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Adherence to Oral Anticancer Medications: Evolving Interprofessional Roles and Pharmacist Workforce Considerations

Interprofessional care is exhibited in outpatient oncology practices where practitioners from a myriad of specialties (e.g., oncology, nursing, pharmacy, health informatics and others) work collectively with patients to enhance therapeutic outcomes and minimize adverse effects. Historically, most am...

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Autores principales: Paolella, Gennaro A., Boyd, Andrew D., Wirth, Scott M., Cuellar, Sandra, Venepalli, Neeta K., Crawford, Stephanie Y.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5874562/
https://www.ncbi.nlm.nih.gov/pubmed/29518017
http://dx.doi.org/10.3390/pharmacy6010023
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author Paolella, Gennaro A.
Boyd, Andrew D.
Wirth, Scott M.
Cuellar, Sandra
Venepalli, Neeta K.
Crawford, Stephanie Y.
author_facet Paolella, Gennaro A.
Boyd, Andrew D.
Wirth, Scott M.
Cuellar, Sandra
Venepalli, Neeta K.
Crawford, Stephanie Y.
author_sort Paolella, Gennaro A.
collection PubMed
description Interprofessional care is exhibited in outpatient oncology practices where practitioners from a myriad of specialties (e.g., oncology, nursing, pharmacy, health informatics and others) work collectively with patients to enhance therapeutic outcomes and minimize adverse effects. Historically, most ambulatory-based anticancer medication therapies have been administrated in infusion clinics or physician offices. Oral anticancer medications (OAMs) have become increasingly prevalent and preferred by patients for use in residential or other non-clinic settings. Self-administration of OAMs represents a significant shift in the management of cancer care and role responsibilities for patients and clinicians. While patients have a greater sense of empowerment and convenience when taking OAMs, adherence is a greater challenge than with intravenous therapies. This paper proposes use of a qualitative systems evaluation, based on theoretical frameworks for interdisciplinary team collaboration and systems science, to examine the social interactionism involved with the use of intravenous anticancer treatments and OAMs (as treatment technologies) by describing patient, organizational, and social systems considerations in communication, care, control, and context (i.e., Kaplan’s 4Cs). This conceptualization can help the healthcare system prepare for substantial workforce changes in cancer management, including increased utilization of oncology pharmacists.
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spelling pubmed-58745622018-04-02 Adherence to Oral Anticancer Medications: Evolving Interprofessional Roles and Pharmacist Workforce Considerations Paolella, Gennaro A. Boyd, Andrew D. Wirth, Scott M. Cuellar, Sandra Venepalli, Neeta K. Crawford, Stephanie Y. Pharmacy (Basel) Article Interprofessional care is exhibited in outpatient oncology practices where practitioners from a myriad of specialties (e.g., oncology, nursing, pharmacy, health informatics and others) work collectively with patients to enhance therapeutic outcomes and minimize adverse effects. Historically, most ambulatory-based anticancer medication therapies have been administrated in infusion clinics or physician offices. Oral anticancer medications (OAMs) have become increasingly prevalent and preferred by patients for use in residential or other non-clinic settings. Self-administration of OAMs represents a significant shift in the management of cancer care and role responsibilities for patients and clinicians. While patients have a greater sense of empowerment and convenience when taking OAMs, adherence is a greater challenge than with intravenous therapies. This paper proposes use of a qualitative systems evaluation, based on theoretical frameworks for interdisciplinary team collaboration and systems science, to examine the social interactionism involved with the use of intravenous anticancer treatments and OAMs (as treatment technologies) by describing patient, organizational, and social systems considerations in communication, care, control, and context (i.e., Kaplan’s 4Cs). This conceptualization can help the healthcare system prepare for substantial workforce changes in cancer management, including increased utilization of oncology pharmacists. MDPI 2018-03-08 /pmc/articles/PMC5874562/ /pubmed/29518017 http://dx.doi.org/10.3390/pharmacy6010023 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Paolella, Gennaro A.
Boyd, Andrew D.
Wirth, Scott M.
Cuellar, Sandra
Venepalli, Neeta K.
Crawford, Stephanie Y.
Adherence to Oral Anticancer Medications: Evolving Interprofessional Roles and Pharmacist Workforce Considerations
title Adherence to Oral Anticancer Medications: Evolving Interprofessional Roles and Pharmacist Workforce Considerations
title_full Adherence to Oral Anticancer Medications: Evolving Interprofessional Roles and Pharmacist Workforce Considerations
title_fullStr Adherence to Oral Anticancer Medications: Evolving Interprofessional Roles and Pharmacist Workforce Considerations
title_full_unstemmed Adherence to Oral Anticancer Medications: Evolving Interprofessional Roles and Pharmacist Workforce Considerations
title_short Adherence to Oral Anticancer Medications: Evolving Interprofessional Roles and Pharmacist Workforce Considerations
title_sort adherence to oral anticancer medications: evolving interprofessional roles and pharmacist workforce considerations
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5874562/
https://www.ncbi.nlm.nih.gov/pubmed/29518017
http://dx.doi.org/10.3390/pharmacy6010023
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