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Building Interprofessional Collaborative Practices Through a Support Program for Patients With Type 2 Diabetes in

Noura Bawab1, Joanna Moullin, Sébastien Jotterand

  • 1Dr. Bawab: Research fellow, Center for Primary Care and Public Health (Unisanté), Department of ambulatory care, University of Lausanne, Lausanne, Switzerland; and Institute of Pharmaceutical Sciences of Western Switzerland, University of Geneva, University of Lausanne, Geneva, Switzerland; and School of Pharmaceutical Sciences, University of Geneva, Geneva, Switzerland; Dr. Moullin: Senior Research Fellow, Faculty of Health Sciences, School of Pharmacy and Biomedical Sciences, Curtin University, Bentley, Australia; Mr. Jotterand: General practitioner, Médecins de famille et de l'enfance Suisse, Zürich, Switzerland; and Sispha SA, Ofac, Lausanne, Switzerland. Mr. Rossier: Pharmacist, Sispha SA, Ofac, Lausanne, Switzerland. Prof. Schneider: Institute of Pharmaceutical Sciences of Western Switzerland, University of Geneva, University of Lausanne, Geneva, Switzerland, and Medication adherence and Interprofessionality lab, School of Pharmaceutical Sciences, University of Geneva, Geneva, Switzerland; Dr. Perraudin: Health economist, Center for Primary Care and Public Health (Unisanté), Department of ambulatory care, University of Lausanne, Lausanne, Switzerland; and Institute of Pharmaceutical Sciences of Western Switzerland, University of Geneva, University of Lausanne, Geneva, Switzerland; and School of Pharmaceutical Sciences, University of Geneva, Geneva, Switzerland.

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Summary

Interprofessional collaboration in type 2 diabetes care showed promise, with pharmacists and patients receptive to the Siscare program. Physician participation barriers require further investigation for improved patient outcomes.

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Area of Science:

  • Healthcare Management
  • Primary Care
  • Diabetes Management

Background:

  • The Siscare program aimed to enhance interprofessional collaboration in primary care for type 2 diabetes patients.
  • It involved patient-pharmacist motivational interviews, adherence monitoring, and physician-pharmacist interactions.

Purpose of the Study:

  • To assess the development of interprofessional collaborative practices during the implementation of the Siscare patient support program.
  • To identify facilitators and barriers to collaboration in a primary care setting.

Main Methods:

  • A prospective, multicenter, observational, mixed-methods cohort study.
  • Interprofessionality was measured across four levels of professional interaction.
  • Data collected from pharmacists, physicians, and patient outcomes.

Main Results:

  • Siscare was adopted by 41 of 47 pharmacies and presented at 43 physician meetings.
  • Pharmacists frequently transmitted information to physicians (70%), with some bidirectional exchange (42%).
  • Physician resistance was noted, though surveyed physicians favored collaboration; no physician prescribed Siscare.

Conclusions:

  • Physician resistance and motivation are key barriers to implementing collaborative care models like Siscare.
  • Despite barriers, the program was well-received by pharmacists and patients, highlighting the need for interprofessional collaboration to improve type 2 diabetes adherence and outcomes.