scholarly journals Qualitative Study of Community Pharmacists’ and General Practitioners’ Views toward Pharmacovigilance in Lithuania

Healthcare ◽  
2021 ◽  
Vol 9 (8) ◽  
pp. 1072
Author(s):  
Agne Valinciute-Jankauskiene ◽  
Loreta Kubiliene
Keyword(s):  
Qualitative Study ◽  
General Practitioners ◽  
Patient Outcomes ◽  
Medication Management ◽  
Community Pharmacists ◽  
Basic Knowledge ◽  
Pharmacovigilance System ◽  
Face To Face ◽  
Study Approach ◽  
Baltic Countries

Lithuania is the leader in pharmacovigilance among the three Baltic countries. However, comparisons with other European countries are difficult because the reported number of adverse drug reactions (ADRs) in Lithuania is too low to rely on in terms of the annual use of medicines by the population over the year. The aim of this study was to explore challenges related to the understanding and practices of general practitioners and community pharmacists in reporting ADRs in Lithuania. The qualitative study approach of face-to-face interviews was used. All interviews were recorded, transcribed verbatim, and thematically analyzed. Twelve interviews with general practitioners and community pharmacists were conducted from March 2020 through December 2020. All participants had a basic knowledge of pharmacovigilance, but only four participants reported ADRs to the interviewer. Six main barriers regarding ADR reporting were identified, and appropriate interventions were suggested. The importance of collaboration between physicians and pharmacists was highlighted, and the need for guidelines supporting collaboration was expressed. Medications are becoming more complex, and comprehensive medication management is key for the optimization of patient outcomes. Our results reveal the need to improve and innovate the current pharmacovigilance system at all levels, starting from education for pharmacy and healthcare students and continuing through the development of ADR procedures.

scholarly journals Positioning Each Other: A Metasynthesis of Pharmacist-Physician Collaboration

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Hilde Rakvaag ◽  
Gunn Elisabeth Søreide ◽  
Reidun Lisbet Skeide Kjome
Keyword(s):  
Health Care ◽  
General Practitioners ◽  
Patient Outcomes ◽  
Interprofessional Collaboration ◽  
Community Pharmacists ◽  
Proactive Approach ◽  
Ethnographic Approach ◽  
Successful Collaboration ◽  
Taking Responsibility

Abstract Interprofessional collaboration between different professions within health care is essential to optimize patient outcomes. Community-pharmacists (CPs) and general-practitioners (GPs) are two professions who are encouraged to increase their collaboration. In this metasynthesis we use a meta-ethnographic approach to examine the interpersonal aspects of this collaboration, as perceived by the professionals themselves. The metasynthesis firstly suggests that CPs and GPs have differing storylines about the cooperation between them. Secondly, CPs seem to position their profession in relation to the GPs, whereas GPs do not rely on the CPs to define their professional position. A successful collaboration between the two professions requires the CPs to reposition themselves through adopting a proactive approach towards the GPs. This proactive approach should comprise the delivery of specific clinical advice, as well as taking responsibility for this advice. In this way, they can build a more coinciding storyline of the joint agenda of improved patientcare.

scholarly journals Professional roles of general practitioners, community pharmacists and specialist providers in collaborative medication deprescribing - a qualitative study

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Navina Gerlach ◽  
Matthias Michiels-Corsten ◽  
Annika Viniol ◽  
Tanja Schleef ◽  
Ulrike Junius-Walker ◽  
...  
Keyword(s):  
Qualitative Study ◽  
General Practitioners ◽  
Community Pharmacists ◽  
Professional Roles

Perceptions of collaboration between general practitioners and community pharmacists: findings from a qualitative study based in Spain

2014 ◽  
Vol 28 (4) ◽  
pp. 352-357 ◽  
Author(s):  
Anna Maria Jové ◽  
Ana Fernández ◽  
Carmel Hughes ◽  
Mireia Guillén-Solà ◽  
Marta Rovira ◽  
...  
Keyword(s):  
Qualitative Study ◽  
General Practitioners ◽  
Community Pharmacists

scholarly journals Professional Roles of General Practitioners, Community Pharmacists and Specialist Providers in Collaborative Medication Deprescribing - A Qualitative Study

2020 ◽  
Author(s):  
Navina Gerlach ◽  
Matthias Michiels-Corsten ◽  
Annika Viniol ◽  
Tanja Schleef ◽  
Ulrike Junius-Walker ◽  
...  
Keyword(s):  
Qualitative Study ◽  
General Practitioners ◽  
Collaborative Care ◽  
Social Influences ◽  
Theoretical Domains Framework ◽  
Community Pharmacists ◽  
Environmental Context ◽  
Structural Factors ◽  
Role Perceptions ◽  
Medication Optimization

Abstract Background: Collaborative care approaches between general practitioners (GPs) and pharmacists have received international recognition for medication optimization and deprescribing efforts. Although specialist providers have been shown to influence deprescribing, their profession so far remains omitted from collaborative care approaches for medication optimization. Similarly, while explorative studies on role perception and collaboration between GPs and pharmacists grow, interaction with specialists for medication optimization is neglected. Our qualitative study therefore aims to explore GPs’, community pharmacists’ and specialist providers’ role perceptions of deprescribing, and to identify interpersonal as well as structural factors that may influence collaborative medication optimization approaches.Method: Seven focus-group discussions with GPs, community pharmacists and community specialists were conducted in Hesse and Lower Saxony, Germany. The topic guide focused on views and experiences with deprescribing with special attention to inter-professional collaboration. We conducted conventional content analysis and conceptualized emerging themes using the Theoretical Domains Framework.Results: 26 GPs, four community pharmacists and three community specialists took part in the study. The main themes corresponded to the four domains ´Social/professional role and identity` (1), ´Social influences’ (2), ´Reinforcement` (3) and ´Environmental context and resources’ (4) which were further described by beliefs statements, that is inductively developed key messages. For (1), GPs emerged as central medication managers while pharmacists and specialists were assigned confined or subordinated tasks in deprescribing. Social influences (2) encompassed patients’ trust in GPs as a support, while specialists and pharmacists were believed to threaten GPs’ role and deprescribing attempts. Reinforcements (3) negatively affected GPs’ and pharmacists’ effort in medication optimization by social reprimand and lacking reward. Environmental context (4) impeded deprescribing efforts by deficient reimbursement and resources as well as fragmentation of care, while informational and gate-keeping resources remained underutilized. Conclusion: Understanding stakeholders’ role perceptions on collaborative deprescribing is a prerequisite for joint approaches to medication management. We found that clear definition and dissemination of roles and responsibilities are premise for avoiding intergroup conflicts. Role performance and collaboration must further be supported by structural factors like adequate reimbursement, resources and a transparent continuity of care.

scholarly journals Perceptions of interprofessional collaboration of general practitioners and community pharmacists - a qualitative study

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Christin Löffler ◽  
Carolin Koudmani ◽  
Femke Böhmer ◽  
Susanne D. Paschka ◽  
Jennifer Höck ◽  
...  
Keyword(s):  
Qualitative Study ◽  
General Practitioners ◽  
Interprofessional Collaboration ◽  
Community Pharmacists

scholarly journals Antimicrobial dispensing practices and determinants of antimicrobial resistance: a qualitative study among community pharmacists in Pakistan

2019 ◽  
Vol 7 (3) ◽  
pp. e000138 ◽  
Author(s):  
Zikria Saleem ◽  
Mohamed Azmi Hassali ◽  
Furqan Khurshid Hashmi ◽  
Brian Godman ◽  
Fahad Saleem
Keyword(s):  
Antimicrobial Resistance ◽  
Qualitative Study ◽  
Community Pharmacists ◽  
Subsequent Development ◽  
Antimicrobial Use ◽  
Semistructured Interview ◽  
Face To Face ◽  
Interview Guide ◽  
Dispensing Practices ◽  
Points Of View

BackgroundThere are concerns with the extent of dispensing of antibiotics among community pharmacists in Pakistan often without a prescription adding to antimicrobial resistance (AMR) rates.ObjectiveTo explore the determinants of AMR and the pattern of antimicrobial dispensing among community pharmacists.DesignIn this qualitative study design, a semistructured interview guide was developed based on an in-depth review of published papers. Audio-recorded interviews with transcripts were analysed by thematic content analysis.SettingInterviews were conducted among community pharmacists in Lahore, Pakistan.ParticipantsIn order to obtain individual points of view, in-depth face-to-face interviews with purposively selected pharmacists were conducted.ResultsA total of 12 pharmacists were interviewed for the study. After analysis, four major themes emerged: (1) knowledge and perception of community pharmacists about antimicrobials, (2) antimicrobial dispensing practices of community pharmacists, (3) determinants of AMR, (4) potential interventions to control AMR. Most of the pharmacists have limited knowledge about AMR, antimicrobial stewardship programmes and related guidelines. However, all the pharmacists strongly agreed that different appropriate actions should be taken in order to rationalise future antimicrobial use.ConclusionThe results indicated that irrational antimicrobial dispensing and use is common among community pharmacists in Pakistan owing to lack of knowledge. The community pharmacists perceived that behaviour of patients and the societal environment contributed to irrational antimicrobial use and subsequent development of AMR. They suggested a need for a multidisciplinary framework in order to improve future antimicrobial use and reduce AMR in Pakistan.

Sign in / Sign up

Export Citation Format

Share Document