Role of the Ambulatory Care Clinical Pharmacist in Management of a Refugee Patient Population at a University-Based Refugee Healthcare Clinic

Higgins, Kristi L.; Hauck, Fern R.; Tanabe, Kawai O.; Tingen, Jeffrey

doi:10.1007/s10903-019-00879-5

Cited by 6 publications

(17 citation statements)

References 1 publication

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“…The PharmD can also spend an extended amount of time reviewing medication regimens to provide education, ensure access and assist with alleviating cost burdens. A recent study of PharmD interventions in the IFMC demonstrated a reduction in A1c levels for referred refugee patients with diabetes 15. The average time spent for each encounter with refugee patients by the PharmD was 30.1 min with a range of 5–90 min.…”

Section: Description Of Specific Rolesmentioning

confidence: 96%

“…In addition, refugee and healthcare provider perspectives on receiving and providing primary care in countries of resettlement highlight challenges in accessing care, understanding new healthcare systems, the importance of trusting patient-provider relationships and the value of culturally competent care 8–10. Studies, including two published about the International Family Medicine Clinic (IFMC), show outcome measures that demonstrate how models of care dedicated to refugee populations can improve quality of care by decreasing wait times to initial visits,11 12 decreasing inappropriate emergency room visits,13 14 improving management of chronic diseases15 and decreasing the need for specialty referrals by having primary care providers (PCPs) who are trained in the unique medical needs of refugees 12. There are a few published examples of refugee centred collaborative models and medical homes across the USA and Canada,16 17 as well as papers written by experts who have advocated the importance of providing comprehensive, interprofessional care to refugee patient populations 18.…”

Section: Introductionmentioning

confidence: 99%

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Using an interprofessional team to provide refugee healthcare in an academic medical centre

et al. 2019

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IntroductionThe International Family Medicine Clinic (IFMC) was established in 2002 by the University of Virginia Department of Family Medicine to provide comprehensive, timely, culturally sensitive and high-quality healthcare to the growing refugee and special immigrant population in Central Virginia, USA.MethodsThe purpose of this paper is to describe the IFMC, with a specific focus on interprofessional roles, interprofessional collaboration, community partnerships and the services and resources available to IFMC patients.ResultsThe clinic has served over 3100 refugees from 60 countries in its 16-year history. In 2019, the clinic staff now includes 4 attending physicians, 2 nurse practitioners and 14 residents who have dedicated clinic time to see refugees; a registered nurse care coordinator and a social worker dedicated to the IFMC refugee population; 2 clinical psychologists and doctoral students in clinical psychology; and a clinical pharmacist. The IFMC also provides onsite psychiatric care. A process flow map depicts the interconnectivity of interprofessional team members working together with other specialty care providers within the medical centre and with community partners on behalf of refugee patients through the resettlement process.ConclusionIndividuals who arrive in the USA as refugees are a particularly vulnerable patient group and often require an interprofessional team approach. The IFMC may serve as a model for other institutions interested in starting a similar interprofessional, refugee-centred medical home.

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Section: Description Of Specific Rolesmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

Using an interprofessional team to provide refugee healthcare in an academic medical centre

et al. 2019

View full text Add to dashboard Cite

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“…14 Pharmacists as partners in an interprofessional healthcare team were of benefit in managing chronic disease conditions such as hypertension, diabetes, and hyperlipidemia, as well as in assisting in smoking cessation programs. 15 Health professionals who were also part of the interprofessional healthcare team (doctors and nurses) contacted pharmacists to implement interprofessional treatment adherence strategies for non-compliant patients in their medical practice at their hospital. 16 Doctors, nurses, pharmacists, dentists, occupational therapists, physical therapists, and speech and language pathologists can positively influence patient care by aligning and reinforcing the importance of nutrition in all specialization areas.…”

Section: Partnershipmentioning

confidence: 99%

“…16 Doctors, nurses, pharmacists, dentists, occupational therapists, physical therapists, and speech and language pathologists can positively influence patient care by aligning and reinforcing the importance of nutrition in all specialization areas. 15 A team of interprofessional and multidisciplinary healthcare providers (called an interprofessional healthcare team) was formed from prescribers and non-prescribers to comprehensively evaluate prescribing practices. 17 An interprofessional healthcare team consisting of doctors, pharmacists, nurses, medical assistants, and health coaches worked with patients with chronic diseases such as COPD and heart failure.…”

Section: Partnershipmentioning

confidence: 99%

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Role of Pharmacists in the Interprofessional Care Team for Patients with Chronic Diseases

Rahayu¹,

Widianto²,

Defi³

et al. 2021

JMDH

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Chronic diseases are a major health problem and cause of death worldwide. Patients with chronic diseases should be managed by an interprofessional care team consisting of general practitioners, medical specialists, nurses, and pharmacists. However, the roles of pharmacists in this interprofessional care team have not been fully explored. This study, therefore, examined their roles as members of the interprofessional care team in managing patients with chronic diseases. A search in PubMed, Google Scholar, EBSCO, Scopus, and Cochrane Library databases was conducted for research articles that discussed pharmacists, interprofessional healthcare, and chronic diseases. From initial 420 identified articles, a total of 27 articles were included in this study. The interprofessional healthcare team should have a sense of tolerance and belonging among its members, which is reflected in five dimensions: partnership, coordination, cooperation, decision-making, and therapeutic outcomes. The five dimensions are closely related because they support each other in the success of the therapy. The presence of pharmacists in an interprofessional healthcare team has been proven to help facilitate access to primary care and improve patient outcomes. Pharmacists can assist in managing chronic disease conditions by providing drug information to patients and other healthcare providers and by acting as a consultant for treatment-related issues. The pharmacist's role as part of an interprofessional care team reinforces the importance of a collaborative healthcare team in providing clinical services to patients with chronic diseases.

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Care of the Refugee

Greene¹,

Nasir²

2021

Family Medicine

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Role of the Ambulatory Care Clinical Pharmacist in Management of a Refugee Patient Population at a University-Based Refugee Healthcare Clinic

Cited by 6 publications

References 1 publication

Using an interprofessional team to provide refugee healthcare in an academic medical centre

Using an interprofessional team to provide refugee healthcare in an academic medical centre

Role of Pharmacists in the Interprofessional Care Team for Patients with Chronic Diseases

Care of the Refugee

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