School of Pharmacy, University of Waterloo, Ontario, Canada.
School of Public Health and Health Systems, University of Waterloo, Ontario, Canada.
Res Social Adm Pharm. 2020 Jan;16(1):102-107. doi: 10.1016/j.sapharm.2019.03.144. Epub 2019 Apr 3.
Pharmacists and physicians are being increasingly encouraged to adopt a collaborative approach to patient care, and delivery of health services. Strong collaboration between pharmacists and physicians is known to improve patient safety, however pharmacists have expressed difficulty in developing interprofessional working relationships. There is not a significant body of knowledge around how relationships influence how and when pharmacists and physicians communicate about patient care.
This paper examines how pharmacists and primary care physicians communicate with each other, specifically when they have or do not have an established relationship.
Thematic analysis of data from semi-structured interviews with nine primary care physicians and 25 pharmacists, we examined how pharmacists and physicians talk about their roles and responsibilities in primary care and how they build relationships with each other.
We found that both groups of professionals communicated with each other in relation to the perceived scope of their practice and roles. Three emerging themes emerged in the data focusing on (1) the different ways physicians communicate with pharmacists; (2) insights into barriers discussed by pharmacists; and (3) how relationships shape collaboration and interactions. Pharmacists were also responsible for initiating the relationship as they relied on it more than the physicians. The presence or absence of a personal connection dramatically impacts how comfortable healthcare professionals are with collaboration around care.
The findings support and extend the existing literature on pharmacist-physician collaboration, as it relates to trust, relationship, and role. The importance of strong communication is noted, as is the necessity of improving ways to build relationships to ensure strong interprofessional collaboration.
药剂师和医生越来越被鼓励采用合作的方式来照顾患者和提供医疗服务。药剂师和医生之间的密切合作已被证明可以提高患者的安全性，但药剂师表示在建立专业间的工作关系方面存在困难。目前，关于关系如何影响药剂师和医生之间关于患者护理的沟通方式和时间，还没有大量的知识。
本文研究了药剂师和初级保健医生如何相互沟通，特别是当他们之间已经建立或尚未建立关系时。
对 9 名初级保健医生和 25 名药剂师的半结构化访谈数据进行主题分析，我们考察了药剂师和医生如何谈论他们在初级保健中的角色和责任，以及他们如何相互建立关系。
我们发现，这两组专业人员都根据他们的实践范围和角色进行相互沟通。数据中出现了三个新的主题，分别是（1）医生与药剂师沟通的不同方式；（2）药剂师讨论的障碍见解；以及（3）关系如何塑造合作和互动。药剂师还负责建立关系，因为他们比医生更依赖这种关系。个人联系的存在或缺失极大地影响了医疗保健专业人员在合作方面的舒适度。
这些发现支持并扩展了关于药剂师与医生合作的现有文献，涉及信任、关系和角色。强调了良好沟通的重要性，并指出需要改进建立关系的方式，以确保强有力的专业间合作。
