Sanchez-Molina Ana I, Benrimoj Shalom I, Ferri-Garcia Ramon, Martinez-Martinez Fernando, Gastelurrutia Miguel Angel, Amador-Fernandez Noelia, Garcia-Cardenas Victoria
Pharmaceutical Care Research Group, University of Granada, Spain.
Department of Statistics and Operations Research, University of Granada, Spain.
Explor Res Clin Soc Pharm. 2024 Dec 20;17:100555. doi: 10.1016/j.rcsop.2024.100555. eCollection 2025 Mar.
Collaborative practice between physicians and pharmacists is particularly important in the provision of pharmacy services, such as Comprehensive Medication Reviews (CMR), which often require a close coordination between these professionals. Understanding the level and nature of this collaboration can assist in the development of strategies to enhance integrated care.
(1) To evaluate the changes in level of collaborative practice between community pharmacists and physicians in the context of a CMR service compared to usual practice, from the perspective of community pharmacists, and (2) to explore the determinants of such collaborative practice.
This research was conducted alongside a 12-months prospective longitudinal observational study.
Community pharmacists providing CMR and pharmacists providing usual care (nCMR) from six provinces in Spain participated in the study. To measure the level of collaborative practice from the perspective of the community pharmacist, a previously validated tool was used. Collaborative practice was assessed at baseline, 6 months and 12 months. A multiple regression analysis was undertaken.
323 pharmacists participated in the study. At the 12-month time point there were statistical differences between CMR and nCMR groups for all factors considered in the level of collaborative practice. Determinants which showed positive significant differences between groups included: rural location of the pharmacy, pharmacists being a pharmacy owner, and female gender of the physician. The age of the pharmacist was negatively associated with higher levels of collaborative practice.
The study provides novel evidence on the level and nature of the collaborative practice between community pharmacists and physicians.
在提供药学服务时，医生与药剂师之间的协作实践尤为重要，例如全面药物评估（CMR），这通常需要这些专业人员之间密切协调。了解这种协作的程度和性质有助于制定加强综合护理的策略。
（1）从社区药剂师的角度评估与常规实践相比，在CMR服务背景下社区药剂师与医生之间协作实践水平的变化，以及（2）探索这种协作实践的决定因素。
本研究是一项为期12个月的前瞻性纵向观察性研究的一部分。
来自西班牙六个省份提供CMR的社区药剂师和提供常规护理的药剂师（非CMR）参与了该研究。为了从社区药剂师的角度衡量协作实践水平，使用了一种先前经过验证的工具。在基线、6个月和12个月时评估协作实践。进行了多元回归分析。
323名药剂师参与了该研究。在12个月的时间点，CMR组和非CMR组在协作实践水平所考虑的所有因素上存在统计学差异。组间显示出显著正差异的决定因素包括：药房位于农村地区、药剂师是药房所有者以及医生为女性。药剂师的年龄与较高水平的协作实践呈负相关。
该研究为社区药剂师与医生之间协作实践的水平和性质提供了新的证据。
