# Evaluating the Perceptions, Expectations, and Concerns of Community Pharmacists in Germany Regarding Prescribing by Pharmacists

## TL;DR

German community pharmacists are largely supportive of taking on prescribing roles if they receive proper training.

## Contribution

This study is the first to explore German community pharmacists' attitudes toward pharmacist prescribing, highlighting their readiness and training needs.

## Key findings

- 82.3% of pharmacists support the concept of pharmacist prescribing in Germany.
- 81.8% believe they could confidently take on prescribing roles after proper training.
- Specialized training is seen as a basic requirement by 85.9% of participants.

## Abstract

Background: Expanding the role of healthcare professionals could improve patient care. Workforce shortages and financial challenges within the healthcare system have led to non-medical prescribing models, such as pharmacist prescribing in several countries. However, in Germany, the prescribing authority remains with medical professionals, leaving pharmacist prescribing unexplored. Objectives: The aim of this study was to assess community pharmacists’ perceptions of the concept of prescribing by pharmacists, to investigate general concerns, and to evaluate the overall readiness and willingness of community pharmacists to take on prescribing responsibilities. Methods: A cross-sectional anonymous online survey of community pharmacists was conducted between August and October 2023. The 22-item questionnaire included demographic characteristics, daily work routines, and statements regarding the concept of prescribing by pharmacists. The data were coded and analyzed using IBM SPSS Statistics version 28.0.1. Results: The key finding was that attitudes toward prescribing by pharmacists were generally very positive, regardless of the pharmacists’ age and the size of the city in which the pharmacy was located. This positive perception was reflected by 82.3% of the participants, indicating support for the concept of prescribing by pharmacists in Germany. Additionally, 81.8% expressed confidence in taking on a prescribing role after completing the necessary qualifications and training, which 85.9% of all participants considered a basic requirement. Conclusions: Most participants expressed strong support for prescribing by pharmacists and indicated openness to its implementation on a certain scale while addressing the importance of further and specialized training.