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Qualitative study to conceptualise a model of interprofessional collaboration between pharmacists and general
Adam P Rathbone1, Sarab M Mansoor2, Ines Krass2
1Faculty of Pharmacy, The University of Sydney, Sydney, New South Wales, Australia School of Medicine, Pharmacy and Health, University of Durham, Stockton-on-Tees, UK.
Objectives:
Pharmacists and general practitioners (GPs) face an increasing expectation to collaborate interprofessionally on a number of healthcare issues, including medication non-adherence. This study aimed to propose a model of interprofessional collaboration within the context of identifying and improving medication non-adherence in primary care.
Setting:
Primary care; Sydney, Australia.
Participants:
3 focus groups were conducted with pharmacists (n=23) and 3 with GPs (n=22) working in primary care.
Primary And Secondary Outcome Measures:
Qualitative investigation of GP and pharmacist interactions with each other, and specifically around supporting their patients' medication adherence. Audio-recordings were transcribed verbatim and transcripts thematically analysed using a combination of manual and computer coding.
Results:
3 themes pertaining to interprofessional collaboration were identified (1) frequency, (2) co-collaborators and (3) nature of communication which included 2 subthemes (method of communication and type of communication). While the frequency of interactions was low, the majority were conducted by telephone. Interactions, especially those conducted face-to-face, were positive. Only a few related to patient non-adherence. The findings are positioned within contemporary collaborative theory and provide an accessible introduction to models of interprofessional collaboration.
Conclusions:
This work highlighted that successful collaboration to improve medication adherence was underpinned by shared paradigmatic perspectives and trust, constructed through regular, face-to-face interactions between pharmacists and GPs.
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