Department of Pharmacotherapy, University of Utah College of Pharmacy, Salt Lake City, UT.
Kaweah Delta Health Care District, Visalia, CA.
Am J Health Syst Pharm. 2019 Aug 1;76(16):1238-1247. doi: 10.1093/ajhp/zxz123.
The purpose of this study was to identify and describe strategies that have successfully achieved collaboration among physicians and pharmacists providing comprehensive medication management (CMM) to support development of CMM services.
A 2-phase, mixed-methods approach was employed to identify successful strategies for building pharmacist-physician relationships in primary care clinic settings. Phase I used a qualitative approach to identify strategies deemed successful in building relationships with physicians. An advisory group of pharmacists with experience building CMM practices assisted in the development of minimum criteria characterizing pharmacists as having strong collaborative relationships. Semi-structured interviews were conducted with 10 interviewees meeting established criteria. Researchers coded interview transcripts and identified the resulting strategies. Phase II employed a survey instrument to determine how frequently identified strategies are used and evaluate the relative level of perceived impact of each strategy, which was distributed to a national audience of pharmacists practicing in ambulatory care settings. Responses from pharmacists meeting prespecified criteria were included in the analysis.
Thirty-three strategies were identified and grouped into 8 themes. In phase II, 104 survey respondents met defined criteria and were eligible to endorse use of identified strategies and rate their relative influence.
Thirty-three strategies were identified and grouped into 8 themes to aid pharmacists practicing CMM in developing stronger collaborative relationships with physician colleagues. A national sampling found many of these strategies were employed by a majority of pharmacists, who had found them to be influential in creating collaborative relationships.
本研究旨在识别和描述成功实现医生和药剂师合作的策略，以提供全面药物管理（CMM）服务支持 CMM 服务的发展。
采用两阶段混合方法来确定在初级保健诊所环境中建立药剂师与医生关系的成功策略。第一阶段采用定性方法来确定与医生建立关系的成功策略。一个具有建立 CMM 实践经验的药剂师顾问小组协助制定了将药剂师定性为具有强大合作关系的最低标准。对 10 名符合既定标准的受访者进行了半结构化访谈。研究人员对访谈记录进行了编码，并确定了由此产生的策略。第二阶段使用问卷调查工具来确定所识别策略的使用频率，并评估每种策略的相对影响程度，该问卷分发给在门诊环境中执业的全国范围内的药剂师。符合预定义标准的药剂师的回复被纳入分析。
共确定了 33 项策略，并将其分为 8 个主题。在第二阶段，104 名符合规定标准的调查受访者有资格认可所识别策略的使用并对其相对影响进行评分。
确定了 33 项策略并将其分为 8 个主题，以帮助从事 CMM 的药剂师与医生同事建立更紧密的合作关系。全国范围内的抽样发现，大多数药剂师都采用了这些策略，他们发现这些策略对建立合作关系具有影响力。
