Faculty of Health, Medicine and Life Sciences, Department of Health Services Research, CAPHRI Care and Public Health Institute, Maastricht University, Maastricht, The Netherlands.
School of Public Health & Community Medicine, University of New South Wales, Sydney, NSW, Australia.
Health Soc Care Community. 2019 Jul;27(4):e189-e212. doi: 10.1111/hsc.12705. Epub 2018 Dec 20.
Effective interprofessional collaboration is critical for sustaining high quality care in the context of the increasing burden on primary healthcare services. Despite this, there is limited understanding of the factors contributing to effective collaboration between general practitioners and community pharmacists. The aim of this systematic review was to identify the factors that impact on interprofessional collaboration between general practitioners (GPs) and community pharmacists (CPs). Keywords and synonyms were combined and applied to four databases (EMBASE, CINAHL, SCOPUS, and MEDLINE) to identify articles published between January 2000 to April 2017. Relevant journals and reference lists were also hand-searched. A total of 37 articles met the eligibility criteria. Factors that posed a challenge to effective interprofessional collaboration were the perceived imbalance in hierarchy and power between the professions and a lack of understanding of each other's skills and knowledge. Experience of collaboration with the other party led to greater understanding of each other's capabilities and potential role in co-delivering patient care. The physical environment was also identified as important, with co-location and other resources to facilitate clear and regular communication identified as important facilitators of interprofessional collaboration. The review findings highlight a range of approaches that may positively influence interprofessional collaboration between GPs and CPS such as co-location, co-education to understand the professional capabilities of each group, and utilising compatible technologies to facilitate communication between the two professions.
有效的跨专业合作对于在基层医疗服务负担不断增加的情况下维持高质量的医疗至关重要。尽管如此，对于促进全科医生和社区药剂师之间有效合作的因素的理解有限。本系统评价的目的是确定影响全科医生（GP）和社区药剂师（CP）之间跨专业合作的因素。关键词和同义词结合起来应用于四个数据库（EMBASE、CINAHL、SCOPUS 和 MEDLINE），以确定 2000 年 1 月至 2017 年 4 月期间发表的文章。还对手头的相关期刊和参考文献进行了搜索。共有 37 篇文章符合入选标准。对有效跨专业合作构成挑战的因素是专业之间感知到的等级和权力不平衡，以及对彼此技能和知识的理解不足。与另一方合作的经验导致对彼此能力和共同提供患者护理的潜在作用有了更深入的了解。物理环境也被认为很重要，共同定位和其他资源以促进清晰和定期沟通被确定为促进跨专业合作的重要促进因素。审查结果强调了一系列可能对促进全科医生和社区药剂师之间跨专业合作产生积极影响的方法，例如共同定位、共同教育以了解每个群体的专业能力，以及利用兼容的技术促进两个专业之间的沟通。
