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Mohammed RA, Marouf BH. Physicians’ attitude towards community pharmacists’ contribution in the treatment decision making. BRAZ J PHARM SCI 2022. [DOI: 10.1590/s2175-97902022e201095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023] Open
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Tsao NW, Khakban A, Gastonguay L, Zafari Z, Lynd LD, Marra CA. Opinions and preferences of British Columbia pharmacists and physicians on medication management services. Can Pharm J (Ott) 2017; 150:42-51. [PMID: 28286592 PMCID: PMC5330418 DOI: 10.1177/1715163516671746] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND Medication management (MM) services are being provided by pharmacists across Canada in various forms, but pharmacist-physician collaboration is still not a routine practice in most jurisdictions. This survey aimed to gather pharmacists' and physicians' opinions and preferences for MM provision. METHODS Two parallel, cross-sectional online surveys, including best-worst scaling tasks, were designed for pharmacists and physicians in British Columbia to capture and compare their preferences for a number of attributes of MM. RESULTS Surveys were completed by 119 pharmacists and 146 physicians. Results indicate that pharmacists and physicians had similar opinions on many aspects of MM. Ninety-five percent of pharmacists and 69% of physicians believed that additional health services are needed to help patients optimize the use of their medications. However, the majority of each group felt that they were the most important health care professional in providing this service. Most pharmacists (79%) and some physicians (25%) thought that optimizing use of medications would result in both decreased costs and utilization to the health care system. Both pharmacists and physicians felt that the best attribute of an MM service would be if the services resulted in improved health and medication use for patients. Both groups were motivated by increased remuneration for MM; however, the relative strength of preference for this was higher among physicians. Interestingly, physicians valued improved medication adherence as a result of MM more highly than pharmacists did. DISCUSSION AND CONCLUSION Most pharmacists and physicians agreed that improving patients' health and medication use would be the best attribute of MM and that there is a need for such services. However, physicians also had strong preferences for being remunerated for participating in MM provision.
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Affiliation(s)
- Nicole W. Tsao
- Collaboration for Outcomes Research and Evaluation (Tsao, Khakban, Gastonguay, Lynd), Memorial University of Newfoundland, St. John’s, Newfoundland
- Faculty of Pharmaceutical Sciences and the Department of Medicine (Zafari), Memorial University of Newfoundland, St. John’s, Newfoundland
- University of British Columbia, Vancouver, British Columbia, and the School of Pharmacy (Marra), Memorial University of Newfoundland, St. John’s, Newfoundland
| | - Amir Khakban
- Collaboration for Outcomes Research and Evaluation (Tsao, Khakban, Gastonguay, Lynd), Memorial University of Newfoundland, St. John’s, Newfoundland
- Faculty of Pharmaceutical Sciences and the Department of Medicine (Zafari), Memorial University of Newfoundland, St. John’s, Newfoundland
- University of British Columbia, Vancouver, British Columbia, and the School of Pharmacy (Marra), Memorial University of Newfoundland, St. John’s, Newfoundland
| | - Louise Gastonguay
- Collaboration for Outcomes Research and Evaluation (Tsao, Khakban, Gastonguay, Lynd), Memorial University of Newfoundland, St. John’s, Newfoundland
- Faculty of Pharmaceutical Sciences and the Department of Medicine (Zafari), Memorial University of Newfoundland, St. John’s, Newfoundland
- University of British Columbia, Vancouver, British Columbia, and the School of Pharmacy (Marra), Memorial University of Newfoundland, St. John’s, Newfoundland
| | - Zafar Zafari
- Collaboration for Outcomes Research and Evaluation (Tsao, Khakban, Gastonguay, Lynd), Memorial University of Newfoundland, St. John’s, Newfoundland
- Faculty of Pharmaceutical Sciences and the Department of Medicine (Zafari), Memorial University of Newfoundland, St. John’s, Newfoundland
- University of British Columbia, Vancouver, British Columbia, and the School of Pharmacy (Marra), Memorial University of Newfoundland, St. John’s, Newfoundland
| | - Larry D. Lynd
- Collaboration for Outcomes Research and Evaluation (Tsao, Khakban, Gastonguay, Lynd), Memorial University of Newfoundland, St. John’s, Newfoundland
- Faculty of Pharmaceutical Sciences and the Department of Medicine (Zafari), Memorial University of Newfoundland, St. John’s, Newfoundland
- University of British Columbia, Vancouver, British Columbia, and the School of Pharmacy (Marra), Memorial University of Newfoundland, St. John’s, Newfoundland
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Kelly DV, Bishop L, Young S, Hawboldt J, Phillips L, Keough TM. Pharmacist and physician views on collaborative practice: Findings from the community pharmaceutical care project. Can Pharm J (Ott) 2013; 146:218-26. [PMID: 23940479 PMCID: PMC3734911 DOI: 10.1177/1715163513492642] [Citation(s) in RCA: 90] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Strong working relationships between pharmacists and physicians are needed to optimize patient care. Understanding attitudes and barriers to collaboration between pharmacists and physicians may help with delivery of primary health care services. The objective of this study was to capture the opinions of family physicians and community pharmacists in Newfoundland and Labrador (NL) regarding collaborative practice. METHODS Two parallel surveys were offered to all community pharmacists and family physicians in NL. Surveys assessed the following: attitudes and experience with collaborative practice, preferred communication methods, perceived role of pharmacists, areas for more collaboration and barriers to collaborative practice. Results for both groups were analyzed separately, with comparisons between groups to compare responses with similar questions. RESULTS Survey response rates were 78.6% and 7.1% for pharmacists and physicians, respectively. Both groups overwhelmingly agreed that collaborative practice could result in improved patient outcomes and agreed that major barriers were lack of time and compensation and the need to deal with multiple pharmacists/physicians. Physicians indicated they would like more collaboration for insurance approvals and patient counselling, while pharmacists want to assist with identifying and managing patients' drug-related problems. Both groups want more collaboration to improve patient adherence. CONCLUSION Both groups agree that collaborative practice can positively affect patient outcomes and would like more collaboration opportunities. However, physicians and pharmacists disagree about the areas where they would like to collaborate to deliver care. Changes to reimbursement models and infrastructure are needed to facilitate enhanced collaboration between pharmacists and physicians in the community setting.
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Affiliation(s)
- Deborah V Kelly
- School of Pharmacy (Kelly, Bishop, Young, Hawboldt, Phillips), Memorial University, St. John's, Newfoundland and Labrador
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