For example ‘A pharmacist would definitely have to let me know if someone
was using large amounts of Ventolin without a preventer. . . .’ (GP 1), ‘. . . the pharmacist’s role would be to . . . keep the doctor and the patient up to date on. . . .’ (GP 2). In contrast, for pharmacists, accessibility, style and nature of communication was a priority. For example ‘The ideal GP would be . . . a good communicator and accessible.’ selleck chemical (pharmacist 3), ‘. . . willing to view us as an equal partner.’ (pharmacist 10), ‘. . . smart and care[ing] . . .’ (pharmacist 4), ‘. . . approachable, and available to speak with (me) . . .’ (pharmacist 8). GPs and pharmacists were also mismatched in their perceptions of asthma management. GPs felt that asthma was well managed in the community, that asthma care had improved significantly in the last decade and that although there may be room for improvement, acute/problematic asthma was rarely seen in GP surgeries. In contrast, pharmacists perceived asthma control to be variable, ranging from poor to good. Pharmacists recognised that some patients were readily identifiable as having poorly controlled asthma, identifying reasons such as poor adherence, self-management (e.g.
lack of written self-management plan ownership) or reluctance to engage in care as the problem. For example ‘it seems to be better managed nowadays, maybe with the new drugs . . .’ (GP 5). In contrast to ‘. . . [management of asthma control is] overall terrible. . . . I don’t think that pharmacy has helped much.’ (pharmacist 11). With regards to why: ‘. . . a fear about steroids [medications] in the community . . .’ (pharmacist 18), ‘. . . They are either PS 341 very well looked after or not at all.’ (pharmacist 3), ‘. . . most of them don’t manage their asthma very well . . .’ (pharmacist 15). When it came to the needs of patients, GPs and pharmacists perceptions differed to some extent. Not all GPs were convinced that patients would benefit from receiving specialised and individualised education. Pharmacists recognised that while
some patients are resistant to advice, patient education would result in patient benefits. For example: with regards to receiving additional information, ‘. . . maybe newly diagnosed ones [patients] . . . it Acetophenone would enhance their understanding’ (GP 4), ‘benefits from education . . . definitely . . . [as] a lot become blasé . . .’ (pharmacist 10), compared with ‘. . . I don’t know whether there’s any extra benefit . . . they’re not listening’ (GP 7) and ‘. . . there is that core element who will not conform, and it doesn’t matter what you do. You can take a horse to water but you can’t make it drink.’ (pharmacist 6). With regards to who should be providing specialised support, GPs suggested that practice nurses should do this but as long as the HCP was trained, it could be the pharmacist. Pharmacists suggested all HCPs should be involved and the issue of reimbursement was raised. For example ‘. . .