RESULTS A total of 181 renewal requests were included (94 in the control group and 87 in the intervention group). Physicians’ views on collaboration with pharmacists give an insight into what contributes to a well-functioning team. Future research might examine ways to improve the efficiency of the intervention or attempt to validate these results in a larger sample using clinical out-comes (eg, reduced adverse drug events) and pharmacists practising in others settings (eg, traditional community pharmacies). Methods: This was a prospective, multicenter, cohort study. It has never been more important for the pharmacist and physician to collaborate effectively regarding their shared patients. Physicians and other prescribers are facing growing pressures due to an influx of patients seeking care, increasing administrative requirements, and payment being tied to quality. The pharmacist reviewed the chart to assess the appropriateness of authorizing the prescription by determining if the requested medications appeared to be having the desired therapeutic effect and if patients were being appropriately monitored. A collaborative approach to treating opioid use disorder that relies heavily on community pharmacists is feasible and may increase adherence and participant satisfaction, according to a pilot study published today in Addiction. Trust and accountability between individuals are key-stones that allow good social exchanges and rapport to develop between practitioners. Your email. Author information: (1)Eckerd PatientCARE Network, Largo, FL, USA. one pharmacist who had been active with physicians served as the key informant. Pharmacist-physician collaboration in pain management practice. Discover the world's research 17+ million members Solving these medication challenges will be complex and multifactorial. The pharmacists then sent feedback to their partnering doctors, who adjusted dosage as warranted. OBJECTIVE To determine if there is improvement in medication management when pharmacists and family physicians collaborate to prescribe medication renewals requested by fax. A 2013 study that surveyed pharmacists and physicians found that both parties are eager for more collaboration by overwhelming numbers. For pharmacists, trust appears to be conferred on physicians based on title, degree, status and positional authority. Copyright © 2021 by The College of Family Physicians of Canada, Sign In to Email Alerts with your Email Address. As a physician, I love it when I get a call from pharmacists. Community pharmacy … The pharmacist assessed drug-therapy issues that might preclude safe and effective prescribing of the medication. The statin was discontinued. Eligible patients were enrolled into either the intervention or the control group based on the availability of the part-time pharmacist who was part of the intervention group. Unfortunately, physicians must assess the appropriateness of these renewal requests during a busy clinic day and, as a result, a complete assessment of medication appropriateness is not always possible. Read more at NIH News Releases. In addition, intervention patients were recalled for physician appointments more often (31 vs 21, P = .049) and there was a non-significant trend toward more appointments being booked with the clinic pharmacist, more monitoring tests being ordered, and more referrals being made to other health care professionals (Table 2). 0. Similarly, 97% of physicians … Nearly 89% of participants remained in the study and more than 95% complied with the daily medication regimen, suggesting that physician-pharmacist collaboration is effective. The results of this study suggest that there is improvement in medication management when a pharmacist integrated in a primary health centre collaborates with family physicians to prescribe medication renewals. As a result, a complete assessment of medication appropriateness is not always possible. Pharmacists not only have the expertise to assist in this task, but they have an existing working relationship with physicians that will foster teamwork and collaboration. There was no difference in adverse events documented in the pharmacist-physician compared with physician-only management (7.2% vs 3.7%, P = 0.32). The authors sought to examine whether a collaborative approach to authorizing these faxed renewal requests would improve the process. Unfortunately, physicians must assess the appropriateness of these faxed renewal requests during a busy clinic day, when it might be challenging to identify problems associated with the renewal requests. We recommend upgrading to one of the modern browsers below. Pharmacist and advanced practice registered nurse collaborations are not well documented. • Integrated: Collaboration is partial; pharmacists are embedded in PCP offices and meet with patients to manage medications between physician visits, review patient needs, and make medication management recommendations. Significantly more patients in the control group had renewals authorized without intervention (75.5% vs 52.9%, P = .001), suggesting that the intervention group had more activity generated as a result of the renewal requests. There are studies that evaluate the effects of independent pharmacist-managed prescription renewal clinics in the United States, where pharmacists work independently to authorize prescription renewals instead of physicians.15–17 Although these studies demonstrate that these renewal clinics provide a valuable service, the health system is clearly moving away from independent models of practice owing to the resounding overall benefits of collaborative practice. Despite the potential benefits from pharmacist–physician collaboration, little is known about how to establish such collaborative working relationships. However, these faxed requests are best managed using a collaborative model. Additionally, lack of access to information, time constraints, misconceptions regarding roles and responsibilities of other team members can all make open collaboration difficult for both the pharmacist and physician. Pharmacist and physician collaborative prescribing, Development and implementation of a centralized comprehensive refill authorization program in an academic health system, Provider perceptions of knowledge exchange and communication in a multisite family health team, Clinical pharmacy experience in ophthalmology setting of using collaborative drug therapy management (CDTM), Interprofessional collaboration in family health teams: An Ontario-based study, The way we do things around here: Advancing an interprofessional care culture within primary care, Notre facon de faire ici: Promouvoir une culture interprofessionnelle dans les soins primaires, Long-term treatment outcomes in a First Nations high school population with opioid use disorder, Involvement of palliative care in patients requesting medical assistance in dying, Caring for children with mental health or developmental and behavioural disorders, Delays in testing as a source of COVID-19 false-negative results, Rooming-in care for infants of opioid-dependent mothers, Data discipline in electronic medical records, http://www.cfpc.ca/Canadianfamilyphysician/, Copyright© the College of Family Physicians of Canada.

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