Building Effective Physician-Pharmacist Communication. Pharmacist-physician collaborative practices have been successful in improving outcomes among patients with chronic diseases such as those found among older adults    . A strong working relationship between pharmacists and doctors is necessary to optimize healthcare for each patient. Compared with controls, the intervention group had significantly more medication-related problems identified (26 vs 10, P = .031), which resulted in significantly more medication changes being made (24 vs 10, P = .044). A collaborative approach to treating opioid use disorder that relies heavily on community pharmacists is feasible and may increase adherence and participant satisfaction, according to a pilot study published today in Addiction. The pharmacist reviewed the chart to assess the appropriateness of authorizing the prescription by determining if the requested medications appeared to be having the desired therapeutic effect and if patients were being appropriately monitored. Considering that more than half of the requests were for patients who either recently attended physician appointments or who were scheduled to do so in the very near future, it was a mere formality for the pharmacist to find the physician to authorize some of the prescriptions. Utilizing integrated electronic health records (EHR) and software platforms that provide patient data transparency across a health systemâs network, is key to accurate and timely communication among a healthcare team. By. Background and Aims Physician and pharmacist collaboration may help address the shortage of buprenorphine‐waivered physicians and improve care for patients with … It was assumed that this was the result of faxes being received for other purposes (eg, insurance forms), which were erroneously included in the study. Descriptive data for the intervention and control groups combined. Even when the pharmacist collaborated with the physician, more than 50% of the prescriptions were renewed without any intervention. As a result of the renewal request, one of the medications was discontinued and the dose of the other was increased. Additionally, lack of access to information, time constraints, misconceptions regarding roles and responsibilities of other team members can all make open collaboration difficult for both the pharmacist and physician. From January 2015 to August 2017, 61 patients received conventional care with pirfenidone (the conventional group). Pharmacists not only have the expertise to assist in this task, but they have an existing working relationship with physicians that will foster teamwork and collaboration. The results of this study also suggest that most faxed renewal requests are coming from patients who are receiving excellent follow-up and monitoring, who might have been wasting the physician’s time had they made appointments simply to renew their prescriptions. • The collaboration of pharmacists and nurse practitioners in a nurse-managed health clinic is described. Pharmacist collaboration The Pharmacy Act allows pharmacists to practice under a Collaborative Practice … The pharmacist assessed drug-therapy issues that might preclude safe and effective prescribing of the medication. Medication-related problems were classified by type and severity. A significance value of P < .05 was used for all analyses. A collaborative approach to treating opioid use disorder that relies heavily on community pharmacists is feasible and may increase adherence and participant satisfaction, according to a pilot study published today in Addiction. A 2016 National Progress Report sponsored by Surescripts points to the importance of the physician-pharmacist collaboration when it comes to health data. For family physicians, trust appears to be earned based on competency and performance. For high-risk DXAs, collaborative management resulted in increased rates of receiving antifracture therapy prescriptions over physician-only management (66% vs 34%, P < 0.001), advisement … Physician-pharmacist collaboration within an academic internal medicine clinic is another potential model to target patients with uncontrolled diabetes. Chart reviews were performed approximately 30 days after the renewal request was received, which might not have been adequate to capture all of the activity that resulted. There was no difference in adverse events documented in the pharmacist-physician compared with physician-only management (7.2% vs 3.7%, P = 0.32). Those in the intervention group had significantly more medication-related problems identified (26 vs 10, P = .031); medication changes made (24 vs 10, P = .044); and new appointments scheduled with their family physicians (31 vs 21, P = .049). The following 2 examples illustrate the medication-related problems found. Researchers in England looked at … One recent Canadian study found that 25% of general hospital admissions were drug-related, and more than 70% of these admissions were preventable.1 Two other Canadian studies found that 17% of patients discharged from hospital experienced a medication-related adverse event soon after discharge,2 and 8% of emergency department visits were caused by preventable adverse drug events.3 Similarly, there is evidence suggesting that substantial improvements can be made in medication management for chronic diseases, such as asthma,4 cardiovascular disease,5 and diabetes,6 in Canada. Research News “The physician and pharmacist should start small by working side by side in a clinic,” he said. Unfortunately, physicians must assess the appropriateness of these faxed renewal requests during a busy clinic day, when it might be challenging to identify problems associated with the renewal requests. doctor-pharmacist collaboration. For the best experience and fastest load times please use a newer browser to view this site. Pharmacist and Physician Collaboration in the Patient's Home Show all authors. Ils ont trouvé que cette collaboration améliorait la gestion du renouvellement de la médication, mais que cela interférait considérablement avec le travail courant du pharmacien. • The collaboration of pharmacists and nurse practitioners in a nurse-managed health clinic is described. There might be an opportunity to improve the efficiency of this collaborative model and its effect on pharmacist workload by allowing the pharmacist some degree of delegated or prescriptive authority. At a session co-sponsored by AMGA, “Meaningful Collaboration between Pharmacists and Physicians to Improve Quality and Meet Patient Needs,” physicians from three disparate health organizations discussed the success they’ve had working with pharmacists … Buprenorphine physician‒pharmacist collaboration in the management of patients with opioid use disorder: Results from a multi-site study of the National Drug Abuse Treatment Clinical Trials Network. Many patients who take chronic medications have their pharmacists contact their physicians (often by fax) to request ongoing prescriptions, rather than making appointments with their physicians when they need more medication. A 2016 National Progress Report sponsored by Surescripts points to the importance of the physician-pharmacist collaboration when it comes to health data. Eligible patients were enrolled into either the intervention or the control group based on the availability of the part-time pharmacist who was part of the intervention group. C ollaboration between physicians and pharmacists may boost patients’ satisfaction with, and adherence to, buprenorphine treatment for opioid use disorder (OUD), research suggests.. We used surrogate end points to measure improvement in medication management. des pharmacies communautaires classiques). Unfortunately, physicians must assess the appropriateness of these renewal requests during a busy clinic day and, as a result, a complete assessment of medication appropriateness is not always possible. The pharmacists also provided feedback to the original prescribing physicians where adjustments to dosages were needed. Author information: (1)Eckerd PatientCARE Network, Largo, FL, USA. And there is evidence pointing to the effectiveness of this multidisciplinary heath care team approach, in which pharmacists are typically responsible … The benefits of physician-pharmacist collaboration J Fam Pract. Physician and Pharmacist collaboration can enhance patient care by increasing medication adherence, improving patient outcomes through medication management, and reducing medication errors and adverse drug reactions through collaboration on policy and protocol development. Denneboom W, Dautzenberg MG, Grol R, … The most common medication-related problems identified in both groups were “additional drug needed,” “low dose,” and “no indication.” “Wrong drug” and “high dose” were found more often in the intervention group; otherwise, the distribution of the medication-related problems was similar in both groups. Unfortunately, we did not identify any studies to support the hypothesis that collaboration between integrated primary health team pharmacists and family physicians might improve the medication renewal process. There is improvement in medication management when a pharmacist collaborates with physicians to prescribe medication renewals. Solving these medication challenges will be complex and multifactorial. A multicentre, prospective study (NCT04018781) associated with qualitative research methods that explore the organisational, clinical, and economic effects of medication reconciliation, especially for older patients after hospital discharge, could help to highlight the strength of this collaboration of clinical pharmacists with physicians for prescribing safety. Among the findings: 97% of physicians and 95% of pharmacists said they were open to collaboration to improve patient outcomes. 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