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Complementing or conflicting? How pharmacists and physicians position the community pharmacist
BACKGROUND: Interprofessional collaboration between pharmacists and physicians in primary care has been linked to improved patient outcomes. How professionals position themselves and each other can shed light upon their relationship, and positioning theory can be used as a tool to better understand...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Centro de Investigaciones y Publicaciones Farmaceuticas
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7523557/ https://www.ncbi.nlm.nih.gov/pubmed/33029263 http://dx.doi.org/10.18549/PharmPract.2020.3.2078 |
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author | Rakvaag, Hilde SØreide, Gunn E. Meland, Eivind Kjome, Reidun L. |
author_facet | Rakvaag, Hilde SØreide, Gunn E. Meland, Eivind Kjome, Reidun L. |
author_sort | Rakvaag, Hilde |
collection | PubMed |
description | BACKGROUND: Interprofessional collaboration between pharmacists and physicians in primary care has been linked to improved patient outcomes. How professionals position themselves and each other can shed light upon their relationship, and positioning theory can be used as a tool to better understand intergroup relations. OBJECTIVES: 1) To identify how community pharmacists position themselves, and how they are positioned by general practitioners. 2) To assess how well these positions correspond, how the positions align with a proactive position for the pharmacists, and discuss how the positions could potentially impact collaboration. METHODS: In this qualitative study, data were collected through six focus group interviews held between June and October 2019, three with pharmacists and three with physicians. The focus group interviews were conducted using a semi-structured interview guide. Data were audio recorded, transcribed verbatim, and analyzed using the Systematic text condensation method. Positioning theory was used as a theoretical framework to identify the positions assigned to community pharmacists by the pharmacists themselves and by the physicians. RESULTS: Twelve pharmacists and ten physicians participated. The pharmacists positioned themselves as the “last line of defense”, “bridge-builders”, “outsiders” – with responsibility, but with a lack of information and authority – and “practical problem solvers”. The physicians positioned pharmacists as “a useful checkpoint”, “non-clinicians” and “unknown”. CONCLUSIONS: The study revealed both commonalities and disagreements in how community pharmacists position themselves and are positioned by general practitioners. Few of the positions assigned to pharmacists by the physicians support an active role for the pharmacists, while the pharmacists´ positioning of themselves is more diverse. The physicians´ positioning of pharmacists as an unknown group represents a major challenge for collaboration. Increasing the two professions´ knowledge of each other may help produce new positions that are more coordinated, and thus more supportive towards collaboration. |
format | Online Article Text |
id | pubmed-7523557 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Centro de Investigaciones y Publicaciones Farmaceuticas |
record_format | MEDLINE/PubMed |
spelling | pubmed-75235572020-10-06 Complementing or conflicting? How pharmacists and physicians position the community pharmacist Rakvaag, Hilde SØreide, Gunn E. Meland, Eivind Kjome, Reidun L. Pharm Pract (Granada) Original Research BACKGROUND: Interprofessional collaboration between pharmacists and physicians in primary care has been linked to improved patient outcomes. How professionals position themselves and each other can shed light upon their relationship, and positioning theory can be used as a tool to better understand intergroup relations. OBJECTIVES: 1) To identify how community pharmacists position themselves, and how they are positioned by general practitioners. 2) To assess how well these positions correspond, how the positions align with a proactive position for the pharmacists, and discuss how the positions could potentially impact collaboration. METHODS: In this qualitative study, data were collected through six focus group interviews held between June and October 2019, three with pharmacists and three with physicians. The focus group interviews were conducted using a semi-structured interview guide. Data were audio recorded, transcribed verbatim, and analyzed using the Systematic text condensation method. Positioning theory was used as a theoretical framework to identify the positions assigned to community pharmacists by the pharmacists themselves and by the physicians. RESULTS: Twelve pharmacists and ten physicians participated. The pharmacists positioned themselves as the “last line of defense”, “bridge-builders”, “outsiders” – with responsibility, but with a lack of information and authority – and “practical problem solvers”. The physicians positioned pharmacists as “a useful checkpoint”, “non-clinicians” and “unknown”. CONCLUSIONS: The study revealed both commonalities and disagreements in how community pharmacists position themselves and are positioned by general practitioners. Few of the positions assigned to pharmacists by the physicians support an active role for the pharmacists, while the pharmacists´ positioning of themselves is more diverse. The physicians´ positioning of pharmacists as an unknown group represents a major challenge for collaboration. Increasing the two professions´ knowledge of each other may help produce new positions that are more coordinated, and thus more supportive towards collaboration. Centro de Investigaciones y Publicaciones Farmaceuticas 2020 2020-09-16 /pmc/articles/PMC7523557/ /pubmed/33029263 http://dx.doi.org/10.18549/PharmPract.2020.3.2078 Text en Copyright: © Pharmacy Practice and the Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY-NC-ND 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Research Rakvaag, Hilde SØreide, Gunn E. Meland, Eivind Kjome, Reidun L. Complementing or conflicting? How pharmacists and physicians position the community pharmacist |
title | Complementing or conflicting? How pharmacists and physicians position the community pharmacist |
title_full | Complementing or conflicting? How pharmacists and physicians position the community pharmacist |
title_fullStr | Complementing or conflicting? How pharmacists and physicians position the community pharmacist |
title_full_unstemmed | Complementing or conflicting? How pharmacists and physicians position the community pharmacist |
title_short | Complementing or conflicting? How pharmacists and physicians position the community pharmacist |
title_sort | complementing or conflicting? how pharmacists and physicians position the community pharmacist |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7523557/ https://www.ncbi.nlm.nih.gov/pubmed/33029263 http://dx.doi.org/10.18549/PharmPract.2020.3.2078 |
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