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Pharmacist integration into the medical home: qualitative analysis
Melinda Kozminski1, Rachelle Busby, Melissa Somma McGivney
1Gateway Health Plan, Pittsburgh, PA, USA.
Journal of the American Pharmacists Association : Japha
|March 9, 2011
Summary
Integrating pharmacists into medical homes improves patient care quality and provider workflow. Initial staff concerns resolved quickly, highlighting benefits and integration strategies for healthcare teams.
Area of Science:
- Healthcare delivery
- Primary care
- Team-based care
Background:
- Medical homes aim to improve primary care coordination and quality.
- Integrating diverse healthcare professionals, like pharmacists, is a key strategy for enhancing medical home models.
Purpose of the Study:
- To assess the acceptance and attitudes of various stakeholders towards pharmacist integration into family medicine medical homes.
- To identify benefits, challenges, and facilitators for successful pharmacist integration.
Main Methods:
- A qualitative study was conducted in the Pittsburgh, PA area from August 2009 to June 2010.
- Interviews were held with family medicine physicians, clinical and nonclinical office staff, pharmacists, and patients at four medical home practices.
- Attitudes, acceptance, barriers, and problems were documented.
Main Results:
- 84 interviews revealed five key themes across all participant groups regarding pharmacist integration.
- Benefits included improved patient care quality, clinical support, educational value, and time savings.
- Challenges involved understanding the pharmacist's role, though workflow improved due to pharmacist flexibility and motivation.
Conclusions:
- Pharmacist integration into medical homes enhances patient care quality, serves as a valuable resource, and empowers patients.
- Initial staff concerns diminished within months, indicating successful adaptation.
- Findings offer guidance for developing effective pharmacist-integrated medical home teams.
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