Division of Pharmacy, School of Medicine, University of Tasmania, Sandy Bay Campus, Pharmacy Building, Churchill Avenue, 7005, Australia.
Department of Primary Care Medicine, University of Malaya Primary Care Research Group (UMPCRG), Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia.
Res Social Adm Pharm. 2017 Nov;13(6):1142-1150. doi: 10.1016/j.sapharm.2016.10.004. Epub 2016 Oct 12.
This study describes the perspective of patients, nurses, pharmacists, doctors and policy makers to identify the level of collaboration and the areas for improvement to achieve inter-professional collaboration between doctors, nurses, pharmacists and policy makers in a primary care clinic.
Patients (n = 20), Nurses (n = 10), pharmacists (n = 11), doctors (n = 10) and policy makers (n = 5) from a primary care were individually interviewed using a semi-structured topic guide. Purposive sampling was used. Interviews were transcribed verbatim and analysed using thematic analysis informed by constant comparison.
Patients, doctors, nurses, pharmacists and policy makers were eager for pharmacists to be more proactive in creating health awareness and conducting osteoporosis screening at the primary care clinic via inter-professional collaboration. These findings were further examined using the D'Amour's structural model of collaboration which encompasses four main themes: shared goals and visions, internalization, formalization and governance. This model supports our data which highlights a lack of understanding of the pharmacists' role among the doctors, nurses, policy makers and pharmacists themselves. There is also a lack of governance and formalization, that fosters consensus, leadership, protocol and information exchange. Nonetheless, the stakeholders trust that pharmacists have sufficient knowledge to contribute to the screening of osteoporosis. Our primary care clinic can be described as developing towards an inter-professional collaboration in managing osteoporosis but is still in its early stages.
Inter-professional collaboration in osteoporosis management at the primary care level is beginning to be practised. Efforts extending to awareness and acceptance towards the pharmacists' role will be crucial for a successful change.
本研究从患者、护士、药剂师、医生和政策制定者的角度描述了协作水平，并确定了需要改进的领域，以实现初级保健诊所中医生、护士、药剂师和政策制定者之间的专业协作。
采用目的抽样法，对初级保健中心的 20 名患者、10 名护士、11 名药剂师、10 名医生和 5 名政策制定者进行了半结构化主题访谈。访谈逐字记录，并使用以不断比较为基础的主题分析进行分析。
患者、医生、护士、药剂师和政策制定者都渴望药剂师通过专业协作在初级保健诊所更积极地开展健康教育和进行骨质疏松症筛查。通过 D'Amour 的协作结构模型进一步研究了这些发现，该模型包括四个主要主题：共同目标和愿景、内化、正式化和治理。该模型支持我们的数据，突出了医生、护士、政策制定者和药剂师本身对药剂师角色的理解不足。此外，还缺乏促进共识、领导力、协议和信息交流的治理和正式化。尽管如此，利益相关者还是相信药剂师有足够的知识来参与骨质疏松症的筛查。我们的初级保健诊所可以被描述为在管理骨质疏松症方面开始进行专业协作，但仍处于早期阶段。
在初级保健层面管理骨质疏松症方面的专业协作已经开始实施。努力提高对药剂师角色的认识和接受程度对于成功变革至关重要。
