Qualitative study to conceptualise a model of interprofessional collaboration between pharmacists and general practitioners to support patients' adherence to medication

• Published in: BMJ open 2016-03, Vol.6 (3), p.e010488-e010488
• Main Authors: Rathbone, Adam P, Mansoor, Sarab M, Krass, Ines, Hamrosi, Kim, Aslani, Parisa
• Format: Article
• Language: English
• Subjects: Attitude of Health Personnel; Australia; Communication; Community Pharmacy Services; Cooperative Behavior; Female; Focus Groups; General Practitioners; Health Services Research; Humans; Interprofessional Relations; Interviews as Topic; Male; Medication Adherence; Medication Therapy Management; Models, Theoretical; Pharmacists; Primary Health Care - organization & administration; Qualitative Research; Trust
• ISSN: 2044-6055; 2044-6055
• DOI: 10.1136/bmjopen-2015-010488

ObjectivesPharmacists and general practitioners (GPs) face an increasing expectation to collaborate interprofessionally on a number of healthcare issues, including medication non-adherence. This study aimed to propose a model of interprofessional collaboration within the context of identifying and improving medication non-adherence in primary care.SettingPrimary care; Sydney, Australia.Participants3 focus groups were conducted with pharmacists (n=23) and 3 with GPs (n=22) working in primary care.Primary and secondary outcome measuresQualitative investigation of GP and pharmacist interactions with each other, and specifically around supporting their patients’ medication adherence. Audio-recordings were transcribed verbatim and transcripts thematically analysed using a combination of manual and computer coding.Results3 themes pertaining to interprofessional collaboration were identified (1) frequency, (2) co-collaborators and (3) nature of communication which included 2 subthemes (method of communication and type of communication). While the frequency of interactions was low, the majority were conducted by telephone. Interactions, especially those conducted face-to-face, were positive. Only a few related to patient non-adherence. The findings are positioned within contemporary collaborative theory and provide an accessible introduction to models of interprofessional collaboration.ConclusionsThis work highlighted that successful collaboration to improve medication adherence was underpinned by shared paradigmatic perspectives and trust, constructed through regular, face-to-face interactions between pharmacists and GPs.