Working in interprofessional primary health care teams: What do pharmacists do?

Farrell, Barbara; Ward, Natalie; Dore, Naomi; Russell, Grant; Geneau, Robert; Evans, Samantha

doi:10.1016/j.sapharm.2012.05.005

Cited by 55 publications

(53 citation statements)

References 42 publications

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“…It includes the acceptance of the recommendations of the pharmacist to the prescriber for changes in patients' pharmacotherapy. This finding is consistent with what was reported in a study in Canada describing the process of insertion of seven pharmacists into primary care teams with the support of mentors that observed that time, adaptability and support are required for the effective integration of the pharmacist 37 . Participants reported that the mentor role was essential to ensure trust and skill development in both the care and interpersonal aspects 37 .…”

Section: Discussionsupporting

confidence: 91%

“…This finding is consistent with what was reported in a study in Canada describing the process of insertion of seven pharmacists into primary care teams with the support of mentors that observed that time, adaptability and support are required for the effective integration of the pharmacist 37 . Participants reported that the mentor role was essential to ensure trust and skill development in both the care and interpersonal aspects 37 . The integration process of the pharmacist to the team was facilitated by the support of the local manager and other actors, who acknowledged the advances in the structuring of the pharmacy and the training of the team by becoming allies in the implementation of interventions.…”

Section: Discussionsupporting

confidence: 91%

See 1 more Smart Citation

A contribuição do farmacêutico para a promoção do acesso e uso racional de medicamentos essenciais no SUS

Melo

Castro

2017

Ciênc. saúde coletiva

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 91%

A contribuição do farmacêutico para a promoção do acesso e uso racional de medicamentos essenciais no SUS

Melo

Castro

2017

Ciênc. saúde coletiva

View full text Add to dashboard Cite

“…1,35,36 However, manifestation of this trait may be complicated by the characteristics expressed by the conscientiousness trait, focusing on mastery of tasks, which may not be compatible with the uncertainty and "greyness" that come with the new practice approaches being touted. Indeed, Farrell and others, 37 examining the integration of pharmacists into family medicine teams, found a distinct difference in comfort levels between pharmacists and physicians when approaching direct patient care.…”

Section: Discussionmentioning

confidence: 99%

Personality Traits of Hospital Pharmacists: Toward a Better Understanding of Factors Influencing Pharmacy Practice Change

Hall

Rosenthal

Family

et al. 2013

CJHP

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“…Research suggests that pharmacists who integrate into primary care teams take 2 differing approaches to the role. 45 Some focus on responding to physician requests for drug information or patient support, providing "reactive care. " These pharmacists spend the bulk of their time waiting for and answering questions from providers and do not participate actively in patient-related decision making.…”

Section: Practice Guidelinesmentioning

confidence: 99%

Guidelines for pharmacists integrating into primary care teams

et al. 2013

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PRACTICE GUIDELINESPeer-reviewed Guidelines for pharmacists integrating into primary care teams Derek Jorgenson, BSP, PharmD, FCSHP; Dan Dalton, BSc; Barbara Farrell, BScPhm, PharmD, FCSHP; Ross T. Tsuyuki, BSc(Pharm), PharmD, MSc, FCSHP, FACC; Lisa Dolovich, BScPhm, PharmD, MSc IntroductionHealth systems are moving toward a more interprofessional approach to primary care. This team-based paradigm has had a significant impact on the role of pharmacists within primary health care systems. Within the past decade, nondispensing clinical pharmacists have been integrated into many Primary Care Trusts in the United Kingdom, 1,2 primary care teams in North America 3-5 and similar practice settings around the world. 6,7 Pharmacists bring value to these teams by improving medication use through individual patient assessments and population-based interventions, providing education and drug information to other team members and implementing system-level practice enhancements. Pharmacists commonly encounter barriers to integrating into these primary care teams. For example, many experience a lack of role clarity, and other team members' expectations regarding the pharmacists' responsibilities are frequently unclear. 4,[8][9][10][11] In addition, patients often do not understand the role of the pharmacist in this setting. 9,10,12 Pharmacists are also typically unfamiliar with the roles of other team members, 13 creating difficulties in collaborating successfully.14-16 During the early stages, pharmacists often depend on other team members to assist in their integration, creating additional work for nurses and physicians.17 Other frequently reported barriers include physician resistance, lack of pharmacist assertiveness, inadequate pharmacist support, lack of space and inadequate pharmacist training. [9][10][11]13,14,[17][18][19][20][21] Many of these barriers to pharmacist integration can be minimized or avoided if pharmacists are prepared. Unfortunately, recent evidence suggests that pharmacists often continue to make the same mistakes and struggle to integrate into these teams, despite the fact that these barriers are well documented in the literature. 22 The purpose of these guidelines is to provide recommendations that will assist pharmacists to successfully integrate into existing primary care teams. MethodsA literature search was performed in OVID Books, MEDLINE, Embase and International Pharmaceutical Abstracts to identify publications related to the experiences of pharmacists in primary care teams. Additional studies were identified from bibliographical reviews of pertinent articles. Relevant articles from the search were selected for detailed review if they contained qualitative or quantitative data related to pharmacists' experiences integrating into primary care teams. Articles were excluded if they were not available in the English language. Two authors (DJ, DD) independently reviewed the relevant articles from the search and made lists of authors' conclusions about how pharmacists could have integrated bet...

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Working in interprofessional primary health care teams: What do pharmacists do?

Cited by 55 publications

References 42 publications

A contribuição do farmacêutico para a promoção do acesso e uso racional de medicamentos essenciais no SUS

A contribuição do farmacêutico para a promoção do acesso e uso racional de medicamentos essenciais no SUS

Personality Traits of Hospital Pharmacists: Toward a Better Understanding of Factors Influencing Pharmacy Practice Change

Guidelines for pharmacists integrating into primary care teams

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