Perceptions of pharmacists' integration into patient-centered medical home teams

Patterson, Brandon J.; Solimeo, Samantha L.; Stewart, Kenda R.; Rosenthal, Gary E.; Kaboli, Peter J.; Lund, Brian C.

doi:10.1016/j.sapharm.2014.05.005

Cited by 45 publications

(35 citation statements)

References 52 publications

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“…By decreasing the workload on physicians, the inclusion of clinical pharmacists in team care can improve physician and patient satisfaction and help to alleviate contributors to physician burnout. 28,31 The results of this study can be used to inform the implementation of team-based care teams that include clinical pharmacists. A similar study has shown that medication counseling, adherence assessment, cost and access, and educational services are the types of clinical services that providers consider to be worthwhile for pharmacists.…”

Section: Discussionmentioning

confidence: 99%

“…Exploratory qualitative research conducted in the vertically integrated Veterans Affairs health system included interviews with multidisciplinary care team members and reported barriers in pharmacist integration and the need to improve knowledge of and attitudes toward pharmacists' role on care teams. 28 More research is needed to address physician satisfaction and perceptions of pharmacists and pharmacy services in primary care. The objectives of the present study were to examine physician satisfaction with the clinical pharmacists embedded in primary care practice teams and to explore common experiences among physicians.…”

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confidence: 99%

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Physician experiences with clinical pharmacists in primary care teams

Moreno¹,

Lonowski²,

Fu³

et al. 2017

Journal of the American Pharmacists Association

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a b s t r a c tBackground: Improving medication management is an important component of comprehensive care coordination for health systems. The Managing Your Medication for Education and Daily Support (MyMeds) medication management program at the University of California Los Angeles addresses medication management issues by embedding trained clinical pharmacists in primary care practice teams. Objectives: The aim of this work was to examine and explore physician opinions about the clinical pharmacist program and identify common themes among physician experiences as well as barriers to integration of clinical pharmacists into primary care practice teams. Methods: We conducted a mixed quantitativeequalitative methods study consisting of a crosssectional physician survey (n ¼ 69) as well as semistructured one-on-one physician interviews (n ¼ 13). Descriptive statistics were used to summarize survey responses, and standard qualitative content-analysis methods were used to identify major themes from the interviews. Results: The survey response rate was 61%; 13 interviews were conducted. Ninety percent of survey respondents agreed or strongly agreed that having the pharmacist in the office makes management of the patient's medication more efficient, 93% agreed or strongly agreed that pharmacist recommendations are clinically helpful, 71% agreed or strongly agreed that having access to a pharmacist has increased their knowledge about medications they prescribe, and 75% agreed or strongly agreed that having a pharmacist as part of the primary care team has made their job easier. Qualitative interviews corroborated survey findings, and physicians highlighted the value of the clinical pharmacist's communication, team care and expanded roles, and medication management. Conclusion: Primary care physicians valued the integrated pharmacy program highly, particularly its features of strong communication, expanded roles, and medication management. Pharmacists were viewed as integral members of the health care team.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Physician experiences with clinical pharmacists in primary care teams

Moreno¹,

Lonowski²,

Fu³

et al. 2017

Journal of the American Pharmacists Association

View full text Add to dashboard Cite

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“…This does not limit the contributions of CPSs to patient care, but it may limit how measureable and acknowledged those contributions are. [1][2][3] Prior research in this area demonstrates that while CPSs are valued for their medication expertise, there is still little knowledge among other health care providers that they have two distinct roles; that of being an independent direct care provider in a pharmacy-run clinic, and being a member of a collaborative health care team. 4 While there are tools in development to measure CPSs contribution to care, the results from these quantitative tools have yet to be fully analyzed and published.…”

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confidence: 99%

Knowing the patient: A qualitative study on care-taking and the clinical pharmacist-patient relationship

McCullough

Petrakis

Gillespie

et al. 2016

Research in Social and Administrative Pharmacy

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“…Lack of role awareness, poor communication, and insufficient collaboration have been associated with a decreased acceptance of pharmacy roles within primary health care teams in the United States and Canada (Patterson et al, 2015;Schindel et al, 2016). Schindel et al (2016) found that collaboration with other health care professionals was essential because the pharmacist role often overlapped with the role of other health care professionals, which, at times, led to conflict between team members.…”

Section: Discussionmentioning

confidence: 99%

Expanding pharmacy roles and the interprofessional experience in primary healthcare: A qualitative study

Silvaggi

Nabhani‐Gebara

Reeves

2016

Journal of Interprofessional Care

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The pharmacist role is undergoing significant changes which are reshaping the way primary health care is delivered throughout England. Due to increased physician workload and focus on primary health care, the pharmacist role has expanded to provide enhanced patient services, integrating into general practice (GP) settings and working more closely as a member of the healthcare team. However, the experiences of pharmacists and team members are yet to be explored. The proposed study aims to explore the experiences, thoughts, and perceptions of a purposive sample of pharmacists, physicians, and nurses working in 10 GP clinics throughout the southeast of England. Interprofessional relationships, power dynamics, changing professional roles, and barriers and facilitators to the integration of the pharmacist role will be explored. An exploratory multiple case study design will be used to investigate interprofessional experiences within and between clinics. In depth interviews will be completed with each participant. A thematic analysis will identify themes and patterns from the interview data. Results are expected to produce recommendations to help facilitate the integration of pharmacists in their new role and will have implications for interprofessional collaboration and interprofessional education which are important for delivering safe and effective care.

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Perceptions of pharmacists' integration into patient-centered medical home teams

Cited by 45 publications

References 52 publications

Physician experiences with clinical pharmacists in primary care teams

Physician experiences with clinical pharmacists in primary care teams

Knowing the patient: A qualitative study on care-taking and the clinical pharmacist-patient relationship

Expanding pharmacy roles and the interprofessional experience in primary healthcare: A qualitative study

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