Community pharmacist collaboration with a primary care clinic to improve diabetes care

Snyder, Joy M.; Ahmed-Sarwar, Nabila; Gardiner, C.; Burke, Elizabeth Sutton

doi:10.1016/j.japh.2020.02.005

Cited by 11 publications

(7 citation statements)

References 11 publications

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“…Researchers also discovered that pharmacists’ lack of access to patient medical records was a significant barrier to making recommendations to providers regarding patients’ medications ( 22 ). Therefore, pharmacists need to have access to electronic medical records to make informed medication safety recommendations to clinicians ( 23 ).…”

Section: Discussionmentioning

confidence: 99%

A Multisite Qualitative Analysis of Perceived Roles in Medication Safety: Older Adults’ Perspectives

Jallow

Stehling

Sajwani-Merchant

et al. 2023

Journal of Patient Experience

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Older adults and caregivers play an essential role in medication safety; however, self-perception of their and health professionals’ roles in medication safety is not well-understood. The objective of our study was to identify the roles of patients, providers, and pharmacists in medication safety from the perspective of older adults. Semi-structured qualitative interviews were held with 28 community-dwelling older adults over 65 years who took five or more prescription medications daily. Results suggest that older adults’ self-perceptions of their role in medication safety varied widely. Older adults perceived that self-learning about their medications and securing them are critical to avoiding medication-related harm. Primary care providers were perceived as coordinators between older adults and specialists. Older adults expected pharmacists to inform them of any changes in the characteristics of medications to ensure medications were taken correctly. Our findings provide an in-depth analysis of older adults’ perceptions and expectations of their providers’ specific roles in medication safety. Educating providers and pharmacists about the role expectations of this population with complex needs can ultimately improve medication safety.

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Section: Discussionmentioning

confidence: 99%

A Multisite Qualitative Analysis of Perceived Roles in Medication Safety: Older Adults’ Perspectives

Jallow

Stehling

Sajwani-Merchant

et al. 2023

Journal of Patient Experience

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show abstract

“… 46 Collaboration of community pharmacist and primary health care services has also shown to be effective in improving adherence to diabetes management. 47 In the Indonesian context, the community pharmacists were mainly utilized for medication dispensing, 48 although the 2016 Standard for Pharmaceutical Care in Community Pharmacy emphasized the need for community pharmacist involvement in managing chronic illness. 49 Research has also shown that many pharmacists in Indonesia believed that their roles should be extended to include the management of people with chronic illness.…”

Section: Discussionmentioning

confidence: 99%

Issues Affecting Medication-Taking Behavior of People with Type 2 Diabetes in Indonesia: A Qualitative Study

Widayanti¹,

Sigalingging²,

Dewi³

et al. 2021

PPA

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It has been widely acknowledged that non-adherence to medication among people with type 2 diabetes is a significant problem worldwide. Studies have suggested that nonadherence to medication may be caused by the complexity of issues surrounding medication use which further created burdens related to medication. However, studies on this topic in the Indonesian context were still limited. This study aimed to understand the experiences of people with type 2 diabetes in medication-taking and explore any practical issues that potentially affect their behavior when taking medication. Methods: Qualitative phenomenological study with semi-structured interviews was applied. The participants were purposefully recruited and selected from some primary healthcare facilities in Yogyakarta Province. The eligibility criteria included: diagnosed with type 2 diabetes by healthcare professionals for at least six months and were able to comprehend information. Information about the study was explained, and written informed consent was collected. The interviews were recorded, transcribed verbatim, and analyzed with a deductive qualitative content analysis method.Results: Fifty-one people with type 2 diabetes were involved in this study. Most of the participants were between 40 and 59 years old, and many of them were female and housewives. The thematic analysis found some practical issues that affected people's behavior in taking type 2 diabetes medication. These included individual's mealtime, characteristics of the medications, accessibility of healthcare services, experiences of side effects and social activities. Conclusion:The practical issues identified in this study can be resolved by improving the role of healthcare providers in managing people with diabetes. Future research needs to be conducted to evaluate the effectiveness of interventions developed based on understanding of the practical factors identified.

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“…Even though community pharmacists predominantly operate in a retail setting that is located separately from other health care providers, studies have demonstrated that pharmacists, physicians, and patients collaborated to improve clinical outcomes and health care costs for patients with diabetes [23][24][25][26][27] hypertension [27][28][29] and high cholesterol [27,30].…”

Section: Pcp Perspectives On Pharmacist Medication Monitoringmentioning

confidence: 99%

Return to Work after Uncomplicated Acute Myocardial Infarction

2024

J Family Med Prim Care Open Acc

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Introduction: Community pharmacists are highly trained and accessible health professionals. Over 95% of the US public is within 10 miles of a community pharmacy. This study characterizes current community pharmacist-primary care provider (PCP) communications, and PCP perspectives on establishing medication-related services and collaborative practice agreements (CPAs) with community pharmacists to improve public health. Methods: PCPs responded to an online, cross-sectional survey from December 2020 to January 2021. Results: Of 222 PCP respondents, nearly 50% of PCPs or staff members communicated weekly with community pharmacists about prescriptions, and 66% of PCPs were not aware of community pharmacists' capabilities to monitor and manage medications. Only 31% of PCPs were aware that community pharmacists use Collaborative Practice Agreements (CPA). PCPs with less than 16 years of practice experience agreed that community pharmacists working with a CPA could decrease their clinical workload burden. Facilitators of PCP support for community pharmacists providing medication monitoring and management services included positive patient feedback, patient outcome improvement, and patient perception of the community pharmacist as a primary care team member. PCP perceived barriers were the lack of PCP knowledge of community pharmacist clinical training, no dedicated pharmacist time to provide direct patient care services, minimal pharmacist experience in providing medication monitoring and management, and poor documentation of community pharmacist services in electronic health records. Conclusion: Opportunities exist for greater community pharmacist-PCP collaboration to improve chronic disease patient outcomes. Given their public accessibility, community pharmacist medication monitoring and management services should be considered to improve public health.

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Community pharmacist collaboration with a primary care clinic to improve diabetes care

Cited by 11 publications

References 11 publications

A Multisite Qualitative Analysis of Perceived Roles in Medication Safety: Older Adults’ Perspectives

A Multisite Qualitative Analysis of Perceived Roles in Medication Safety: Older Adults’ Perspectives

Issues Affecting Medication-Taking Behavior of People with Type 2 Diabetes in Indonesia: A Qualitative Study

Return to Work after Uncomplicated Acute Myocardial Infarction

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