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

Wilbur, Kerry; Kur, Jason

doi:10.1177/1715163515587742

Cited by 9 publications

(6 citation statements)

References 31 publications

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“…All participants of this study reported the collaboration with the health team as a facilitator. The literature has discussed the growing role of pharmacists as members of the healthcare team in primary care, contributing and acting directly on patient care [ 6 , 60 , 61 ]. Fazel et al [ 62 ] performed a systematic review with meta-analysis to assess the effects of pharmacists’ interventions with the healthcare care team on patients with diabetes.…”

Section: Discussionmentioning

confidence: 99%

Facilitators and strategies to implement clinical pharmacy services in a metropolis in Northeast Brazil: a qualitative approach

Ramos

Júnior

Pereira

et al. 2018

BMC Health Serv Res

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BackgroundClinical Pharmacy Services (CPS) are a reality in many health systems around the world. However, there are few studies that discuss the facilitators and the strategies to implement CPS in healthcare systems. In this way, the objective of this study was to identify the facilitators and strategies involved in the CPS implementation process in some public health units in a metropolis in the Northeast Brazil.MethodsA qualitative study was carried out with health-system pharmacists and managers who experienced the implementation of CPS. Therefore, focus groups were conducted with pharmacists, and the interviews with the managers. The discussions were carried out through semi-structured scripts and were recorded in audio and videos, after the signature of the consent form. The recordings were transcribed and analyzed independently through content analysis, followed by consensus meetings between researchers.ResultsTwo focus groups were conducted, with an average of seven pharmacists per group, and five interviews with local health managers. Participants reported 39 facilitators who were related to the categories: local healthcare network, healthcare team, pharmacists and implementation process of the CPS. And 21 strategies attributed to the following categories: local healthcare network, pharmacists and implementation process of the CPS.ConclusionsThis study identified facilitators and strategies of the implementation of CPS. Most of the positive experiences were related to the clinical skills and proactive attitudes of pharmacists. These findings may support pharmacists and health managers to implement CPS in health systems.Electronic supplementary materialThe online version of this article (10.1186/s12913-018-3403-4) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Facilitators and strategies to implement clinical pharmacy services in a metropolis in Northeast Brazil: a qualitative approach

Ramos

Júnior

Pereira

et al. 2018

BMC Health Serv Res

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“…The management of patients in these areas is not usually easy and the support of a multidisciplinary team is generally highly favored. Several studies have shown that the support of CPs, and even the implementation of CMM, has improved patient outcomes and adherence in these specialties 24–28 …”

Section: Discussionmentioning

confidence: 99%

Impact of a comprehensive medication management program on ambulatory care patients with noncommunicable diseases in a Latin American hospital: A retrospective study

Sancho‐Vargas

Zavaleta‐Monestel

Arguedas-Chacón

2023

J Am Coll Clin Pharm

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Background: Noncommunicable diseases are the leading causes of death and disability in the world, harming life conditions and increasing expenditures within the health care system. Comprehensive Medication Management (CMM) may improve patient safety, adherence, and clinical outcomes by preventing or intervening in drug-related problems (DRPs). Methods: Retrospective, cross-sectional study conducted between October 2017 and July 2022 in a CMM of a hospital in Costa Rica. Patients 3-106 years old diagnosed with at least one chronic disease and had risk factors for DRP were included. A clinical pharmacist (CP) identified DRPs and proposed interventions to resolve them. DRPs were classified into four categories: indication, effectiveness, safety, and adherence. Additionally, the severity of the problem was determined by using a scale of potential clinical consequences avoided related to DRPs and medication errors (MEs). The adherence rate was determined by applying validated questionnaires and traceability control of dispensing medication dates. Clinical outcomes were classified as resolved, improved, stable, worsened, and therapeutic failure according to the condition of the DRP until the last appointment by the patient. Results: Pharmacotherapy interventions had an overall acceptance rate of 98.3%. Interventions made by the CP were related to effectiveness (38.9%, n = 253), safety (29.6%, n = 193), adherence (20.90%, n = 136), and therapy indications (10.60%, n = 69). The patient adherence rate improved, with a mean value of 74% on the first appointment compared with 88% as the last value calculated after the pharmacist's interventions. Predominant determinants of medication nonadherence were therapyrelated factors (30.88%) and patient-related factors (30.15%). In the clinical status assessment of 651 DRPs, 490 (75.3%) resolved, 105 (16.1%) improved, 43 (6.6%) remained stable, 5 (0.8%) worsened, and 8 (1.2%) patients presented with therapeutic failure. Conclusions: CPs can help resolve DRPs/MEs which enable patients to achieve medication-related therapeutic goals. The clinical interventions made were

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“…Studies which examined metropolitan practice reported health professionals’ enthusiasm towards collaboration with pharmacists, so long as there are borders to the jurisdiction of each stakeholder; demonstrating a potential for role conflict. 26 However, challenges to providing healthcare in rural communities has resulted in a culture where sharing the work and scope overlap between professionals are common practice. 1 , 3 , 18 , 23…”

Section: Discussionmentioning

confidence: 99%

Bridging Allied Health Professional Roles to Improve Patient Outcomes in Rural and Remote Australia: A Descriptive Qualitative Study

Taylor¹,

Culic²,

Harris³

et al. 2022

JMDH

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

Abstract: Background: Pharmacist participation in chronic disease management benefits patients in many ambulatory settings. We explored the attitudes and perceptions among multidisciplinary members of a rheumatology team towards the skills and responsibilities of a pharmacist joining their practice.

Cited by 9 publications

References 31 publications

Facilitators and strategies to implement clinical pharmacy services in a metropolis in Northeast Brazil: a qualitative approach

Facilitators and strategies to implement clinical pharmacy services in a metropolis in Northeast Brazil: a qualitative approach

Impact of a comprehensive medication management program on ambulatory care patients with noncommunicable diseases in a Latin American hospital: A retrospective study

Bridging Allied Health Professional Roles to Improve Patient Outcomes in Rural and Remote Australia: A Descriptive Qualitative Study

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