From the College of Pharmacy, University of Minnesota Collage of Pharmacy, Minneapolis, MN (KAF, DLP, TDS); Eshelman School of Pharmacy, University of North Carolina, Chapel Hill, NC (MTR); American Academy of Family Physicians National Research Network, Leawood, KS (JKC).
J Am Board Fam Med. 2019 Jul-Aug;32(4):462-473. doi: 10.3122/jabfm.2019.04.180376.
In primary care, clinical pharmacists often deliver a service called comprehensive medication management (CMM). While research has identified that CMM positively influences most aspects of the Quadruple Aim, it is unclear how CMM-both the service and the role of the pharmacist-may influence the primary care provider's (PCP) clinical work, professional satisfaction, and burnout (described here as PCP's work-life). We aimed to identify how PCPs perceive CMM impacts their work-life.
Sixteen PCPs were interviewed. Interview questions centered on how CMM affects their work-life. After interviews were transcribed, a codebook was developed by 2 researchers and from the codes, themes were identified.
PCPs spoke of the pharmacist being an added skillset and resource and a collaborative partner in caring for patients. They also described 7 outcomes of having CMM available that contribute to their work-life. These outcomes were: decreased workload, satisfaction patients are receiving better care, reassurance, decreased mental exhaustion, enhanced professional learning, increased provider access, and achievement of quality measures. Lastly, the PCPs described barriers and areas of opportunity related to CMM.
Our findings suggest PCPs believe CMM, in general, positively affects their work-life. CMM's impact on PCPs aligns with many previously identified drivers of burnout and engagement among providers. These results shed light on how CMM may foster achievement of the Quadruple Aim.
在初级保健中，临床药师经常提供一项名为综合药物管理（CMM）的服务。虽然研究已经确定 CMM 积极影响四重目标的大多数方面，但尚不清楚 CMM-无论是服务还是药剂师的角色-如何影响初级保健提供者（PCP）的临床工作、职业满意度和倦怠（这里描述为 PCP 的工作生活）。我们旨在确定 PCP 如何感知 CMM 对其工作生活的影响。
对 16 名 PCP 进行了访谈。访谈问题集中在 CMM 如何影响他们的工作生活。访谈转录后，由 2 名研究人员开发了一个代码本，并从这些代码中确定了主题。
PCP 谈到药剂师是一种额外的技能组合和资源，也是照顾患者的协作伙伴。他们还描述了 7 种可用的 CMM 对其工作生活产生影响的结果。这些结果是：工作量减少、患者满意度更高、安心、精神疲惫减轻、专业学习增强、提供者获得更多机会以及达到质量措施。最后，PCP 描述了与 CMM 相关的障碍和机会领域。
我们的研究结果表明，PCP 普遍认为 CMM 对其工作生活产生积极影响。CMM 对 PCP 的影响与以前确定的提供者倦怠和参与的许多驱动因素一致。这些结果阐明了 CMM 如何促进四重目标的实现。
