Physician perceptions of pharmacist-provided medication therapy management: Qualitative analysis

McGrath, Stephanie Harriman; Snyder, Margie E.; Dueñas, Gladys G.; Pringle, Jan; Smith, Randall B.; McGivney, Melissa Somma

doi:10.1331/japha.2010.08186

Cited by 71 publications

(63 citation statements)

References 17 publications

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“…The potential for communication to be facilitated through colocation has also been recognized. 12,13 At the micro level, the importance of role clarity and trusting relationships was highlighted. Hatah and colleagues also reported lack of understanding by general practitioners regarding pharmacists' roles.…”

Section: Discussionmentioning

confidence: 99%

Patient, family physician and community pharmacist perspectives on expanded pharmacy scope of practice: a qualitative study

et al. 2017

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Background:The R x EACH trial was a randomized trial to evaluate the efficacy of community pharmacy-based case finding and intervention in patients at high risk for cardiovascular (CV) events. Community-dwelling patients with poorly controlled risk factors were identified and their CV risk reduced through patient education, prescribing and follow-up by their pharmacist. Perspectives of patients, family physicians and community pharmacists were obtained regarding pharmacists' identification and management of patients at high risk for CV events, to identify strategies to facilitate implementation of the pharmacist's expanded role in routine patient care. Methods:We used a qualitative methodology (individual semistructured interviews) with conventional qualitative content analysis to describe perceptions about community pharmacists' care of patients at high risk for CV events. Perceptions were categorized into macro (structure), meso (institution) and micro (practice) health system levels, based on a conceptual framework of care for optimizing scopes of practice. Results:We interviewed 48 participants (14 patients, 13 family physicians and 21 community pharmacists). Patients were supportive of the expanded scope of practice of pharmacists. All participant groups emphasized the importance of communication, ability to share patient information, trust and better understanding of the roles, responsibilities, accountabilities and liabilities of the pharmacist within their expanded role. Interpretation:Despite support from patients and changes to delivery of care in primary care settings, ongoing efforts are needed to understand how to best harmonize family physician and community pharmacist roles across the health system. This will require collaboration and input from professional associations, regulatory bodies, pharmacists, family physicians and patients. AbstractResearch Research CMAJ OPEN E206CMAJ OPEN, 5(1)

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Section: Discussionmentioning

confidence: 99%

Patient, family physician and community pharmacist perspectives on expanded pharmacy scope of practice: a qualitative study

et al. 2017

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“…Another study, conducted in Pennsylvania, carried out focus groups with 23 physicians in order to understand the perceived benefits and concerns related to MTM provided by community dispensing pharmacists. 28 This study found that overall physicians had a negative perception of community pharmacist-provided MTM. Physicians felt that they were better suited to provide MTM services and were concerned with the preparation of the pharmacist and the lack of relationship between the PCP and the MTM pharmacist.…”

Section: Discussionmentioning

confidence: 72%

“…Physicians felt that they were better suited to provide MTM services and were concerned with the preparation of the pharmacist and the lack of relationship between the PCP and the MTM pharmacist. 28 These two studies differ significantly. In the Pennsylvania study, many of the physicians were not familiar with MTM services, and only four of the twenty-three physicians worked side by side with a pharmacist to optimize patient care.…”

Section: Discussionmentioning

confidence: 93%

Primary Care Providers' experiences with Pharmaceutical Care-based Medication Therapy Management Services

Maracle¹,

Oliveira²,

Brummel³

2012

Innov Pharm

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This study explored primary care providers' (PCPs) experiences with the practice of pharmaceutical care-based medication therapy management (MTM IntroductionThe face of healthcare is changing. Governments along with individual health systems are changing the way they take care of patients in efforts to make health care more affordable and the health system sustainable. Entire organizations are shifting to a team-based approach to health care, which requires collaboration between all health care providers to provide the best, most efficient and most cost-effective services to patients. The role of each health care provider is being reexamined and redefined, so that patients can be seen in the timeliest manner and by the most qualified provider.

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“…Each small group participant demonstrated how their particular profession would contribute to the healthcare team in their case study. 13 Each team member discussed the role their profession could play in the care of the patient presented. The purpose of the exercise was to demonstrate the importance of involving all professions to optimize the care of the patient.…”

Section: Overview Of Interprofessional Daymentioning

confidence: 99%

“…13 The initiative established 4 goals: students will (1) acquire teamwork competencies; (2) acquire knowledge, including the values and beliefs, of health professions different from their own discipline that will enable them to define interprofessional healthcare delivery or research, (3) apply their teamwork competencies in a collaborative interprofessional healthcare delivery or research learning setting, and (4) demonstrate their teamwork competencies in collaborative interprofessional healthcare delivery or translational research contexts. 13 To accomplish these goals, C3 developed a number of interprofessional events and activities, including required interprofessional courses, lectures, interprofessional competitions, and its largest event, Interprofessional Day. Participation in interdisciplinary teams is an important part of patient care.…”

Section: Introductionmentioning

confidence: 99%

Impact of Interprofessional Activities on Health Professions Students’ Knowledge of Community Pharmacists’ Role and Services

Vrontos

Kuhn

Brittain

2011

American Journal of Pharmaceutical Education

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Objectives. To determine the impact of health professions students' participation in interprofessional activities on their knowledge of the roles of community pharmacists and community pharmacist-provided services.Methods. Students at the Medical University of South Carolina were surveyed via a self-administered online survey tool to determine their participation in interprofessional activities as well as their knowledge of the role of community pharmacists and community pharmacist-provided services. Results. Over 600 students completed the survey instrument. Nonpharmacy students who attended the university-sponsored Interprofessional Day were more knowledgeable of pharmacist-provided services. Previous interaction with a pharmacist increased nonpharmacy students' awareness of the services that pharmacists provide. Conclusion. Participation in interprofessional activities increased health professions students' awareness of the role of pharmacists. Continued education among healthcare professions about the role of and services provided by pharmacists is needed to ensure that pharmacists have the greatest possible impact on patient care.

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Physician perceptions of pharmacist-provided medication therapy management: Qualitative analysis

Cited by 71 publications

References 17 publications

Patient, family physician and community pharmacist perspectives on expanded pharmacy scope of practice: a qualitative study

Patient, family physician and community pharmacist perspectives on expanded pharmacy scope of practice: a qualitative study

Primary Care Providers' experiences with Pharmaceutical Care-based Medication Therapy Management Services

Impact of Interprofessional Activities on Health Professions Students’ Knowledge of Community Pharmacists’ Role and Services

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