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Exploring successful community pharmacist-physician collaborative working relationships using mixed methods

Smith, RB (2010) Exploring successful community pharmacist-physician collaborative working relationships using mixed methods. Research in Social and Administrative Pharmacy, 6 (4). 307 - 323. ISSN 1551-7411

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Abstract

Background: Collaborative working relationships (CWRs) between community pharmacists and physicians may foster the provision of medication therapy management services, disease state management, and other patient care activities; however, pharmacists have expressed difficulty in developing such relationships. Additional work is needed to understand the specific pharmacist-physician exchanges that effectively contribute to the development of CWR. Data from successful pairs of community pharmacists and physicians may provide further insights into these exchange variables and expand research on models of professional collaboration. Objective: To describe the professional exchanges that occurred between community pharmacists and physicians engaged in successful CWRs, using a published conceptual model and tool for quantifying the extent of collaboration. Methods: A national pool of experts in community pharmacy practice identified community pharmacists engaged in CWRs with physicians. Five pairs of community pharmacists and physician colleagues participated in individual semistructured interviews, and 4 of these pairs completed the Pharmacist-Physician Collaborative Index (PPCI). Main outcome measures include quantitative (ie, scores on the PPCI) and qualitative information about professional exchanges within 3 domains found previously to influence relationship development: relationship initiation, trustworthiness, and role specification. Results: On the PPCI, participants scored similarly on trustworthiness; however, physicians scored higher on relationship initiation and role specification. The qualitative interviews revealed that when initiating relationships, it was important for many pharmacists to establish open communication through face-to-face visits with physicians. Furthermore, physicians were able to recognize in these pharmacists a commitment for improved patient care. Trustworthiness was established by pharmacists making consistent contributions to care that improved patient outcomes over time. Open discussions regarding professional roles and an acknowledgment of professional norms (ie, physicians as decision makers) were essential. Conclusions: The findings support and extend the literature on pharmacist-physician CWRs by examining the exchange domains of relationship initiation, trustworthiness, and role specification qualitatively and quantitatively among pairs of practitioners. Relationships appeared to develop in a manner consistent with a published model for CWRs, including the pharmacist as relationship initiator, the importance of communication during early stages of the relationship, and an emphasis on high-quality pharmacist contributions. © 2010 Elsevier Inc.


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Details

Item Type: Article
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Smith, RBsmithrb@pitt.eduSMITHRB
Centers: Other Centers, Institutes, or Units > Center for Research on Media, Technology, and Health
Date: 1 January 2010
Date Type: Publication
Journal or Publication Title: Research in Social and Administrative Pharmacy
Volume: 6
Number: 4
Page Range: 307 - 323
DOI or Unique Handle: 10.1016/j.sapharm.2009.11.008
Schools and Programs: School of Medicine > Medicine
School of Pharmacy > Pharmaceutical Sciences
School of Medicine > Pediatrics
Refereed: Yes
ISSN: 1551-7411
MeSH Headings: Adult; Communication; Community Pharmacy Services--organization & administration; Cooperative Behavior; Female; Humans; Interprofessional Relations; Male; Middle Aged; Models, Organizational; Patient Care--standards; Pharmacists--organization & administration; Physicians--organization & administration; Professional Role; Trust; United States
Other ID: NLM NIHMS256312, NLM PMC3004536
PubMed Central ID: PMC3004536
PubMed ID: 21111388
Date Deposited: 28 Jul 2014 17:08
Last Modified: 07 Jan 2019 14:57
URI: http://d-scholarship.pitt.edu/id/eprint/22383

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