Pharmacist integration into the medical home: qualitative analysis

Authors, Primary Kozminski,M.;Busby,R.;McGivney,M. S.;Klatt,P. M.;Hackett,S. R.;Merenstein,J. H.
Title Primary Pharmacist integration into the medical home: qualitative analysis
Periodical Full Journal of the American Pharmacists Association
Pub Year 2011
Volume 51
issue 2
Start Page 173-183
Abstract OBJECTIVE: To determine the acceptance and attitudes of family medicine physicians, clinical and nonclinical office staff, pharmacists, and patients during pharmacist integration into a medical home. DESIGN: Qualitative study.Setting: Pittsburgh, PA, area from August 2009 to June 2010. PARTICIPANTS: Physicians, staff, pharmacists, and patients at four single-specialty family medicine office practices functioning as medical homes. MAIN OUTCOME MEASURES: Attitudes, acceptance, barriers, and problems identified by participants. RESULTS: A total of 84 interviews were conducted: 21 interviews with family medicine physicians, 26 with patient care staff, 9 with nonclinical staff, 13 with patients, 6 with pharmacists, and 8 with office managers. Five main themes emerged from each group regarding the integration of a pharmacist, including positive overall feeling; clinical, educational, and time-saving benefits to the various groups; challenges understanding the role of the pharmacist; improved workflow and integration resulting from pharmacist flexibility and motivation; and suggestions to increase the pharmacists' time in each office. Pharmacists felt that they were accepted within 6 months of the integration process and that time management was a challenge. CONCLUSION: Participants felt that inclusion of a pharmacist into their practice improves the quality of patient care, provides a valuable resource for all providers and staff, and empowers patients. The initial concerns of the clinical and nonclinical staff disappeared within the first months of pharmacist integration. These results provide guidance to clinicians and insight into strategies for building a pharmacist-integrated medical home team.
Publisher Not Available
Place of Publication United States
Author/Address Gateway Health Plan, Pittsburgh, PA, USA.
PubMed Link
Reference Type(s) Journal Article
Topic Tag(s) Comprehensive Care;Primary Care Workforce Issues
Special Population(s) Not Available
Case Study No
Commentary/Opinion Piece No
Historical Publication No
Key/Foundational Article No
Literature Review No
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