Pharmacists practising in family medicine groups: What are their activities and needs?

Guénette, Line; Maheu, Anne; Vanier, Marie-Claude; Dugré, Nicolas; Rouleau, Léonie; Lalonde, Lyne

doi:10.1111/jcpt.13035

Cited by 24 publications

(32 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Characteristics of the 178 (60%) FMG pharmacists who completed the needs assessment survey have been described in detail elsewhere [7,9]. In summary, most are women (71.9%) younger than 40 years old (71.9%).…”

Section: Resultsmentioning

confidence: 99%

“…Our research initiative used findings from the needs assessment [7,8,9] combined with qualitative discussions with a FMG pharmacist working group and an advisory committee of key organizations and partners (below). Collaborations were established with knowledge transfer experts, network and primary care researchers (including: “Strategy for Patient-Oriented Research” unit group (“ Unité soutien SRAP "), Primary care practice-based research network (“RRAPPL”)).…”

Section: Methodsmentioning

confidence: 99%

“…The survey results (which have been published elsewhere [7,8,9]) were used to build the action plan that was co-developed with the working group and discussed with the advisory committee. Actions that should first be deployed (the “quick win”) to have an immediate impact were identified.…”

Section: Methodsmentioning

confidence: 99%

“…Participating in a practice-based network can ease integration and provide support [6]. In 2018, we surveyed 178 FMG pharmacists to assess their needs and found that developing specific training, providing mentorship and disseminating information about their role to other healthcare professionals were among their most critical needs [7,8,9]. Publishing a contact list of all FMG pharmacists and their work location was also identified as a key priority to facilitate intra-professional collaboration as well as networking between FMG pharmacists [10].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

The Creation of a Practice-Based Network of Pharmacists Working in Family Medicine Groups (FMG)

et al. 2019

Self Cite

View full text Add to dashboard Cite

A needs assessment study of pharmacists working in family medicine groups (FMG) demonstrated the necessity to build a practice-based network. This network would foster a faster integration into FMG and a more efficient collaborative practice. It would also take advantage of an existing practice-based research network (PBRN)—the STAT (Soutien Technologique pour l’Application et le Transfert des pratiques novatrices en pharmacie) network. A working group of nine FMG pharmacists from the different regions of the province of Quebec, Canada, and a committee of partners, including the key pharmacy organizations, were created. Between January 2018 and May 2019, nine meetings took place to discuss the needs assessment results and deploy an action plan. The practice-based network first year activities allowed identifying pharmacists working in FMGs across the province. A directory of these pharmacists was published on the STAT network. The vision, mission, mandate, name («Réseau Québécois des Pharmaciens GMF») and logo were developed. The first few activities include: Bi-monthly newsletters; a mentorship program; short evidence-based therapeutic letters (pharmacotherapeutic capsules) and a start-up kit to facilitate integration of these pharmacists. The Quebec FMG pharmacist practice-based network has been launched. It is planned to evaluate the members’ satisfaction in late Spring 2020 with regards to activities and resources provided.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The Creation of a Practice-Based Network of Pharmacists Working in Family Medicine Groups (FMG)

et al. 2019

Self Cite

View full text Add to dashboard Cite

show abstract

“…As of January 2019, 262 (79%) of the 333 FMGs had hired one or more pharmacists (personal communication with the Ministry). These FMG pharmacists are usually co‐located in the FMG part of their time (the mean number of hours per week is 11.2) . One of their roles in the FMG is to review patients’ pharmacotherapy, especially for those with complex needs and complex medication regimen, with the aim of optimising it.…”

Section: Introductionmentioning

confidence: 99%

Impact of pharmacists' interventions on the pharmacotherapy of patients with complex needs monitored in multidisciplinary primary care teams

Abdin

Grenier-Gosselin

Guénette

2019

International Journal of Pharmacy Practice

Self Cite

View full text Add to dashboard Cite

Objectives Recently, pharmacists have joined multidisciplinary healthcare teams within family medicine groups (FMG) in Quebec Province, Canada. This study assessed the impact of their interventions on the pharmacotherapy of patients with complex needs monitored in FMGs. Methods We performed a pre/post real-life intervention study among patients with complex needs referred to the FMG pharmacist in four FMGs in Quebec City. Pharmacists collected data at baseline, during follow-up and up to 6 months after the first encounter. They recorded all drug-related problems (DRPs) identified, interventions made and recommendations that were accepted by physicians. The researchers used the data collected to compare the medication regimen complexity index (MRCI) and medication adherence (using the proportion of days covered (PDC)) before and after the pharmacist's interventions. Descriptive statistics and paired sample t-tests were computed. Key findings Sixty-four patients (median age: 74.5 years) were included; four patients were lost to follow-up. Pharmacists detected 300 DRPs (mean: 7.2 per patient) during the study period for which they made an intervention. The most common DRP was 'drug use without indication' (27%). The physicians accepted 263 (87.7%) of those interventions. The mean number of prescribed drugs per patient decreased from 13.8 (95% confidence interval (CI): 12.24 to 15.29) to 12.4 (95% CI: 10.92 to 13.90). The mean MRCI decreased from 47.18 to 41.74 (À5.44; 95% CI: 1.71 to 9.17), while the mean PDC increased from 84.4% to 90.0% (+5.6%; 95% CI: 2.7% to 8.4%). Conclusion Family medicine groups pharmacists can detect and resolve DRPs and can reduce medication regimen complexity and non-adherence to treatment in patients with complex needs monitored in FMGs.

show abstract

Evaluating the potential outcomes of pharmacist-led activities in the Australian general practice setting: a prospective observational study

et al. 2023

View full text Add to dashboard Cite

Background Pharmacists have been co-located in general practice teams to support the quality use of medicines and optimise patient health outcomes. Evidence of the impact of pharmacist-led activities in Australian general practices is sparse. Aim This study aimed to evaluate the potential outcomes of pharmacist-led activities in Australian general practices. Method A prospective observational study was conducted in eight general practices in the Australian Capital Territory, where each general practice employed a pharmacist on a part-time basis for 18 months. A recommended, but flexible, list of activities was provided for pharmacists. Descriptive information on general practice pharmacist-led activities, collected with an online diary, was analysed. The potential clinical, economic, and organisational impact of pharmacist-led clinical activities was evaluated using the CLinical Economic Organisational (CLEO) tool, with a modified economic dimension. Results Nine pharmacists reported 4290 activities over 3918.5 work hours in general practice. Medication management services were the primary clinical activity of pharmacists. In medication reviews, 75% of the pharmacists’ recommendations were fully accepted by general practitioners. Conducting clinical audits, updating patients’ medical records, and providing information to patients and staff were other major activities of pharmacists. Of 2419 clinical activities, around 50% had the potential for a moderate or major positive clinical impact on patients. Sixty-three per cent of activities had the potential to decrease healthcare costs. Almost all the pharmacist-led clinical activities had a positive organisational impact. Conclusion Most pharmacist-led clinical activities in general practice had the potential for a positive impact on patients and reduction in healthcare costs, supporting the expansion of this model in Australia.

show abstract

Pharmacists practising in family medicine groups: What are their activities and needs?

Abstract: and the Réseau québécois de recherche sur le médicament (a Quebec provincial research network) funded this study.

Cited by 24 publications

References 14 publications

The Creation of a Practice-Based Network of Pharmacists Working in Family Medicine Groups (FMG)

The Creation of a Practice-Based Network of Pharmacists Working in Family Medicine Groups (FMG)

Impact of pharmacists' interventions on the pharmacotherapy of patients with complex needs monitored in multidisciplinary primary care teams

Evaluating the potential outcomes of pharmacist-led activities in the Australian general practice setting: a prospective observational study

Contact Info

Product

Resources

About