Health-system pharmacy’s imperative for practice model change

Chen

et al. 2014

Health Res Policy Sys

BackgroundIn the last few decades, health systems research (HSR) has garnered much attention with a rapid increase in the related literature. This study aims to review and evaluate the global progress in HSR and assess the current quantitative trends.MethodsBased on data from the Web of Science database, scientometric methods and knowledge visualization techniques were applied to evaluate global scientific production and develop trends of HSR from 1900 to 2012.ResultsHSR has increased rapidly over the past 20 years. Currently, there are 28,787 research articles published in 3,674 journals that are listed in 140 Web of Science subject categories. The research in this field has mainly focused on public, environmental and occupational health (6,178, 21.46%), health care sciences and services (5,840, 20.29%), and general and internal medicine (3,783, 13.14%). The top 10 journals had published 2,969 (10.31%) articles and received 5,229 local citations and 40,271 global citations. The top 20 authors together contributed 628 papers, which accounted for a 2.18% share in the cumulative worldwide publications. The most productive author was McKee, from the London School of Hygiene & Tropical Medicine, with 48 articles. In addition, USA and American institutions ranked the first in health system research productivity, with high citation times, followed by the UK and Canada.ConclusionsHSR is an interdisciplinary area. Organization for Economic Co-operation and Development countries showed they are the leading nations in HSR. Meanwhile, American and Canadian institutions and the World Health Organization play a dominant role in the production, collaboration, and citation of high quality articles. Moreover, health policy and analysis research, health systems and sub-systems research, healthcare and services research, health, epidemiology and economics of communicable and non-communicable diseases, primary care research, health economics and health costs, and pharmacy of hospital have been identified as the mainstream topics in HSR fields. These findings will provide evidence of the current status and trends in HSR all over the world, as well as clues to the impact of this popular topic; thus, helping scientific researchers and policy makers understand the panorama of HSR and predict the dynamic directions of research.

Section: Resultsmentioning

confidence: 99%

Scientometric trends and knowledge maps of global health systems research

Chen

et al. 2014

Health Res Policy Sys

“…4 There is a strong imperative for practice model change, particularly in light of a tumultuous health care and economic climate. 5 The PPMI outlines the practice changes and advancements that will be necessary to ensure the profession is well poised to succeed in the evolving health care landscape. A key focus of the PPMI is the involvement of pharmacists in drug therapy management and their accountability for patients' medicationrelated outcomes.…”

Section: Benefits Of Pharmacists Privilegingmentioning

confidence: 99%

“…5 Privileging is integral to the ability of physicians and mid-level practitioners (eg, nurse practitioners, physician assistants) to provide independent clinical activities in a hospital or clinic. Privileging should not be confused with credentialing.…”

Section: Introduction To Privileging and Credentialingmentioning

confidence: 99%

Enhancing Pharmacy Practice Models through Pharmacists’ Privileging

Philip¹,

Weber

2013

Hosp Pharm

Director's Forum is designed to guide pharmacy leaders in establishing patient-centered services in hospitals and health systems. This article focuses on the concept of granting clinical privileges to pharmacists (acute and ambulatory care) to improve the efficiency and effectiveness of medication use. As the practice models change in hospital pharmacy practice to require the pharmacist to enter into pharmacy board-approved consult agreements, institutional privileging of pharmacists will be necessary. The pharmacy director must understand the steps of the credentialing and privileging process and should apply the process where appropriate in the department. Through hospital medical staff actively supporting pharmacists’ privileging, the national Pharmacy Practice Model Initiative (PPMI) can meet its goals of integrating pharmacists as effective members of the patient care team with tangible accountability for achieving optimal drug therapy outcomes.

International Journal of Pharmacy Practice

“…At the same time, they are expected to respond to the challenges they face in a healthcare environment that is changing at a rapid pace. Strategies that worked in the past may no longer be effective in today's environment [1]. Pharmacy leaders must be prepared to not only adapt to new circumstances, but also to lead change [2].…”

Section: Introductionmentioning

confidence: 99%

Change management in pharmacy: a simulation game and pharmacy leaders’ rating of 35 barriers to change†

Guérin

Lebel

Hall

et al. 2015

This simulation game, and the associated rating of barriers to change, provided an opportunity for a group of hospital pharmacy leaders in Canada to reflect on the challenges associated with managing change in the healthcare setting. This simulation game can be modified and used by pharmacy practitioners in other countries to help identify and rank barriers to change in their particular pharmacy practice setting.