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To the Editor: Dr Weinberger and colleagues¹ found that patients with asthma who received pharmaceutical care experienced more breathing-related ED visits. It is possible that patients' interactions with the pharmacists resulted in constant reminder of the morbidity of uncontrolled asthma and resulted in a need to seek definitive treatment and further reassurance. The nature of the conversation with the pharmacist could have provided the patients with reinforcement of disease-related symptoms and increased reassurance of their own understanding of the disease. In any event, results suggest that patient-physician interaction may not be adequate to educate patients about chronic disease. Similar trends of improved care of heart failure management with the involvement of pharmacists have been previously reported.²

Despite physicians' best intentions, patients may delay in the initiation of therapy and may not gain adequate control of chronic symptoms. Such a phenomenon has been described as clinical inertia and results in suboptimal . . . [Full Text of this Article]

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