Factors affecting collaborative care between pharmacists and physicians

Doucette, William R.; Nevins, Justin C.; McDonough, Randal P.

doi:10.1016/j.sapharm.2005.09.005

Cited by 102 publications

(90 citation statements)

References 33 publications

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“…220 The Physician/Pharmacist Collaboration Index is an example of a tool assessing interactions between internists and pharmacists that has extensive reliability evidence, including factor analysis, internal consistency (Crohnbach alpha 0.70-0.90) and interrater reliability (ICC 0.89). 38,[164][165][166][167][168][169][170] This tool measures the pharmacist's view of collaboration among physicians and other health professionals in both inpatient and outpatient settings.Relationships between teamwork scores and other variables reflecting the construct of teamwork were reported for 25 (34 %) tools (Table 2). Studies varied widely with regard to the specific variables reported.…”

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confidence: 99%

Teamwork Assessment in Internal Medicine: A Systematic Review of Validity Evidence and Outcomes

et al. 2013

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OBJECTIVE: Valid teamwork assessment is imperative to determine physician competency and optimize patient outcomes. We systematically reviewed published instruments assessing teamwork in undergraduate, graduate, and continuing medical education in general internal medicine and all medical subspecialties. DATA SOURCES: We searched MEDLINE, MEDLINE In-process, CINAHL and PsycINFO from January 1979 through October 2012, references of included articles, and abstracts from four professional meetings. Two content experts were queried for additional studies. STUDY ELIGIBILITY: Included studies described quantitative tools measuring teamwork among medical students, residents, fellows, and practicing physicians on single or multi-professional (interprofessional) teams. STUDY APPRAISAL AND SYNTHESIS METHODS:Instrument validity and study quality were extracted using established frameworks with existing validity evidence. Two authors independently abstracted 30 % of articles and agreement was calculated. RESULTS: Of 12,922 citations, 178 articles describing 73 unique teamwork assessment tools met inclusion criteria. Interrater agreement was intraclass correlation coefficient 0.73 (95 % CI 0.63-0.81). Studies involved practicing physicians (142, 80 %), residents/fellows (70, 39 %), and medical students (11, 6 %). The majority (152, 85 %) assessed interprofessional teams. Studies were conducted in inpatient (77, 43 %), outpatient (42, 24 %), simulation (37, 21 %), and classroom (13, 7 %) settings. Validity evidence for the 73 tools included content (54, 74 %), internal structure (51, 70 %), relationships to other variables (25, 34 %), and response process (12, 16 %). Attitudes and opinions were the most frequently assessed outcomes. Relationships between teamwork scores and patient outcomes were directly examined for 13 (18 %) of tools. Scores from the Safety Attitudes Questionnaire and Team Climate Inventory have substantial validity evidence and have been associated with improved patient outcomes. LIMITATIONS: Review is limited to quantitative assessments of teamwork in internal medicine. CONCLUSIONS:There is strong validity evidence for several published tools assessing teamwork in internal medicine. However, few teamwork assessments have been directly linked to patient outcomes. 3,4 Recognizing this, the Institute of Medicine, the Joint Commission, the Agency for Healthcare Research and Quality (AHRQ), and others have made teamwork a top priority in their recommendations for improving healthcare. [5][6][7][8][9] Teamwork is also prominently positioned within the American Board of Internal Medicine (ABIM) requirements for maintenance of certification for internists, 10 as well as the Accreditation Council for Graduate Medical Education's core competencies, 11 milestones, 12 and medical student competencies. 13 As such, every physician at the undergraduate, graduate, and continuing professional level must demonstrate competency in teamwork.While there is broad agreement on the imperative to improve teamwork, there is littl...

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confidence: 99%

Teamwork Assessment in Internal Medicine: A Systematic Review of Validity Evidence and Outcomes

et al. 2013

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“…It revealed that although they were aware of the benefits that pharmacists could offer through patient counseling, they were unsure if pharmacists were competent enough to offer reliable medication information and advice to the patients. These again illustrated the issue of lack of trust between the two professionals [2,3,7]. Accreditation by authoritative professional organization of pharmacists' competencies will also help to build pharmacists' credentials which will facilitate trust building by physicians.…”

Section: Discussionmentioning

confidence: 99%

Physicians’ and Pharmacists’ Experience and Expectations of the Roles of Pharmacists: Insights into Hospital Setting in Macau

Hu²,

Oi³

et al. 2014

Trop. J. Pharm Res

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“…An attitude toward collaboration is an important subject that may influence the degree to which physicians and pharmacists collaborate with each other. Past investigations have considered this collaboration from the view of physicians [21], and several studies have been conducted on the influential factors in the development of physician-pharmacist collaboration and from the view of physicians [23]. The aim of this study was to assess the attitude of pharmacists to collaborate with physicians from the pharmacists' point of view, through standardized questionnaires.…”

Section: Introductionmentioning

confidence: 99%

Community Pharmacists’ Attitudes Toward Collaboration With Physicians

Tabeshpour

Zirak

Mirakhorli

et al. 2017

Int J Pharm Pharm Sci

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Objective: Healthcare providers play a key role in reducing medication errors and improving patient care, especially for those who suffer with chronic diseases. This study aims to assess pharmacist attitudes toward collaborative practice in northeastern Iran. Methods:A face-to-face survey was offered to a sample of 124 pharmacists in Mashhad, Iran, and some other cities of the Razavi Khorasan province. This survey assessed the following elements of community pharmacists' collaborative behaviour: "interactional determinants," "environmental determinants," and "pharmacist determinants." Results were analyzed to determine how pharmacists' attitudes and other variables would influence their collaborative behaviour. Results:The survey response rate was 100%. Principal component analysis revealed that the attitudes towards collaboration instrument for pharmacists (ATCI-P) in our sample consisted of two factors: interactional determinants and pharmacist determinants, both with high internal consistency (Cronbach's alpha = 0.83). The lowest and the highest scores in the interactional determinants domain were 19 and 35, respectively. The higher attitudes toward collaboration were obtained in the capital city, Mashhad, rather than in towns (P-value = 0.006). Multiple linear regression analysis of the complete model was significant (R = 0.38, P-value = 0.004). The age and city/community size were also found to be significant predictors of collaboration behavior (B = 0.300, p = 0.002 and B = 0.259, p = 0.004, respectively). Conclusion:The community pharmacists in Razavi Khorasan, Iran, have a profound attitude toward collaboration with physicians, and their collaborative behaviour is influenced by the age and community size.

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Factors affecting collaborative care between pharmacists and physicians

Cited by 102 publications

References 33 publications

Teamwork Assessment in Internal Medicine: A Systematic Review of Validity Evidence and Outcomes

Teamwork Assessment in Internal Medicine: A Systematic Review of Validity Evidence and Outcomes

Physicians’ and Pharmacists’ Experience and Expectations of the Roles of Pharmacists: Insights into Hospital Setting in Macau

Community Pharmacists’ Attitudes Toward Collaboration With Physicians

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