Evaluation of a Danish pharmacist student–physician medication review collaboration model
- 264 Downloads
Background Interprofessional collaboration between pharmacists and physicians to conduct joint home medication reviews (HMR) is important for optimizing the medical treatment of patients suffering from chronic illnesses. However, collaboration has proved difficult to achieve. The HMR programme “Medisam” was launched in 2009 at the University of Copenhagen with the aim of “developing, implementing and evaluating a collaboration model for HMRs and medicine reconciliations in Denmark”. The Medisam programme involves patients, pharmacy internship students, the (pharmacist) supervisor of the pharmacy students and physicians. Objective To explore if it was possible through the Medisam programme to obtain a fruitful HMR collaboration between pharmacy internship students and physicians as a means to develop HMR collaboration between trained pharmacists and physicians further. Setting Ten matching pairs of student–physician collaboration were studied across Denmark. Method Semi-structured interviews about existing collaboration were conducted with pharmacy internship students in the HMR programme, their supervisors and physicians partners. The theoretical framework forming the analyses was derived especially from works of Bradley et al. (Res Soc Adm Pharm 8:36–46, 2012), and Snyder et al. (Res Soc Adm Pharm 6:307–23, 2010) on pharmacists/physician collaboration. Main outcome measure The development of inter-professional collaboration between students and physicians according to the three collaboration drivers: trustworthiness, role specification and professional interaction. Results Full collaboration was not achieved. Physicians found collaboration satisfactory, students however expressed the need of more interaction with physicians. The written collaboration contracts did not ensure a possible need of students to re-negotiate roles and tasks, and did therefore not entirely ensure role specification. Developing mutual professional interdependence through students being recognized by physicians to contribute to improved patient outcomes was also limited. Conclusion Some challenges to fruitful collaboration were identified. Solutions to these challenges include students and their pharmacist supervisors to find ways to present their collaborative needs to physicians and for students to illustrate more explicitly the benefits patient achieve if physicians implement the recommendations of students.
KeywordsCollaboration Denmark Home medication review Pharmacy students
This programme was supported financially by The Danish Ministry of Health.
Conflicts of interest
- 8.Muijrers PEM, Knottnerus JA, Sijbrandij J, Janknegt R, Grol RP. Changing relationships: attitudes and opinions of general practitioners and pharmacists regarding the role of the community pharmacist. Pharm World Sci. 2003;25(5):234–41.Google Scholar
- 9.McGrath SH, Snyder ME, Duenas GG, Pringle JL, Smith RB, McGivney MS. Physician perceptions of pharmacist-provided medication therapy management: qualitative analysis. J Am Pharm Assoc. 2003;50(1):67–71.Google Scholar
- 11.Halvorsen KH. Drug prescribing quality for older patients. Explicit indicators and multidisciplinary medication reviews (dissertation). Bergen: University of Bergen; 2012. p. 68.Google Scholar
- 13.McDonough RP, Doucette WR. Developing collaborative working relationships between pharmacists and physicians. J Am Pharm Assoc. 2001;41(5):682–92.Google Scholar