Patients' Perspectives on the Role of General Practice-Based Pharmacists: A Focus Group Study

Abstract

BACKGROUND: An aging population, increasingly complex health conditions, and high workloads in primary care highlight the need for more efficient healthcare organisation. Integrating pharmacists into general practice can improve pharmacotherapeutic care and reduce hospital admissions. In the Netherlands, this collaborative model is being explored for broader implementation. Limited research has examined how patients perceive the role of pharmacists within general practice settings. AIM: What are the perspectives of patients using chronic medications on the role of general practice-based pharmacists?. METHODS: A qualitative descriptive study using focus group interviews was conducted with patients from five health centers in the Netherlands. Between May and September 2024 five focus groups were held: two with patients who had experience with pharmacist services in general practice, three with inexperienced patients. The inclusion criterion was the use of at least one medication on a chronic basis; no exclusion criteria were applied. An independent patient representative moderated the session, using a semi-structured topic guide. Discussions were audio-recorded, transcribed, and analysed using inductive thematic analysis in NVivo 12. RESULTS: A total of 31 patients participated, with five to eight in each group. Patients recognised and trusted general practice-based pharmacists for their expertise in complex pharmacotherapy, clear role distinction from GPs and community pharmacists, and strong communication skills. Key enablers of trust included secure data handling, adequate funding, and accessibility. Pharmacists were valued for delivering personalised, proactive care, contributing to multidisciplinary networks, and reducing GP workload. It was also suggested that a pharmacist working across both community pharmacy and general practice may offer added value, though this hybrid role could potentially lead to fragmented care. CONCLUSION: Overall, patients perceived the role of the general practice-based pharmacist as a valuable addition to primary care, particularly in the management of complex medication regimens. Trust in the pharmacist's new role and clear delineation of responsibilities between health care professionals are crucial for success.