University of Washington, School of Pharmacy, 1959 NE Pacific Street, Box 357630, Seattle, WA 98195-7630, USA.
University of Nebraska Medical Center, College of Pharmacy, 986145 Nebraska Medical Center, Omaha, NE 68198-6145, USA.
Res Social Adm Pharm. 2018 Jan;14(1):112-115. doi: 10.1016/j.sapharm.2016.12.005. Epub 2017 Jan 3.
Building collaborative working relationships (CWRs) with physicians or other prescribers is an important step for community pharmacists in establishing a collaborative practice agreement (CPA). This case study describes the individual, context, and exchange factors that drive pharmacist-physician CWR development for community pharmacy-based point-of-care (POC) testing. Two physicians who had entered in a CPA with community pharmacists to provide POC testing were surveyed and interviewed. High scores on the pharmacist-physician collaborative index indicated a high level of collaboration between the physicians and the pharmacist who initiated the relationship. Trust was established through the physicians' personal relationships with the pharmacist or due to the community pharmacy organization's strong reputation. The physicians' individual perceptions of community pharmacy-based POC testing affected their CWRs and willingness to establish a CPA. These findings suggest that exchange characteristics remain significant factors in CWR development. Individual factors may also contribute to physicians' willingness to advance their CWR to include a CPA for POC testing.
与医生或其他处方者建立协作工作关系（CWR）是社区药剂师建立协作实践协议（CPA）的重要步骤。本案例研究描述了驱动基于社区药房的即时检测（POC）的药剂师-医师 CWR 发展的个人、背景和交换因素。对与社区药剂师签订 CPA 以提供 POC 检测的两位医生进行了调查和访谈。药剂师-医师合作指数的高分表明医生和发起关系的药剂师之间存在高水平的合作。通过医生与药剂师的个人关系或由于社区药房组织的良好声誉建立了信任。医生对基于社区药房的 POC 检测的个人看法影响了他们的 CWR 以及建立 CPA 的意愿。这些发现表明，交换特征仍然是 CWR 发展的重要因素。个人因素也可能有助于医生愿意将他们的 CWR 进一步发展为包括 POC 检测的 CPA。
