Enablers and barriers to non-dispensing pharmacist integration into the primary health care teams of Aboriginal community-controlled health services

Drovandi, Aaron; Smith, Deborah; Preston, Robyn; Morris, Leon; Page, Priscilla; Swain, Lindy; Biroš, Erik; Loller, Hannah; Stephens, Mike; Nugent, Alice; Vaughan, Fran; Couzos, Sophia

doi:10.1016/j.sapharm.2022.05.002

Cited by 5 publications

(4 citation statements)

References 25 publications

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“…ability to build relationships with staff and patients, non-judgemental attitude, resilience, and clinical skills) are practised when working in general practice, employing GPBPs in practices that had previously worked with a pharmacist and thereby understood pharmacist capabilities, having a system enabling patients to self-refer to the pharmacist, and drawing on GPBP experience of the local community, through either previous local work or cultural orientation programmes and/or interactions with local community pharmacists. 36 Successful GPBP integration was often found to depend on the availability of shared information systems (i.e. GPBPs working on same clinical record systems with the rest of the practice team), 19 as well as on GPBPs bringing medication-related expertise into general practices and reconciling interprofessional tensions with other members of the practice team (caused by overlapping tasks) (36).…”

Section: Discussionmentioning

confidence: 99%

“…36 Successful GPBP integration was often found to depend on the availability of shared information systems (i.e. GPBPs working on same clinical record systems with the rest of the practice team), 19 as well as on GPBPs bringing medication-related expertise into general practices and reconciling interprofessional tensions with other members of the practice team (caused by overlapping tasks) (36).…”

Section: Discussionmentioning

confidence: 99%

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Integration and impact of pharmacists in general practice internationally: A rapid review

Karampatakis

Patel

Stretch

et al. 2023

J Health Serv Res Policy

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Objective English general practices have been facing ongoing pressures, arising from complicated health care needs and the recent pandemic. To overcome these pressures and reduce the workload of general practitioners, there have been extensive attempts to integrate pharmacists into general practices. A number of literature reviews, often systematic, have partially explored the topic of general practice-based pharmacists (GPBPs) internationally. Our aim was to further explore the employment/integration models of GPBPs and their actual activities and impact, concepts that have not been thoroughly investigated by previous reviews. Methods Two databases were searched from inception to June 2021 for studies published in the English language. Results were independently screened by two reviewers to establish eligibility for inclusion. Original research studies, or protocols where results had not been released at the time of search, that reported on services provided by pharmacists with some sort of integration into general practices were included. The studies were analysed using narrative synthesis. Results Searches identified 3206 studies in total, of which 75 met the inclusion criteria. The included studies were highly heterogeneous in terms of participants involved and methodologies employed. Integration of pharmacists into general practices has occurred in several countries, with funds originating from multiple sources. Several employment models for GPBPs were described – for example, part-time and full-time work and/or coverage of multiple or single practices. GPBP activities, with some exceptions, were comparable between different countries, with medication reviews being the most common task globally. GPBP impact was identified through both observational and/or interventional research methods, by pursuing a large variety of measures (e.g. activity volume, contact with patients, perceptions/experiences, and patient outcomes). Independent, quantifiable outcomes from GPBP activities were all positive but were of varying statistical significance. Conclusions Our findings suggest that GPBP services can lead to positive, quantifiable outcomes, mainly in relation to medication use. This shows the usefulness of GPBP services. The findings of this review can help policy makers decide how best to implement and fund GPBP services, and how to identify and measure GPBP impact.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Integration and impact of pharmacists in general practice internationally: A rapid review

Karampatakis

Patel

Stretch

et al. 2023

J Health Serv Res Policy

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“…5 Implemented strategies and interventions to achieve health equity for First Peoples by addressing these barriers include collaborative models, such as integration of non-dispensing pharmacists into First Peoples community clinics, culturally safe home medication review services, and cultural safety programs for pharmacists and staff, all of which play a vital role in improving First Peoples quality use of medicines. [16][17][18] The connection between SDOH, medication use, and health outcomes has been emphasized by Osae et al, 19 with pharmacists promoted as unique in their position to lead and influence the transformation of current health systems to achieve health equity. 20 Kiles et al also suggest that because pharmacists have multilayered interactions with patients, there is scope to expand the pharmacist's role to recognize social risk factors and address SDOH as causes of health inequities; they have taken the step of defining a framework for this with actionable strategies proposed at the patient, practice, and community level (Figure 1).…”

Section: Introductionmentioning

confidence: 99%

“…Culture, language, and health policies have also been cited 5 . Implemented strategies and interventions to achieve health equity for First Peoples by addressing these barriers include collaborative models, such as integration of non-dispensing pharmacists into First Peoples community clinics, culturally safe home medication review services, and cultural safety programs for pharmacists and staff, all of which play a vital role in improving First Peoples quality use of medicines 16–18 …”

Section: Introductionmentioning

confidence: 99%

Pharmacy practice and First Peoples health equity: a scoping review protocol

Rothwell,

Carlisle,

Cairns

et al. 2023

JBI Evidence Synthesis

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Objective: The objective of this review is to examine and describe global pharmacy practice strategies and interventions designed to achieve health equity for First Peoples. Introduction: Access to medicines and quality use of medicines is critical to achieving health equity for First Peoples. Pharmacists are uniquely placed to lead the charge in transforming current health systems, reducing health disparities, and bolstering the movement toward health equity. Inclusion criteria: Global studies describing pharmacy practice strategies and interventions designed to achieve health equity for First Peoples will be considered for inclusion in the review. Studies relating to all areas of pharmacy practice, including community and clinical pharmacy, social, administrative, pharmaceutical sciences, practice, teaching, research, advocacy, or service relevant to the review’s objective will also be considered for inclusion. The types of studies to be included are qualitative, quantitative, and mixed methods, systematic reviews, scoping reviews, literature reviews, and gray literature. Methods: This review will be conducted in accordance with JBI methodology for scoping reviews. Embase, MEDLINE, Scopus, CINAHL, and gray literature sources will be searched from 1998 to present. Titles, abstracts, and full texts will be screened against the inclusion criteria. Strategies and interventions identified in the included reviews will be mapped to a published framework, outlining actionable strategies for pharmacy practice inclusion in sustainable efforts to achieve health equity. Qualitative content analysis and descriptive statistics will be utilized with data presented in tables, accompanied by a narrative. Review registration: Open Science Framework osf.io/qa64b

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A Goffmanian analysis of impact of unclear professional identity and role negotiation of pharmacists in primary care: A multiple case study

Lake,

Barnsley,

Lofters

et al. 2024

Research in Social and Administrative Pharmacy

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Enablers and barriers to non-dispensing pharmacist integration into the primary health care teams of Aboriginal community-controlled health services

Cited by 5 publications

References 25 publications

Integration and impact of pharmacists in general practice internationally: A rapid review

Integration and impact of pharmacists in general practice internationally: A rapid review

Pharmacy practice and First Peoples health equity: a scoping review protocol

A Goffmanian analysis of impact of unclear professional identity and role negotiation of pharmacists in primary care: A multiple case study

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