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Care coordination and follow-up practices in the community pharmacy setting: A mixed methods study
Journal of the American Pharmacists Association : Japha
|January 11, 2020
Summary
Pharmacists frequently use fax or phone for care coordination with prescribers. Building strong interdisciplinary relationships is crucial but challenging for effective patient-centered care.
Area of Science:
- Pharmacy Practice
- Health Services Research
- Interprofessional Collaboration
Background:
- Care coordination is vital for optimizing patient medication management and health outcomes.
- Effective communication between pharmacists, prescribers, and care managers is essential for patient-centered care.
- Community pharmacy settings present unique opportunities and challenges for care coordination.
Purpose of the Study:
- To quantify the frequency of care coordination activities between pharmacists, prescribers, and care managers.
- To identify strategies employed by pharmacists for care coordination and follow-up in community pharmacies.
- To explore pharmacists' perspectives on interdisciplinary collaboration and relationship-building.
Main Methods:
- A mixed methods approach combining surveys and in-depth interviews.
- Surveys collected data from 87 community pharmacies regarding care coordination practices.
- Thematic analysis of transcribed interviews with 12 pharmacists provided qualitative insights.
Main Results:
- Fax (82.1%) and phone (65.5%) were the most common communication methods with prescribers.
- Pharmacists defined care coordination as interdisciplinary collaboration for patient-centered care.
- While recognizing the importance of provider relationships, pharmacists reported difficulties in establishing them.
Conclusions:
- Care coordination between pharmacists, prescribers, and care managers is critical for improving patient outcomes.
- This study is the first to quantify care coordination in this interprofessional context and identify facilitation strategies.
- Findings can inform the optimal implementation of care coordination and longitudinal follow-up in community pharmacy practice.
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