文章基本信息

标题：Collaborative Drug Therapy Management: Case Studies of Three Community-Based Models of Care
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作者：Margie E. Snyder ; Tara R. Earl ; Siobhan Gilchrist 等
期刊名称：Preventing Chronic Disease
印刷版ISSN：1545-1151
出版年度：2015
卷号：12
页码：1
DOI：10.5888/pcd12.140504
出版社：Centers for Disease Control and Prevention
摘要：Collaborative drug therapy management agreements are a strategy for expanding the role of pharmacists in team-based care with other providers. However, these agreements have not been widely implemented. This study describes the features of existing provider-pharmacist collaborative drug therapy management practices and identifies the facilitators and barriers to implementing such services in community settings. We conducted in-depth, qualitative interviews in 2012 in a federally qualified health center, an independent pharmacy, and a retail pharmacy chain. Facilitators included 1) ensuring pharmacists were adequately trained; 2) obtaining stakeholder (eg, physician) buy-in; and 3) leveraging academic partners. Barriers included 1) lack of pharmacist compensation; 2) hesitation among providers to trust pharmacists; 3) lack of time and resources; and 4) existing informal collaborations that resulted in reduced interest in formal agreements. The models described in this study could be used to strengthen clinical-community linkages through team-based care, particularly for chronic disease prevention and management.