Perceptions of interprofessional collaboration of general practitioners and community pharmacists - a qualitative study
Background Despite numerous evidences for the positive effect of community pharmacists on health care, interprofessional collaboration of pharmacists and general practitioners is very often limited. Though highly trained, pharmacists remain an underutilised resource in primary health care in most we...
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| Vydané v: | BMC health services research Ročník 17; číslo 1; s. 224 |
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| Hlavní autori: | , , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
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London
BioMed Central
21.03.2017
Springer Nature B.V |
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| ISSN: | 1472-6963, 1472-6963 |
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| Abstract | Background
Despite numerous evidences for the positive effect of community pharmacists on health care, interprofessional collaboration of pharmacists and general practitioners is very often limited. Though highly trained, pharmacists remain an underutilised resource in primary health care in most western countries. This qualitative study aims at investigating pharmacists’ and general practitioners’ views on barriers to interprofessional collaboration in the German health care system.
Methods
A total of 13 narrative in-depth interviews, and two focus group discussions with 12 pharmacists and general practitioners in Mecklenburg-Western Pomerania, a predominantly rural region of North-Eastern Germany, were conducted. The interviews aimed at exploring general practitioners’ and pharmacists’ attitudes, views and experiences of interprofessional collaboration. At a second stage, two focus group discussions were performed. Fieldwork was carried out by a multi-professional team. All interviews and focus group discussions were audio taped and transcribed verbatim. The constant comparative method of analysis from grounded theory was applied to the data.
Results
There are three main findings: First, mutual trust and appreciation appear to be important factors influencing the quality of interprofessional collaboration. Second, in light of negative personal experiences, pharmacists call for a predefined, clear and straightforward way to communicate with physicians. Third, given the increasing challenge to treat a rising number of elderly patients with chronic conditions, general practitioners desire competent support of experienced pharmacists.
Conclusions
On the ground of methodological triangulation the findings of this study go beyond previous investigations and are able to provide specific recommendations for future interprofessional collaboration. First, interventions and initiatives should focus on increasing trust, e.g. by implementing multi-professional local quality circles. Second, governments and health authorities in most countries have been and still are reluctant in advancing political initiatives that bring together physicians and pharmacists. Proactive lobbying and empowerment of pharmacists are extremely important in this context. In addition, future physician and pharmaceutical training curricula should focus on comprehensive pharmacist-physician interaction at early stages within both professional educations and careers. Developing and fostering a culture of continued professional exchange and appreciation is one major challenge of future policy and research. |
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| AbstractList | Despite numerous evidences for the positive effect of community pharmacists on health care, interprofessional collaboration of pharmacists and general practitioners is very often limited. Though highly trained, pharmacists remain an underutilised resource in primary health care in most western countries. This qualitative study aims at investigating pharmacists' and general practitioners' views on barriers to interprofessional collaboration in the German health care system.BACKGROUNDDespite numerous evidences for the positive effect of community pharmacists on health care, interprofessional collaboration of pharmacists and general practitioners is very often limited. Though highly trained, pharmacists remain an underutilised resource in primary health care in most western countries. This qualitative study aims at investigating pharmacists' and general practitioners' views on barriers to interprofessional collaboration in the German health care system.A total of 13 narrative in-depth interviews, and two focus group discussions with 12 pharmacists and general practitioners in Mecklenburg-Western Pomerania, a predominantly rural region of North-Eastern Germany, were conducted. The interviews aimed at exploring general practitioners' and pharmacists' attitudes, views and experiences of interprofessional collaboration. At a second stage, two focus group discussions were performed. Fieldwork was carried out by a multi-professional team. All interviews and focus group discussions were audio taped and transcribed verbatim. The constant comparative method of analysis from grounded theory was applied to the data.METHODSA total of 13 narrative in-depth interviews, and two focus group discussions with 12 pharmacists and general practitioners in Mecklenburg-Western Pomerania, a predominantly rural region of North-Eastern Germany, were conducted. The interviews aimed at exploring general practitioners' and pharmacists' attitudes, views and experiences of interprofessional collaboration. At a second stage, two focus group discussions were performed. Fieldwork was carried out by a multi-professional team. All interviews and focus group discussions were audio taped and transcribed verbatim. The constant comparative method of analysis from grounded theory was applied to the data.There are three main findings: First, mutual trust and appreciation appear to be important factors influencing the quality of interprofessional collaboration. Second, in light of negative personal experiences, pharmacists call for a predefined, clear and straightforward way to communicate with physicians. Third, given the increasing challenge to treat a rising number of elderly patients with chronic conditions, general practitioners desire competent support of experienced pharmacists.RESULTSThere are three main findings: First, mutual trust and appreciation appear to be important factors influencing the quality of interprofessional collaboration. Second, in light of negative personal experiences, pharmacists call for a predefined, clear and straightforward way to communicate with physicians. Third, given the increasing challenge to treat a rising number of elderly patients with chronic conditions, general practitioners desire competent support of experienced pharmacists.On the ground of methodological triangulation the findings of this study go beyond previous investigations and are able to provide specific recommendations for future interprofessional collaboration. First, interventions and initiatives should focus on increasing trust, e.g. by implementing multi-professional local quality circles. Second, governments and health authorities in most countries have been and still are reluctant in advancing political initiatives that bring together physicians and pharmacists. Proactive lobbying and empowerment of pharmacists are extremely important in this context. In addition, future physician and pharmaceutical training curricula should focus on comprehensive pharmacist-physician interaction at early stages within both professional educations and careers. Developing and fostering a culture of continued professional exchange and appreciation is one major challenge of future policy and research.CONCLUSIONSOn the ground of methodological triangulation the findings of this study go beyond previous investigations and are able to provide specific recommendations for future interprofessional collaboration. First, interventions and initiatives should focus on increasing trust, e.g. by implementing multi-professional local quality circles. Second, governments and health authorities in most countries have been and still are reluctant in advancing political initiatives that bring together physicians and pharmacists. Proactive lobbying and empowerment of pharmacists are extremely important in this context. In addition, future physician and pharmaceutical training curricula should focus on comprehensive pharmacist-physician interaction at early stages within both professional educations and careers. Developing and fostering a culture of continued professional exchange and appreciation is one major challenge of future policy and research. Background Despite numerous evidences for the positive effect of community pharmacists on health care, interprofessional collaboration of pharmacists and general practitioners is very often limited. Though highly trained, pharmacists remain an underutilised resource in primary health care in most western countries. This qualitative study aims at investigating pharmacists’ and general practitioners’ views on barriers to interprofessional collaboration in the German health care system. Methods A total of 13 narrative in-depth interviews, and two focus group discussions with 12 pharmacists and general practitioners in Mecklenburg-Western Pomerania, a predominantly rural region of North-Eastern Germany, were conducted. The interviews aimed at exploring general practitioners’ and pharmacists’ attitudes, views and experiences of interprofessional collaboration. At a second stage, two focus group discussions were performed. Fieldwork was carried out by a multi-professional team. All interviews and focus group discussions were audio taped and transcribed verbatim. The constant comparative method of analysis from grounded theory was applied to the data. Results There are three main findings: First, mutual trust and appreciation appear to be important factors influencing the quality of interprofessional collaboration. Second, in light of negative personal experiences, pharmacists call for a predefined, clear and straightforward way to communicate with physicians. Third, given the increasing challenge to treat a rising number of elderly patients with chronic conditions, general practitioners desire competent support of experienced pharmacists. Conclusions On the ground of methodological triangulation the findings of this study go beyond previous investigations and are able to provide specific recommendations for future interprofessional collaboration. First, interventions and initiatives should focus on increasing trust, e.g. by implementing multi-professional local quality circles. Second, governments and health authorities in most countries have been and still are reluctant in advancing political initiatives that bring together physicians and pharmacists. Proactive lobbying and empowerment of pharmacists are extremely important in this context. In addition, future physician and pharmaceutical training curricula should focus on comprehensive pharmacist-physician interaction at early stages within both professional educations and careers. Developing and fostering a culture of continued professional exchange and appreciation is one major challenge of future policy and research. Despite numerous evidences for the positive effect of community pharmacists on health care, interprofessional collaboration of pharmacists and general practitioners is very often limited. Though highly trained, pharmacists remain an underutilised resource in primary health care in most western countries. This qualitative study aims at investigating pharmacists' and general practitioners' views on barriers to interprofessional collaboration in the German health care system. A total of 13 narrative in-depth interviews, and two focus group discussions with 12 pharmacists and general practitioners in Mecklenburg-Western Pomerania, a predominantly rural region of North-Eastern Germany, were conducted. The interviews aimed at exploring general practitioners' and pharmacists' attitudes, views and experiences of interprofessional collaboration. At a second stage, two focus group discussions were performed. Fieldwork was carried out by a multi-professional team. All interviews and focus group discussions were audio taped and transcribed verbatim. The constant comparative method of analysis from grounded theory was applied to the data. There are three main findings: First, mutual trust and appreciation appear to be important factors influencing the quality of interprofessional collaboration. Second, in light of negative personal experiences, pharmacists call for a predefined, clear and straightforward way to communicate with physicians. Third, given the increasing challenge to treat a rising number of elderly patients with chronic conditions, general practitioners desire competent support of experienced pharmacists. On the ground of methodological triangulation the findings of this study go beyond previous investigations and are able to provide specific recommendations for future interprofessional collaboration. First, interventions and initiatives should focus on increasing trust, e.g. by implementing multi-professional local quality circles. Second, governments and health authorities in most countries have been and still are reluctant in advancing political initiatives that bring together physicians and pharmacists. Proactive lobbying and empowerment of pharmacists are extremely important in this context. In addition, future physician and pharmaceutical training curricula should focus on comprehensive pharmacist-physician interaction at early stages within both professional educations and careers. Developing and fostering a culture of continued professional exchange and appreciation is one major challenge of future policy and research. Background Despite numerous evidences for the positive effect of community pharmacists on health care, interprofessional collaboration of pharmacists and general practitioners is very often limited. Though highly trained, pharmacists remain an underutilised resource in primary health care in most western countries. This qualitative study aims at investigating pharmacists’ and general practitioners’ views on barriers to interprofessional collaboration in the German health care system. Methods A total of 13 narrative in-depth interviews, and two focus group discussions with 12 pharmacists and general practitioners in Mecklenburg-Western Pomerania, a predominantly rural region of North-Eastern Germany, were conducted. The interviews aimed at exploring general practitioners’ and pharmacists’ attitudes, views and experiences of interprofessional collaboration. At a second stage, two focus group discussions were performed. Fieldwork was carried out by a multi-professional team. All interviews and focus group discussions were audio taped and transcribed verbatim. The constant comparative method of analysis from grounded theory was applied to the data. Results There are three main findings: First, mutual trust and appreciation appear to be important factors influencing the quality of interprofessional collaboration. Second, in light of negative personal experiences, pharmacists call for a predefined, clear and straightforward way to communicate with physicians. Third, given the increasing challenge to treat a rising number of elderly patients with chronic conditions, general practitioners desire competent support of experienced pharmacists. Conclusions On the ground of methodological triangulation the findings of this study go beyond previous investigations and are able to provide specific recommendations for future interprofessional collaboration. First, interventions and initiatives should focus on increasing trust, e.g. by implementing multi-professional local quality circles. Second, governments and health authorities in most countries have been and still are reluctant in advancing political initiatives that bring together physicians and pharmacists. Proactive lobbying and empowerment of pharmacists are extremely important in this context. In addition, future physician and pharmaceutical training curricula should focus on comprehensive pharmacist-physician interaction at early stages within both professional educations and careers. Developing and fostering a culture of continued professional exchange and appreciation is one major challenge of future policy and research. |
| ArticleNumber | 224 |
| Author | Stremme, Martin Paschka, Susanne D. Altiner, Attila Koudmani, Carolin Löffler, Christin Stahlhacke, Bernd Böhmer, Femke Drewelow, Eva Höck, Jennifer |
| Author_xml | – sequence: 1 givenname: Christin surname: Löffler fullname: Löffler, Christin email: christin.loeffler@med.uni-rostock.de organization: Institute of General Practice, Rostock University Medical Center – sequence: 2 givenname: Carolin surname: Koudmani fullname: Koudmani, Carolin organization: Institute of General Practice, Rostock University Medical Center – sequence: 3 givenname: Femke surname: Böhmer fullname: Böhmer, Femke organization: Institute of General Practice, Rostock University Medical Center, Department of Conservative Dentistry and Periodontology, Rostock University Medical Center – sequence: 4 givenname: Susanne D. surname: Paschka fullname: Paschka, Susanne D. organization: Hospital Pharmacy, Rostock University Medical Center – sequence: 5 givenname: Jennifer surname: Höck fullname: Höck, Jennifer organization: Institute of General Practice, Rostock University Medical Center – sequence: 6 givenname: Eva surname: Drewelow fullname: Drewelow, Eva organization: Institute of General Practice, Rostock University Medical Center – sequence: 7 givenname: Martin surname: Stremme fullname: Stremme, Martin organization: Institute of General Practice, Rostock University Medical Center – sequence: 8 givenname: Bernd surname: Stahlhacke fullname: Stahlhacke, Bernd organization: Chamber of Pharmacists of Mecklenburg-Western Pomerania – sequence: 9 givenname: Attila surname: Altiner fullname: Altiner, Attila organization: Institute of General Practice, Rostock University Medical Center |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/28327136$$D View this record in MEDLINE/PubMed |
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| References_xml | – volume: 17 start-page: 247 year: 2012 ident: 2157_CR26 publication-title: Adv in Health Sci Educ doi: 10.1007/s10459-010-9260-5 – volume: 32 start-page: 472 year: 2010 ident: 2157_CR10 publication-title: Pharm World Sci doi: 10.1007/s11096-010-9393-x – ident: 2157_CR11 – volume: 53 start-page: 594 issue: 493 year: 2003 ident: 2157_CR1 publication-title: Br J Gen Pract – volume: 7 start-page: CD000336 year: 2010 ident: 2157_CR4 publication-title: Cochrane Database Syst Rev – volume: 9 start-page: 688 year: 2013 ident: 2157_CR24 publication-title: Res Social Adm Pharm doi: 10.1016/j.sapharm.2012.12.005 – volume-title: Qualitative research with text, image and sound: a practical handbook year: 2000 ident: 2157_CR16 – volume: 19 start-page: 21 issue: 1 year: 2011 ident: 2157_CR2 publication-title: Int J Pharm Pract doi: 10.1111/j.2042-7174.2010.00070.x – volume: 41 start-page: 682 year: 2001 ident: 2157_CR22 publication-title: J Am Pharm Assoc doi: 10.1016/S1086-5802(16)31315-8 – volume: 51 start-page: 412 year: 2011 ident: 2157_CR23 publication-title: J Am Pharm Assoc doi: 10.1331/JAPhA.2011.10068 – volume-title: Constructing Grounded Theory: A Practical Guide Through Qualitative Analysis year: 2006 ident: 2157_CR20 – volume: 44 start-page: 650 issue: 4 year: 2010 ident: 2157_CR25 publication-title: Ann Pharmacother doi: 10.1345/aph.1M537 – volume: 25 start-page: 331 issue: 3 year: 2013 ident: 2157_CR6 publication-title: Sante Publique doi: 10.3917/spub.253.0331 – volume: 20 start-page: 50 issue: 1 year: 2011 ident: 2157_CR7 publication-title: Pharmacoepidemiol Drug Saf doi: 10.1002/pds.1949 – volume: 31 start-page: 1977 year: 1985 ident: 2157_CR8 publication-title: Can Fam Physician – volume: 5 start-page: 223 issue: 3 year: 2013 ident: 2157_CR13 publication-title: J Prim Health Care doi: 10.1071/HC13223 – volume: 48 start-page: 923 year: 2010 ident: 2157_CR5 publication-title: Med Care doi: 10.1097/MLR.0b013e3181e57962 – volume: 35 start-page: 584 issue: 4 year: 2013 ident: 2157_CR3 publication-title: Int J Clin Pharm doi: 10.1007/s11096-013-9772-1 – volume-title: The Discovery of Grounded Theory – Strategies for Qualitative Research year: 1967 ident: 2157_CR18 – volume: 149 start-page: 3032 year: 2009 ident: 2157_CR21 publication-title: Dt Apoth Ztg – volume: 12 start-page: 229 year: 2012 ident: 2157_CR12 publication-title: BMC Health Serv Res doi: 10.1186/1472-6963-12-229 – volume-title: Sozialwissenschaftliche Hermeneutik. Eine Einführung year: 1997 ident: 2157_CR15 – volume: 35 start-page: 813 issue: 5 year: 2013 ident: 2157_CR9 publication-title: Int J Clin Pharm doi: 10.1007/s11096-013-9813-9 – volume: 8 start-page: 36 issue: 1 year: 2012 ident: 2157_CR14 publication-title: Res Social Adm Pharm doi: 10.1016/j.sapharm.2010.12.005 – volume-title: Focus Groups: A Practical Guide for Applied Research year: 2009 ident: 2157_CR17 – volume-title: Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory year: 2008 ident: 2157_CR19 doi: 10.4135/9781452230153 |
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Despite numerous evidences for the positive effect of community pharmacists on health care, interprofessional collaboration of pharmacists and... Despite numerous evidences for the positive effect of community pharmacists on health care, interprofessional collaboration of pharmacists and general... Background Despite numerous evidences for the positive effect of community pharmacists on health care, interprofessional collaboration of pharmacists and... |
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| Title | Perceptions of interprofessional collaboration of general practitioners and community pharmacists - a qualitative study |
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