Interprofessional working: a spearhead opportunity for dentistry and pharmacy

Wilson, Nairn; Soni, Apurv

doi:10.1038/sj.bdj.2016.853

Cited by 15 publications

(14 citation statements)

References 3 publications

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“…A recent publication in British Dental Journal highlighted the opportunities for interprofessional working between pharmacists and dentists; with a particular focus on chronic diseases, it was suggested that dental and pharmacy teams should take action to improve communication and devise schemes for collaborative working. 26 Published clinical guidelines recommend that patients should be referred for dental assessment and treatment prior to initiation on bisphosphonate therapy, but it is apparent this is not happening. The impact of this on dentists and their perspective on how the professions can collaborate to improve patient care would be important to consider before implementing any preventative strategies.…”

Section: Discussionmentioning

confidence: 99%

Attitudes and perceptions of GPs and community pharmacists towards their role in the prevention of bisphosphonate-related osteonecrosis of the jaw: a qualitative study in the North East of England

et al. 2017

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BackgroundBisphosphonate-related osteonecrosis of the jaw (BRONJ) is a rare, yet significant, adverse effect of bisphosphonate therapy. A multidisciplinary approach to the prevention of BRONJ is recommended due to the significant morbidity and difficulty treating the condition. Current evidence suggests that both general practitioners (GPs) and community pharmacists have limited knowledge relating to BRONJ and that preventative strategies are rarely implemented.ObjectiveTo explore the attitudes and perceptions of GPs and community pharmacists on the risks and preventative strategies for the development of BRONJ.DesignInterpretivist methodological approach using qualitative semistructured interviews.Participants9 community pharmacists and 8 GPs.SettingPrimary Care in North East England and Cumbria, UK.MethodsUsing a Grounded Theory methodology and integrating a process of constant comparison in the iterative enrichment of data sets, semistructured interviews were undertaken, transcribed and analysed using framework analysis. Salient themes were identified and related back to extant literature in the field.ResultsFour salient and inter-related themes emerged: (1) uncertain knowledge, indicating limited exposure of respondents to BRONJ, and limited awareness of the implications of its diagnosis, risk factors and preventative strategies; (2) patient specific, referring to the complexity of patients, patient education and prioritising aspects of care; (3) wider context, indicating a lack of interdisciplinary communication and referral processes between professions, workload pressures, access and patient receptivity to dental services; and (4) professional, reflecting professional roles and responsibilities, authority and educational initiativesConclusionsEffective communication or collaborative care between GPs and community pharmacists for the prevention of BRONJ is not apparent. Interventions to mitigate against the risk of developing BRONJ and clarity of GP and community pharmacy roles are required.

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Section: Discussionmentioning

confidence: 99%

Attitudes and perceptions of GPs and community pharmacists towards their role in the prevention of bisphosphonate-related osteonecrosis of the jaw: a qualitative study in the North East of England

et al. 2017

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“…practitioners, paramedics, general practice nurses, community nurses and social care practitioners, occupational and mental health therapists and all members of the pharmacy team. 9 Contractual and funding provisions for such arrangements would be far removed from existing arrangements for primary care dentistry, ideally with members of the dental team having terms and conditions equivalent to their medical counterparts. In secondary care, dental teams would work much more closely than at present with, for example, diabetology teams and those providing care for the elderly, wherever possible in community settings, blurring the boundaries between primary and secondary care.…”

Section: In Briefmentioning

confidence: 99%

Holistic care should be coming your way

Wilson

2017

Br Dent J

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“…Problem‐based or case‐study curricula can only provide ‘siloed’ approaches to this learning and lack the complexity needed to show how interprofessional learning (IPL) enhances understanding of patient safety. This project uniquely brought together pharmacists and dentists (who, despite a high level of professional interaction are often forgotten in IPL education research) to explore whether knowledge exchange and collaborative decision making at a pre‐clinical stage of training could enhance students’ understanding of drug interaction issues.…”

Section: What Problem Was Addressed?mentioning

confidence: 99%