy; collaborative practice agreements; medication therapy management; oncology pharmacist; oral chemotherapy