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To the Editor: Dr Weinberger and colleagues¹ identified areas of improvement to maximize pharmacists' contributions in helping patients with asthma manage their disease. On behalf of the American Pharmaceutical Association (APhA)—the national society of pharmacists—we are disappointed in the study and its results. We believe the primary value of the study is its demonstration of the need for aligning incentives and practice patterns to improve patient care.

We are concerned that the study may be misinterpreted as discounting the value of pharmacists working with patients to improve medication use. The study illustrates that pharmacists cannot effectively help patients with asthma when they receive insufficient training and operate without incentives or without restructuring their practice.

The study showed that if pharmacists are asked to provide advanced caregiving activities in addition to an already busy pharmaceutical practice, it will not work. Pharmaceutical care requires shifting some of the pharmacist's existing workload and . . . [Full Text of this Article]

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