Hiring a Pharmacist to Work in Primary Care: Application for Ambulatory and Hospital Pharmacy

Babcock, Kelly; Farrell, Barbara; Dolovich, Lisa; Sellors, Connie

doi:10.1177/171516350613900510

Cited by 11 publications

(11 citation statements)

References 2 publications

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“…The project team hired seven pharmacists to participate in the IMPACT project (Babcock et al, 2006). The pharmacists, six female and one male, ranged in age from their late twenties to early forties.…”

Section: Setting and Participantsmentioning

confidence: 99%

Shifts in expectations: Evaluating physicians' perceptions as pharmacists become integrated into family practice

Farrell

Pottie²,

Woodend

et al. 2009

Journal of Interprofessional Care

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The objective of this study was to measure how primary care family physicians perceived their own and pharmacists' contributions to medication processes as pharmacists become integrated into primary care group family practices. The 22- item Family Medicine Medication Use Processes Matrix was mailed to physicians in seven sites at the 3rd, 12th and 19th month of pharmacist integration. Paired sample t-tests for the third month results were conducted to compare perceptions between pharmacist and physician contributions. One way repeated measure ANOVA test was conducted to determine significant changes over time. Physicians initially perceived their own contributions to be significantly higher than pharmacists in three subscales: Diagnosis & Prescribing, Monitoring and Administration/Documentation and their own contributions to be significantly lower than the pharmacists in the Education subscale. Over time, physicians perceived increases in the pharmacists' contribution to the Diagnosis & Prescribing, Monitoring and Medication Review subscales and decreases in their own contribution to the Diagnosis & Prescribing and Education subscales. Changes in family physicians' perceptions of pharmacists' contribution demonstrate an initial underestimate of pharmacists' role in primary care family practice and a gradual recognition of expertise and competence. This may have led to increased comfort in sharing aspects of contribution to medication use processes.

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Section: Setting and Participantsmentioning

confidence: 99%

Shifts in expectations: Evaluating physicians' perceptions as pharmacists become integrated into family practice

Farrell

Pottie²,

Woodend

et al. 2009

Journal of Interprofessional Care

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“…The pharmacists were chosen through a structured hiring process that assessed qualifications, experience, and projected success. 18 The IMPACT practice model comprised four components that were employed concurrently to foster integration and promote optimal prescribing and use of medications at the patient, provider, and practice levels. The program was developed based on well-regarded knowledge translation theories, previous research in pharmacy practice, methods of facilitating change in family practice, and activities of the pharmacist aligned with a patient-centered pharmaceutical care approach.…”

Section: Impact Program Designmentioning

confidence: 99%

Ontario Pharmacists Practicing in Family Health Teams and the Patient-Centered Medical Home

Dolovich

2012

Ann Pharmacother

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The patient-centered medical home (PCMH) approach continues to gather momentum in the United States and Canada as a broad approach to reform the delivery of the complete primary care system. The family health team (FHT) model implemented in Ontario, Canada, best mirrors the PCMH approach of the United States. The integration of pharmacists as key members of the health care team providing on-site, in-office coordinated care to FHT patients was included from the start of planning the FHT model and represents a substantial opportunity for pharmacists to realize their professional vision. Several research projects in Canada and elsewhere have contributed to providing evidence to support the integration of pharmacists into primary care practice sites. Two major research programs, the Seniors Medication Assessment Research Trial (SMART) cluster randomized controlled trial and the Integrating Family Medicine and Pharmacy to Advance Primary Care Therapeutics (IMPACT) multipronged demonstration project made substantial contributions to evidence-informed policy decisions supporting the integration of pharmacists into FHTs. These projects can provide useful information to support the integration of pharmacists into the PCMH and to encourage further research to better measure the effect of the pharmacist from the holistic patient-centered perspective.

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“…31,32 It is important to recognize that 33 These experiences have borne out the value of a structured interview process, which excluded pharmacists less well suited to a multidisciplinary environment and emphasizes the importance of identifying criteria for successful integration a priori. 34 Such descriptions include clarifying roles and levels of responsibility in the medication use process of all practice members, terms for collaborative working relationships with the other clinicians and means to achieve a functioning office system. 13,33 Medication use processes scores for pharmacists were higher in our group compared to responding physicians from these provincial health teams, who completed the same instrument over a 19-month time period, but such discrepant findings could be attributed to the mixed disciplines of our respondents in a group naive to a practice pharmacist.…”

Section: Discussionmentioning

confidence: 99%

Multidisciplinary members’ perspectives on a pharmacist joining a rheumatology practice team

Wilbur

Kur

2015

Can Pharm J

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Hiring a Pharmacist to Work in Primary Care: Application for Ambulatory and Hospital Pharmacy

Cited by 11 publications

References 2 publications

Shifts in expectations: Evaluating physicians' perceptions as pharmacists become integrated into family practice

Shifts in expectations: Evaluating physicians' perceptions as pharmacists become integrated into family practice

Ontario Pharmacists Practicing in Family Health Teams and the Patient-Centered Medical Home

Multidisciplinary members’ perspectives on a pharmacist joining a rheumatology practice team

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