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U. Washington professors: Pharmacists important to health care reform

Time for health care paradigm to recognize, incorporate pharmacists’ broad expertise, Downing and Odegard write in community newspaper.

Even as Members of Congress continue to struggle with the big issues of health care reform (HCR) and how to pay for it, pharmacists are maintaining their full-court press for inclusion of medication therapy management (MTM) services in any bill that emerges from Capitol Hill. From Washington State comes the latest example of such efforts: a July 29 opinion piece in the Bellingham Herald authored by University of Washington pharmacy professors Don Downing and Peggy Odegard.

The article begins with the simple example of a consumer seeking OTC medications for stomachache and chronic knee pain. A pharmacist connects the dots on possible NSAID-induced ulcers, leading the patient to seek medical care for what turns out to be a minor ulcer and saving money, improving quality of life, and avoiding a “dangerous medical condition,” Downing and Odegard wrote.

The scope and gravity of America’s medication-use crisis is then described, citing the $177 billion cost of medication-related problems calculated in an Ernst and Grizzle article published in 2001 in the Journal of the American Pharmaceutical Association. With such high levels of avoidable medication-related health problems, the authors noted, “One might think our health care system would value pharmacists' services enough to pay for them. But almost exclusively, they are only paid to sell more medications—not for their routine work identifying and resolving medication-related risks.”

“We support the kind of health care reform that reinforces pharmacists' efforts to provide these vital services to the public,” Downing and Odegard concluded. “Pharmacists make an essential contribution to improving health outcomes and improving medication safety. It is time for the health care paradigm to shift to a model fully recognizing and integrating their broad expertise.”

The newspaper article was praised in the APhA CEO Blog, where Thomas E. Menighan cited it as a model for other pharmacists to use in getting into local media: “Many pharmacists don't consider themselves writers. Obviously, these two folks do an excellent job. And you can too! Writing letters and short opinion articles such as this one is an excellent way for us to tell our story. Consider writing your own and submitting it to the local media in your area.”

Related resources on www.pharmacist.com

L. Michael Posey, BPharm, (mposey)
Posted July 31, 2009, 5:15 pm EDT