Shefcheck S L, Thomas J
Pharmaceutical Economics Research Center, School of Pharmacy and Pharmacal Science, Purdue University, West Lafayette, Ind., USA.
J Am Pharm Assoc (Wash). 1996 Oct;NS36(10):597-604. doi: 10.1016/s1086-5802(16)30137-1.
Changing state laws to permit an expanded scope of practice for pharmacists is a key step in positioning pharmacists to provide pharmaceutical care. Sixteen states currently allow pharmacists to initiate and/or modify drug therapy; legislation is proposed in 15 other states. Twenty-eight of the 44 states that completed the survey allow pharmacists neither dependent nor independent authority to prescribe. Physician opposition was often cited as a barrier to passage of legislation. The Indian Health Service and the Department of Veterans Affairs extend pharmacists independent prescribing authority.
修改州法律以允许药剂师扩大执业范围是使药剂师能够提供药学服务的关键一步。目前有16个州允许药剂师启动和/或修改药物治疗方案；另外15个州也在提议立法。在完成调查的44个州中，有28个州既不给予药剂师独立也不给予其非独立的处方权。医生的反对常常被认为是立法通过的障碍。印第安卫生服务部和退伍军人事务部给予药剂师独立的处方权。
