Perceptions of interprofessional collaboration of general practitioners and community pharmacists - a qualitative study. 2017

Christin Löffler, and Carolin Koudmani, and Femke Böhmer, and Susanne D Paschka, and Jennifer Höck, and Eva Drewelow, and Martin Stremme, and Bernd Stahlhacke, and Attila Altiner
Institute of General Practice, Rostock University Medical Center, Doberaner Str. 142, 18057, Rostock, Germany. christin.loeffler@med.uni-rostock.de.

Despite numerous evidences for the positive effect of community pharmacists on health care, interprofessional collaboration of pharmacists and general practitioners is very often limited. Though highly trained, pharmacists remain an underutilised resource in primary health care in most western countries. This qualitative study aims at investigating pharmacists' and general practitioners' views on barriers to interprofessional collaboration in the German health care system. A total of 13 narrative in-depth interviews, and two focus group discussions with 12 pharmacists and general practitioners in Mecklenburg-Western Pomerania, a predominantly rural region of North-Eastern Germany, were conducted. The interviews aimed at exploring general practitioners' and pharmacists' attitudes, views and experiences of interprofessional collaboration. At a second stage, two focus group discussions were performed. Fieldwork was carried out by a multi-professional team. All interviews and focus group discussions were audio taped and transcribed verbatim. The constant comparative method of analysis from grounded theory was applied to the data. There are three main findings: First, mutual trust and appreciation appear to be important factors influencing the quality of interprofessional collaboration. Second, in light of negative personal experiences, pharmacists call for a predefined, clear and straightforward way to communicate with physicians. Third, given the increasing challenge to treat a rising number of elderly patients with chronic conditions, general practitioners desire competent support of experienced pharmacists. On the ground of methodological triangulation the findings of this study go beyond previous investigations and are able to provide specific recommendations for future interprofessional collaboration. First, interventions and initiatives should focus on increasing trust, e.g. by implementing multi-professional local quality circles. Second, governments and health authorities in most countries have been and still are reluctant in advancing political initiatives that bring together physicians and pharmacists. Proactive lobbying and empowerment of pharmacists are extremely important in this context. In addition, future physician and pharmaceutical training curricula should focus on comprehensive pharmacist-physician interaction at early stages within both professional educations and careers. Developing and fostering a culture of continued professional exchange and appreciation is one major challenge of future policy and research.

UI MeSH Term Description Entries
D007400 Interprofessional Relations The reciprocal interaction of two or more professional individuals. Etiquette, Medical,Medical Etiquette,Relations, Interprofessional
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010465 Perception The process by which the nature and meaning of sensory stimuli are recognized and interpreted. Sensory Processing,Processing, Sensory
D010594 Pharmacies Facilities for the preparation and dispensing of drugs. Community Pharmacies,Pharmacy Distribution,Community Pharmacy,Distribution, Pharmacy,Distributions, Pharmacy,Pharmacies, Community,Pharmacy Distributions,Pharmacy, Community
D010595 Pharmacists Those persons legally qualified by education and training to engage in the practice of pharmacy. Clinical Pharmacists,Community Pharmacists,Retail Pharmacists,Clinical Pharmacist,Community Pharmacist,Pharmacist,Pharmacist, Clinical,Pharmacist, Community,Pharmacist, Retail,Pharmacists, Clinical,Pharmacists, Community,Pharmacists, Retail,Retail Pharmacist
D011320 Primary Health Care Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192) Primary Care,Primary Healthcare,Care, Primary,Care, Primary Health,Health Care, Primary,Healthcare, Primary
D003157 Community Pharmacy Services Total pharmaceutical services provided to the public through community pharmacies. Community Pharmaceutic Services,Community Pharmaceutical Services,Pharmaceutic Services, Community,Pharmaceutical Service, Community,Pharmaceutical Services, Community,Pharmacy Services, Community,Service, Community Pharmaceutic,Service, Community Pharmaceutical,Service, Community Pharmacy,Services, Community Pharmaceutic,Services, Community Pharmaceutical,Services, Community Pharmacy,Community Pharmaceutic Service,Community Pharmaceutical Service,Community Pharmacy Service,Pharmaceutic Service, Community,Pharmacy Service, Community
D003299 Cooperative Behavior The interaction of two or more persons or organizations directed toward a common goal which is mutually beneficial. An act or instance of working or acting together for a common purpose or benefit, i.e., joint action. (From Random House Dictionary Unabridged, 2d ed) Compliant Behavior,Behavior, Compliant,Behavior, Cooperative,Compliant Behaviors,Cooperative Behaviors
D005260 Female Females

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