Successful implementation and provision of enhanced and extended pharmacy services

Hattingh, Laetitia; Sim, Tin Fei; Sunderland, Bruce; Czarniak, Petra

doi:10.1016/j.sapharm.2019.06.015

Cited by 30 publications

(32 citation statements)

References 50 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Despite the overwhelmingly positive impact of pharmacist services on patient outcomes, the integration of pharmacists in ambulatory care programs is not widespread. A survey conducted by Hattingh and colleagues identified three major themes as factors that impacted the provision of pharmacist services: (1) pharmacist characteristics, (2) local needs, structures and support, and (3) an enabling practice framework [8,9]. In this paper, we describe the program development, successful implementation and outcomes of pharmacist collaborative care models provided by the University of California, San Diego Skaggs School of Pharmacy and Pharmaceutical Sciences (SSPPS) faculty in two affiliated academic health systems.…”

Section: Introductionmentioning

confidence: 99%

Advancing Pharmacist Collaborative Care within Academic Health Systems

et al. 2019

View full text Add to dashboard Cite

Introduction: The scope of pharmacy practice has evolved over the last few decades to focus on the optimization of medication therapy. Despite this positive impact, the lack of reimbursement remains a significant barrier to the implementation of innovative pharmacist practice models. Summary: We describe the successful development, implementation and outcomes of three types of pharmacist collaborative care models: (1) a pharmacist with physician oversight, (2) pharmacist–interprofessional teams and (3) physician–pharmacist teams. The outcome measurement of these pharmacist care models varied from the design phase to patient volume measurement and to comprehensive quality dashboards. All of these practice models have been successfully funded by affiliated health systems or grants. Conclusions: The expansion of pharmacist services delivered by clinical faculty has several benefits to affiliated health systems: (1) significant improvements in patient care quality, (2) access to experts in specialty areas, and (3) the dissemination of outcomes with national and international recognition, increasing the visibility of the health system.

show abstract

Section: Introductionmentioning

confidence: 99%

Advancing Pharmacist Collaborative Care within Academic Health Systems

et al. 2019

View full text Add to dashboard Cite

show abstract

“…When consensus was not reached, the other two researchers were involved to resolve any disagreements. Other data relevant to factors influencing the implementation and maintenance of professional pharmacy services were reported elsewhere [6].…”

Section: Discussionmentioning

confidence: 99%

“…The experience and confidence of the pharmacist emerged as one of the facilitators for effective interactions with other health professionals. The impact of pharmacist characteristics, including their determination, leadership skills, clinical expertise, rapport and having a proactive approach, have been previously demonstrated to exert a significant influence on the success of professional services delivery in the current practice landscape [6].…”

Section: Discussionmentioning

confidence: 99%

“…This manuscript focuses on reporting detailed demographic information about the participants, their practice settings and professional roles, and processes used to achieve effective communication and collaboration with other health professionals in the context of a changing practice landscape. Pharmacists' perspectives on the implementation of services, including prior investigation and research undertaken, their considerations and perceptions of the impact of services, and factors influencing the success of service provision, are reported elsewhere [6].…”

Section: Design and Settingmentioning

confidence: 99%

“…Pharmacy practice in Australia, in line with international trends, has evolved from a focus on dispensing and supply towards a growing emphasis on the provision of professional and cognitive services [1][2][3][4][5][6]. There appears to be no consistent definition which encompasses the range of services offered by pharmacists practising in primary care settings [7].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Effective communication and collaboration with health professionals: A qualitative study of primary care pharmacists in Western Australia

et al. 2020

Self Cite

View full text Add to dashboard Cite

Background The expanded provision of professional services by community pharmacists in the primary care setting encompasses the necessity to communicate and collaborate with other health professionals. Little is currently known about contemporary processes employed for their achievement. Objective To explore contemporary processes employed for effective communication and collaboration between primary care pharmacists and health professionals. Methods In-depth semi-structured interviews were conducted with pharmacists practising in primary care settings requiring varying expertise, practice experience and speciality backgrounds. Interviews were audio-recorded, transcribed verbatim and coded using NVivo version 11. Data were analysed following an inductive approach to facilitate thematic analysis. Results Twenty-six pharmacists were interviewed, which achieved data saturation. Five overarching themes emerged as participants described their experiences and perspectives regarding processes employed for communication and collaboration: i) tailored means of communication, ii) referral processes, iii) facilitators for effective interactions, iv) barriers to effective interactions, and v) implementation of a national digital health record. Participants acknowledged that the changing landscape of the Australian health system affected communication and collaboration with other health professionals. The changes resulted in participants' acceptance of a multidisciplinary approach to healthcare, which was contingent upon effective communication, interactions and relationships with other health professionals. Varying

show abstract

“A little bit more looking…listening and feeling” A qualitative interview study exploring advanced clinical practice in primary care and community pharmacy

2021

View full text Add to dashboard Cite

Background Growing demands on healthcare globally, combined with workforce shortages, have led to greater skill mix in healthcare settings. Pharmacists are increasingly moving into complex areas of practice, a move supported by policy and education/training changes. Aim To understand the nature of extended roles for pharmacists practising at an advanced level in primary care and community pharmacy settings, to explore how clinical and physical examination was incorporated into practice and to understand the impact of providing such examination on practice and on patient relationships. Method Telephone interviews (N = 15) were conducted with a purposive sample of pharmacists using clinical and physical examination in their practice in Great Britain. The sample included primary care pharmacists (N = 5), community pharmacists (N = 4), pharmacists working across settings (N = 5) and one working in another primary care setting. Participants were recruited through professional networks, social media and snowballing. Results Primary care pharmacists and community pharmacists were utilising clinical and physical examination skills in their practice. Some community pharmacists were operating locally-commissioned services for low acuity conditions. Incorporating such examinations into practice enabled pharmacists to look at the patient holistically and enhanced pharmacist/patient relationships. Barriers to practise included lack of timely sharing of patient data and perceived reluctance on the part of some pharmacists for advanced practice. Conclusion With growing opportunities to provide patient-focussed care, it remains to be seen whether pharmacists, both in Great Britain and elsewhere, are able to overcome some of the organisational, structural and cultural barriers to advanced practice that currently exist in community pharmacy.

show abstract

Successful implementation and provision of enhanced and extended pharmacy services

Cited by 30 publications

References 50 publications

Advancing Pharmacist Collaborative Care within Academic Health Systems

Advancing Pharmacist Collaborative Care within Academic Health Systems

Effective communication and collaboration with health professionals: A qualitative study of primary care pharmacists in Western Australia

“A little bit more looking…listening and feeling” A qualitative interview study exploring advanced clinical practice in primary care and community pharmacy

Contact Info

Product

Resources

About