Prioritizing intraprofessional collaboration for optimal patient care: A call to action

Gobis, Barbara; Yu, Annie; Reardon, Jillian; Nystrom, Martha; Grindrod, Kelly; McCarthy, Lisa

doi:10.1177/1715163518765879

Cited by 11 publications

(9 citation statements)

References 15 publications

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“…This standard applies not only to pharmacist collaboration with other health care professionals but also to pharmacist collaboration with other pharmacists. Thus, pharmacists from all practice settings and the organizations that represent them must work cooperatively to develop a common agenda for the implementation of pharmaceutical care if this new mission is ever to be fully realized by the profession [60][61][62][63][64].…”

Section: Intra-professional Barriersmentioning

confidence: 99%

The New Era of Pharmacists in Ambulatory Patient Care

Mohiuddin

2019

Innov Pharm

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Ambulatory care pharmacy practice is defined as the provision of integrated, accessible healthcare services by pharmacists who are accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. This is accomplished through direct patient care and medication management for ambulatory patients, long-term relationships, coordination of care, patient advocacy, wellness and health promotion, triage and referral, and patient education and self-management. The ambulatory care pharmacists may work in both an institutional and community-based clinic involved in direct care of a diverse patient population. A variety of specialty clinics are available for allergy and immunology, pulmonology, endocrinology, cardiology, nephrology, neurology, behavioral health, and infectious disease. Such services for this population may exist as a primary care clinic or an independent specialty clinic, typically in a PCMH, which is instrumental in coordinating care between various providers. Once a practice site is identified, it is important to establish a strong, trusting, and mutually beneficial relationship with the various decision-makers (e.g., administrators, providers) involved with the clinic. If pharmacy services are currently in existence, the pharmacy director may be able to identify and initially contact the appropriate person. If another pharmacist is providing clinical services, this person would be a resource to help determine areas for expansion of patient care and to whom to direct the proposed business plan. Additional individuals to consider as an initial point of contact include the clinic manager, clinic medical director, or administrative assistant to either of these persons. If the clinic setting is affiliated with a medical school, it may be necessary to contact the Department of Family Medicine head. Article Type: Commentary

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Section: Intra-professional Barriersmentioning

confidence: 99%

The New Era of Pharmacists in Ambulatory Patient Care

Mohiuddin

2019

Innov Pharm

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“…Nørgaard et al suggested that for the community pharmacy to expand their role, CPs would have to focus more on interprofessional collaboration with GPs [ 43 ]. However, Gobis et al also argued that too much effort has been put into widening interprofessional collaboration while HPs and CPs are taking very divergent paths, almost becoming two different professions due to less or too little focus on intraprofessional collaboration [ 21 ]. The divergent paths taken by the HPs and the CPs are also described by Taylor et al, who claim that HPs are becoming increasingly specialized [ 44 ].…”

Section: Discussionmentioning

confidence: 99%

“…Interprofessional collaboration with physicians is slowly becoming well established in some countries in hospitals and GP practices. Gobis et al, however, suggest that more research should be conducted in the field of intraprofessional pharmacist-to-pharmacist collaboration, especially at transition of care points, to avoid a fragmented pharmaceutical approach to patient care [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

Hospital and Community Pharmacists’ Views of and Perspectives on the Establishment of an Intraprofessional Collaboration in the Transition of Care for Newly Discharged Patients

Lech

Husted²,

Almarsdottír

et al. 2020

Innov Pharm

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Background Hospital and community pharmacists are increasingly involved in patients’ medication interventions related to the transition of care from the hospital to a patient’s home. These interventions may enable pharmacists to collaborate across healthcare sector boundaries. However, little is known about pharmacists’ views on intraprofessional collaboration across healthcare sectors and what affects the establishment of such collaboration. Objectives The aim of this study was to understand the views and perspectives of hospital pharmacists (HPs) and community pharmacists (CPs) on establishing an intraprofessional collaboration in relation to newly discharging patients. Methods Joint focus group interviews with HPs and CPs in the Zealand region of Denmark were conducted. The HPs were employed at the only hospital pharmacy in the region (Region Zealand Hospital Pharmacy). Five HPs and six CPs participated in two focus groups. The focus groups were analyzed using theoretical thematic analysis. Results Three themes and seven subthemes were identified. The first theme, “Context”, was divided into two subthemes: “Prioritization of new tasks in the intraprofessional collaboration” and “The lack of insight into the patient’s hospital stay”. The second theme, “The hospital physicians and GPs as the focal points for the HPs’ and CPs’ work”, was divided into three subthemes: “The limitation of the CPs and HPs based on current roles and organizations”, “Lack of regular access to the physician gives the patients more responsibility” and “Lack of support from the GPs for the work conducted by HPs and CPs”. The last theme, “Individuals”, had two subthemes: “The motivation for working intraprofessionally” and “CPs’ hesitancy towards the new tasks in the intraprofessional collaboration”. Conclusion Both HPs and CPs are highly influenced by their work context in regard to establishing a new intraprofessional collaboration. Limited resources for intraprofessional collaboration should be taken into account. Likewise, the collaboration should fit into daily routines, which may eliminate hesitancy towards new forms of collaboration and tasks shared between HPs and CPs. The physician was identified as an important key professional, since the work tasks of both HPs and CPs depend on the physician, which in turn limits the capability and success of solely intraprofessional collaboration. Original Research

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“…IPC/IPE is regarded as one of the most promising solutions for revamping the healthcare education sector. 19 The advantages of IPC/IPE are many and may help address some of the major concerns within the currently employed dental education systems worldwide. 18 , 19 To acquire the model/practices of IPC/IPE, educators of the healthcare sector must play a role in preparing academic programs in order for the students to work collaboratively.…”

Section: Discussionmentioning

confidence: 99%

“… 19 The advantages of IPC/IPE are many and may help address some of the major concerns within the currently employed dental education systems worldwide. 18 , 19 To acquire the model/practices of IPC/IPE, educators of the healthcare sector must play a role in preparing academic programs in order for the students to work collaboratively. 20 Despite the many advancements in IPC/IPE at different levels of implementation, many issues still exist and remain unresolved, particularly in the field of dental education.…”

Section: Discussionmentioning

confidence: 99%