Providing primary care using an interprofessional collaborative practice model: What clinicians have learned

Selleck, Cynthia S.; Fifolt, Matthew; Burkart, Heidi; Frank, Jennifer Sandson; Curry, William A.; Hites, Lisle

doi:10.1016/j.profnurs.2016.11.004

Cited by 21 publications

(12 citation statements)

References 12 publications

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“…This initiative used several aspects of MTM that were expected to be a good match for the needs of the Mississippi Delta, including a close working relationship between pharmacists and other care provider team members at participating clinics, following the principles of interprofessional collaborative practice, and incorporating the core elements of MTM into a robust intervention. The benefits of enhancing the team-based approach have been well documented as the quadruple aim of Interprofessional Collaborative Practice, supporting the value of close collaboration and heightened interprofessional communication on reducing the cost of care while promoting provider wellbeing and improving patient outcomes ( 14 – 18 , 22 – 26 ). This MTM model supports the integration of pharmacists in collaborative, team-based care models in clinic settings such as this to achieve this goal.…”

Section: Discussionmentioning

confidence: 98%

“…Because different terms have been used historically and the components and delivery of MTM may vary, such as with Medicare Part D MTM programs, it is important to have an understanding of the robustness of this intervention. The MDHC MTM service model incorporates the MTM core elements and aligns with the Pharmacist Patient Care Process (PPCP) (15,21). In the PPCP, the pharmacist uses a patient-centered approach in collaboration with other providers on the health care team to optimize patient health and medication outcomes.…”

Section: Discussionmentioning

confidence: 99%

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The Mississippi Delta Health Collaborative Medication Therapy Management Model: Public Health and Pharmacy Working Together to Improve Population Health in the Mississippi Delta

et al. 2020

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What is known on this topic? The Mississippi Delta has high rates of chronic disease and is known for its poor health outcomes and health disparities. Medication therapy management (MTM) improves the safe and effective use of medications, and ensuring appropriate medication use can improve clinical outcomes related to cardiovascular disease (CVD). What does this research add to the literature? Pharmacists met face-to-face in federally qualified health centers with patients who had a diagnosis of diabetes, hypertension, and/or dyslipidemia to provide MTM. Patients experienced mean reductions in systolic and diastolic blood pressure, low-density lipoprotein cholesterol, triglycerides, total cholesterol, and hemoglobin A 1c. What are the implications for public health practice? MTM is an effective way to improve CVD outcomes in residents of regions like the Mississippi Delta that have high rates of poverty, health disparities, and poor health outcomes.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

The Mississippi Delta Health Collaborative Medication Therapy Management Model: Public Health and Pharmacy Working Together to Improve Population Health in the Mississippi Delta

et al. 2020

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“…Teamwork is effective when there is construction of interprofessionality within the team, so that all professionals use and appropriate elements that enable an integrated team, that the objectives and goals of each professional are aligned in the perspective on a collective work, contributing directly to a broader view on the work's object. 14,[27][28][29] The thematic category Professional specificity indicates from the perspective of the research participants that the work follows a logic divided by professional categories, that is, each work process agent develops their specific attributions, and they try to articulate with the other professionals.…”

Section: Discussionmentioning

confidence: 99%

“…This may be a reflection related to the influence of the Taylorist-Fordist fragmentation that stimulates and reinforces the rigidity in the division of tasks, which culminates with the distancing of the health team members, compromising integral care for the users. 12,14 In addition, it can be seen that the curricular structure of undergraduate courses in health does not promote interprofessional practice, since training still follows the highly specialized, technical and individualistic approach, which does not favor a shared performance. [15][16][17][18] To consolidate interprofessional teamwork, substantial elements are needed to qualify it as a powerful tool for coping with health work fragmentation.…”

Section: Introductionmentioning

confidence: 99%

Teamwork in the Family Health Strategy: professionals’ perceptions

et al. 2019

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Objective: to identify the perceptions of health professionals about teamwork in the Family Health Strategy. Methods: descriptive study / qualitative approach, carried out with a Family Health Strategy team. Semi-structured interviews were conducted with eight professionals. Data collection took place in 2017. Thematic modality/ content analysis was used for data treatment. Results: in the analysis of the data emerged three thematic categories: Constituent elements of the teamwork: contemplates important attributes for construction of teamwork, such as dialogue / collaboration / help / consensus and union; Professional specificity: it shows the accomplishment of the work based on the specificity of each profession; Teamwork at specific times: it reveals that, for the interviewees, teamwork occurs in defined moments, as in the circumstances of group attendance, in lectures and in continuing education. Conclusion and Implications for practice: Professionals perceive teamwork as one that is anchored in mutual aid, collaboration and common goals. However, in practice, the work follows the trend more individualized. Evidence of possible changes to be implemented in daily life, in order to promote the modality of teamwork, with a view to integral assistance.

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“…Other studies of primary care interprofessional collaborative practice models show that clinicians prefer to work in interprofessional teams. 21 Through the CoEPCE we have developed new educational models to teach interprofessional skills to health professions trainees while improving the interprofessional clinical learning environments where the teaching takes place. However, to work effectively in these complex environments providers must possess interpersonal and technical skills to work effectively on interprofessional teams while maintaining professional identity and providing safe high quality care.…”

Section: Discussionmentioning

confidence: 99%

Developing Interprofessional Primary Care Teams: Alumni Evaluation of the Department of Veterans Affairs Centers of Excellence in Primary Care Education Program

Harada

Rajashekara

Sansgiry

et al. 2019

Journal of Medical Education and Curricular Development

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Purpose: The Centers of Excellence in Primary Care Education (CoEPCE) is an interprofessional graduate training program within the Department of Veterans Affairs (VA). In this project, we describe career paths of CoEPCE graduates, their perceptions of CoEPCE program value, their overall satisfaction with the training, and suggestions for program improvement to enhance interprofessional education and workforce development. Methods: The Graduate Participant Survey was developed and administered in 2018 to CoEPCE graduates from 2012 to 2017. Quantitative data from closed-ended questions were analyzed through descriptive and non-parametric statistics to test for significant differences by profession. Qualitative data from the single open-ended question were analyzed using content analysis with inductive and deductive approaches. Results: The survey was completed by 180 graduates. Greater proportions of pharmacists and psychologists than nurse practitioners and physicians were employed in VA, and greater proportions of nurse practitioners and pharmacists than physicians and psychologists were employed in primary care. Although smaller proportions of physicians were currently employed in primary care ( P < .0001), a greater proportion completed advanced training programs ( P < .0001). Overall, graduates perceived that their CoEPCE training was highly valued by advanced training programs and employers and improved their chances of finding a job. They reported high levels of satisfaction (mean = 4.3 ± 0.9 out of 5 total) with the training program, continued to use skills they learned during training, and believe their CoEPCE experiences made them better health care providers. Conclusions: Ninety-four percent of the CoEPCE graduates were employed at the VA and/or primary care at the completion of their training, although there were significant differences by profession. Graduates continued to practice interprofessional skills learned during their training and were highly satisfied with the program. Taken together, the findings indicate that continued enhancements to the interprofessional clinical learning environment are warranted.

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Providing primary care using an interprofessional collaborative practice model: What clinicians have learned

Cited by 21 publications

References 12 publications

The Mississippi Delta Health Collaborative Medication Therapy Management Model: Public Health and Pharmacy Working Together to Improve Population Health in the Mississippi Delta

The Mississippi Delta Health Collaborative Medication Therapy Management Model: Public Health and Pharmacy Working Together to Improve Population Health in the Mississippi Delta

Teamwork in the Family Health Strategy: professionals’ perceptions

Developing Interprofessional Primary Care Teams: Alumni Evaluation of the Department of Veterans Affairs Centers of Excellence in Primary Care Education Program

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