Collaboration Between Community Pharmacists and Family Physicians: Lessons Learned from the Seniors Medication Assessment Research Trial

Howard, Michelle; Trim, K; Woodward, Christel A.; Dolovich, Lisa; Sellors, Connie; Kaczorowski, Janusz; Sellors, John

doi:10.1331/154434503322452193

Cited by 65 publications

(60 citation statements)

References 28 publications

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“…Similar studies have also indicated a disconnect between pharmacist and physician perceptions regarding the pharmacist's role in patient care. 3,6,19 One study found that physicians viewed selecting over-the-counter medication, detecting potential drug interactions and helping with adherence issues as potential pharmacist roles, whereas pharmacists themselves viewed advising physicians about best medication regimens as a major aspect of their role. 6 A more recent study also found less physician support for pharmacists recommending the use of certain prescription medications to either patients or physicians or *Frequency at which each was considered to be among the top 3 most important pharmacist functions.…”

Section: Discussionmentioning

confidence: 99%

Pharmacist and physician views on collaborative practice

et al. 2013

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Background: Strong working relationships between pharmacists and physicians are needed to optimize patient care. Understanding attitudes and barriers to collaboration between pharmacists and physicians may help with delivery of primary health care services. The objective of this study was to capture the opinions of family physicians and community pharmacists in Newfoundland and Labrador (NL) regarding collaborative practice. Methods: Two parallel surveys were offered to all community pharmacists and family physicians in NL. Surveys assessed the following: attitudes and experience with collaborative practice, preferred communication methods, perceived role of pharmacists, areas for more collaboration and barriers to collaborative practice. Results for both groups were analyzed separately, with comparisons between groups to compare responses with similar questions. Results: Survey response rates were 78.6% and 7.1% for pharmacists and physicians, respectively. Both groups overwhelmingly agreed that collaborative practice could result in improved patient outcomes and agreed that major barriers were lack of time and compensation and the need to deal with multiple pharmacists/physicians. Physicians indicated they would like more collaboration for insurance approvals and patient counselling, while pharmacists want to assist with identifying and managing patients’ drug-related problems. Both groups want more collaboration to improve patient adherence. Conclusion: Both groups agree that collaborative practice can positively affect patient outcomes and would like more collaboration opportunities. However, physicians and pharmacists disagree about the areas where they would like to collaborate to deliver care. Changes to reimbursement models and infrastructure are needed to facilitate enhanced collaboration between pharmacists and physicians in the community setting.

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Section: Discussionmentioning

confidence: 99%

Pharmacist and physician views on collaborative practice

et al. 2013

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“…[14][15][16][17][18] Multiple challenges to team integration have also been identified in the literature. 3 However, few studies have examined the experiences or learning needs of pharmacists who are actively attempting to evolve their primary care practices in the real world.…”

mentioning

confidence: 99%

Learning and Networking: Utilization of a Primary Care Listserv by Pharmacists

Trinacty

Farrell

Schindel

et al. 2014

CJHP

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“…Qualitative and quantitative analysis of a previous study completed by some of the IMPACT investigators suggested that pharmacists working in primary care settings required additional training and support in both clinical and non-clinical skills enhancement. 5,6,8 Of particular relevance was the need to learn interprofessional collaboration skills. While many pharmacists have developed sophisticated patient care skills, few have had the opportunity to actually work on a daily basis, side by side with physicians, nurses, other health care professionals, and office staff members within a primary care setting.…”

Section: Designmentioning

confidence: 99%

“…In order to achieve this goal, it was first necessary to identify what specific primary care practice skills were most relevant and important. In order to assemble this list of competencies and expectations, research was undertaken using previous studies, [5][6][7][8] and educational outcomes statements 9 developed by the Association of Faculties of Pharmacy of Canada (AFPC, the umbrella organization representing Canadian schools of pharmacy, similar in mandate to the American Association of Colleges of Pharmacy). While it was recognized that individual family physicians would have a broad range of expectations for pharmacists working in their practices, this was balanced against competency statements and the legal scope of practice limitations currently in effect.…”

Section: Expected Outcomesmentioning

confidence: 99%

“…These areas were selected based on previously published research indicating these were areas in which pharmacists could make a marked impact on health outcomes for patients. 5,6,8 The pharmacist's tasks were selected based on previous research that had identified the tasks most frequently reported by pharmacists working in family physicians' offices. 5,6 A total of 8 activities (comprising 13 distinct stations, each ranging in length from 10-30 minutes) were developed for the FPS.…”

Section: Andragogy and Contentmentioning

confidence: 99%

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Teaching and Assessing Primary Care Skills: The Family Practice Simulator Model

Austin¹,

Dolovich²,

Lau³

et al. 2005

Am J Pharm Educ

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Objectives. To describe development of a Family Practice Simulator (FPS), an interprofessional curricular innovation in which physicians, pharmacists, and other health care professionals work with standardized patients over the course of a simulated 7½-hour "typical" day in a family practice setting. Assessment. Outcomes for the FPS were developed through review of previous literature, standards of practice guidelines, and educational outcomes documents. Simulations were developed, including pharmacist-patient interviews, pharmacist-physician interactions, and pharmacist-nurse interactions. Results. Post-workshop evaluations (n=8) demonstrated the value of the FPS in rapidly orienting and training pharmacists moving into primary care practice and assisting them in developing new collaborative, interprofessional teamwork skills. Conclusions. While clinical simulation has traditionally been focused on patient-practitioner interactions only, the value of simulating a practice style, location (eg, a family practice setting), and multiple types of tasks are beneficial in training pharmacists for more effective, collaborative work with physicians.

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Collaboration Between Community Pharmacists and Family Physicians: Lessons Learned from the Seniors Medication Assessment Research Trial

Cited by 65 publications

References 28 publications

Pharmacist and physician views on collaborative practice

Pharmacist and physician views on collaborative practice

Learning and Networking: Utilization of a Primary Care Listserv by Pharmacists

Teaching and Assessing Primary Care Skills: The Family Practice Simulator Model

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