Pharmacist prescribers Linda Bryant and Leanne Te Karu discuss positive polypharmacy for heart failure. Current evidence shows the intensive implementation of four medications offers the greatest benefit to most patients with heart failure, with significant reductions in cardiovascular mortality, heart failure hospitalisations and all-cause mortality
Nurse prescribing, small numbers, but growing influence
Nurse prescribing, small numbers, but growing influence
New data presented by health analytics company Matui Ltd, using Ministry of Health Pharmaceutical Collection data, shows that medicines dispensed from nurse prescriptions grew 68% from 83,400 in 2019 to 1.4 million by 2021. Nurses also achieved higher rates of dispensing to Māori patients and those in areas of high deprivation than general practitioners.
Although nurse prescriptions made up only 3% of items dispensed in primary care, nurses and general practitioners prescribe a similar range of the most commonly used medicines and have similar patterns of prescribing when comparing items dispensed by age.
However, a higher proportion of prescriptions written by nurses were dispensed to Māori (21.20%) and to those living in areas of high deprivation (30.28%) compared to prescriptions written by general practitioners, where 14.65% of prescriptions were dispensed to Māori and 23.71% to those living in areas of high deprivation.
Nurses were more likely to have their prescriptions dispensed to women (60.85%) than general practitioners (52.24%).
Comparison of different types of nursing prescribing is not yet possible, as the Pharmaceutical Collection data does not currently identify different types of nurse prescribing.