Pharmacist prescriber in Italy and possible changes to current legislation: survey of attitudes among pharmacists, family doctors and users

Background In many countries in Europe and in the world, pharmacists are allowed to prescribe or modify therapies. In Italy, the only healthcare professions authorised to prescribe are medical doctors and veterinary surgeons. The extension of the duties of the Italian pharmacist to include prescribi...

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Main Authors: Francesca Baratta, Irene Pignata, Lorenzo Ravetto Enri, Paola Brusa
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Journal of Pharmaceutical Policy and Practice
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Online Access:https://www.tandfonline.com/doi/10.1080/20523211.2025.2456382
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author Francesca Baratta
Irene Pignata
Lorenzo Ravetto Enri
Paola Brusa
author_facet Francesca Baratta
Irene Pignata
Lorenzo Ravetto Enri
Paola Brusa
author_sort Francesca Baratta
collection DOAJ
description Background In many countries in Europe and in the world, pharmacists are allowed to prescribe or modify therapies. In Italy, the only healthcare professions authorised to prescribe are medical doctors and veterinary surgeons. The extension of the duties of the Italian pharmacist to include prescribing would be extremely important considering the challenges the National health system is facing regarding the shortage of healthcare workers.Methods In this article, we report the findings of a survey on the role of the pharmacist prescriber conducted among pharmacists, family doctors, and pharmacy users in the North-West of Italy. The investigation was conducted by means of interviews carried out, using category-specific questionnaires.Results Interviews were conducted with 234 pharmacists, 926 users and 9 family doctors. The majority of pharmacists and users would agree to the introduction of the prescribing pharmacist. In return for taking on the increased responsibility, the pharmacists stressed the need for appropriate legal status and additional training. The reasons most commonly indicated by pharmacists for introducing such a service are the ability to respond immediately to a pathology or minor condition, and the prevention of inappropriate self-medication by patients. More than three-quarters of pharmacists and family doctors feel that the most suitable pharmacist prescribing procedure would be that within a clinical management plan. The family doctors, expressed reservations regarding the pharmacist prescriber: the cases in which they were really open to a change were the renewal of a prescription.Conclusions This study highlights the fact that both pharmacists and pharmacy users tend to be favourable to the introduction of the figure of the pharmacist prescriber in Italy. Many obstacles remain to be overcome but, based on the procedures already experimented in other European countries and worldwide, a route leading to the introduction of the pharmacy prescriber role may be hypothesised.
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spelling doaj-art-0e4a1b29bb18476b99c8e2ced7ea70872025-02-07T11:35:07ZengTaylor & Francis GroupJournal of Pharmaceutical Policy and Practice2052-32112025-12-0118110.1080/20523211.2025.2456382Pharmacist prescriber in Italy and possible changes to current legislation: survey of attitudes among pharmacists, family doctors and usersFrancesca Baratta0Irene Pignata1Lorenzo Ravetto Enri2Paola Brusa3Department of Drug Science and Technology, University of Turin, Turin, ItalyDepartment of Drug Science and Technology, University of Turin, Turin, ItalyDepartment of Drug Science and Technology, University of Turin, Turin, ItalyDepartment of Drug Science and Technology, University of Turin, Turin, ItalyBackground In many countries in Europe and in the world, pharmacists are allowed to prescribe or modify therapies. In Italy, the only healthcare professions authorised to prescribe are medical doctors and veterinary surgeons. The extension of the duties of the Italian pharmacist to include prescribing would be extremely important considering the challenges the National health system is facing regarding the shortage of healthcare workers.Methods In this article, we report the findings of a survey on the role of the pharmacist prescriber conducted among pharmacists, family doctors, and pharmacy users in the North-West of Italy. The investigation was conducted by means of interviews carried out, using category-specific questionnaires.Results Interviews were conducted with 234 pharmacists, 926 users and 9 family doctors. The majority of pharmacists and users would agree to the introduction of the prescribing pharmacist. In return for taking on the increased responsibility, the pharmacists stressed the need for appropriate legal status and additional training. The reasons most commonly indicated by pharmacists for introducing such a service are the ability to respond immediately to a pathology or minor condition, and the prevention of inappropriate self-medication by patients. More than three-quarters of pharmacists and family doctors feel that the most suitable pharmacist prescribing procedure would be that within a clinical management plan. The family doctors, expressed reservations regarding the pharmacist prescriber: the cases in which they were really open to a change were the renewal of a prescription.Conclusions This study highlights the fact that both pharmacists and pharmacy users tend to be favourable to the introduction of the figure of the pharmacist prescriber in Italy. Many obstacles remain to be overcome but, based on the procedures already experimented in other European countries and worldwide, a route leading to the introduction of the pharmacy prescriber role may be hypothesised.https://www.tandfonline.com/doi/10.1080/20523211.2025.2456382Pharmacist prescribercommunity pharmacyItalyhealthcare professionals
spellingShingle Francesca Baratta
Irene Pignata
Lorenzo Ravetto Enri
Paola Brusa
Pharmacist prescriber in Italy and possible changes to current legislation: survey of attitudes among pharmacists, family doctors and users
Journal of Pharmaceutical Policy and Practice
Pharmacist prescriber
community pharmacy
Italy
healthcare professionals
title Pharmacist prescriber in Italy and possible changes to current legislation: survey of attitudes among pharmacists, family doctors and users
title_full Pharmacist prescriber in Italy and possible changes to current legislation: survey of attitudes among pharmacists, family doctors and users
title_fullStr Pharmacist prescriber in Italy and possible changes to current legislation: survey of attitudes among pharmacists, family doctors and users
title_full_unstemmed Pharmacist prescriber in Italy and possible changes to current legislation: survey of attitudes among pharmacists, family doctors and users
title_short Pharmacist prescriber in Italy and possible changes to current legislation: survey of attitudes among pharmacists, family doctors and users
title_sort pharmacist prescriber in italy and possible changes to current legislation survey of attitudes among pharmacists family doctors and users
topic Pharmacist prescriber
community pharmacy
Italy
healthcare professionals
url https://www.tandfonline.com/doi/10.1080/20523211.2025.2456382
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