Arya Vibhuti, Pinto Sharrel, Singer Jesse
J Med Pract Manage. 2013 Nov-Dec;29(3):187-94.
Pharmacist scope of practice has evolved over the last few decades. As such, pharmacists are more widely involved in disease management, medication therapy management (MTM), and patient education. As the primary care shortage continues to be of concern for the U.S. healthcare system, pharmacists are well positioned as accessible, trusted, and knowledgeable professionals to help ease physician burden in assisting patients with medication management. Very few studies have been done to understand the perceptions of primary care providers regarding the involvement and role of pharmacists in MTM programs. The New York City Department of Health and Mental Hygiene performed a qualitative study to obtain a better understanding of the perceptions related to pharmacist-led MTM programs among primary care physicians in New York City. Physician education around the role of pharmacists was found to be critical in building collaborative relationships between physicians and pharmacists. Our study rationale, design, and preliminary findings have been discussed previously. This paper provides the detailed report and potential impact of our study findings on building collaborative team-based relationships that will allow for improved patient outcomes.
在过去几十年中,药剂师的执业范围不断演变。因此,药剂师更广泛地参与疾病管理、药物治疗管理(MTM)和患者教育。由于初级保健短缺问题持续困扰着美国医疗系统,药剂师作为易于接触、值得信赖且知识渊博的专业人员,处于有利地位,可帮助减轻医生在协助患者进行药物管理方面的负担。很少有研究去了解初级保健提供者对药剂师在MTM项目中的参与情况和作用的看法。纽约市卫生和精神卫生部门进行了一项定性研究,以更好地了解纽约市初级保健医生对药剂师主导的MTM项目的看法。结果发现,围绕药剂师角色的医生教育对于建立医生与药剂师之间的合作关系至关重要。我们的研究原理、设计和初步结果此前已进行过讨论。本文提供了详细报告以及我们的研究结果对建立基于团队的合作关系的潜在影响,这将有助于改善患者治疗效果。