Building Interprofessional Collaborative Practices Through a Support Program for Patients With Type 2 Diabetes in Primary Care.

IF 1.6 4区 教育学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES
Noura Bawab, Joanna Moullin, Sébastien Jotterand, Christophe Rossier, Marie-Paule Schneider, Clémence Perraudin
{"title":"Building Interprofessional Collaborative Practices Through a Support Program for Patients With Type 2 Diabetes in Primary Care.","authors":"Noura Bawab, Joanna Moullin, Sébastien Jotterand, Christophe Rossier, Marie-Paule Schneider, Clémence Perraudin","doi":"10.1097/CEH.0000000000000466","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>The building of interprofessional collaborative practices throughout the implementation process of a patient support program (Siscare) in primary care for patients with type 2 diabetes was assessed. Siscare included regular patient-pharmacist motivational-based interviews; medication adherence, patient-reported, and clinical outcomes monitoring; and physician-pharmacist interactions.</p><p><strong>Method: </strong>This investigation was a prospective, multicenter, observational, mixed-methods cohort study. Interprofessionality was operationalized through four progressive levels of interrelationship practices between the health care professionals. The target number of patients per pharmacy was 10 among 20 pharmacies.</p><p><strong>Results: </strong>The project started with the recognition of Siscare by stakeholders, the creation of an interprofessional steering committee, and the adoption of Siscare by 41 pharmacies among 47 pharmacies in April 2016. Nineteen pharmacies presented Siscare at 43 meetings attended by 115 physicians. Twenty-seven pharmacies included 212 patients; however, no physician prescribed Siscare. Collaboration primarily occurred through the unidirectional transmission of information from the pharmacist to the physician (level 1: 70% of pharmacists transmitted interview reports to physicians), bidirectional exchange of information sometimes occurred (level 2: 42% received physician responses), and concerted measures of treatment objectives took place occasionally (level 3). Twenty-nine of 33 physicians surveyed were in favor of this collaboration.</p><p><strong>Discussion: </strong>Despite multiple implementation strategies, physician resistance and lack of motivation to participate exists, but Siscare was well received by pharmacists, patients, and physicians. Barriers to collaborative practice (financial and IT) need to be further explored. Interprofessional collaboration is a clear need to improve type 2 diabetes adherence and outcomes.</p>","PeriodicalId":50218,"journal":{"name":"Journal of Continuing Education in the Health Professions","volume":null,"pages":null},"PeriodicalIF":1.6000,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b1/db/ceh-43-77.PMC10219666.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Continuing Education in the Health Professions","FirstCategoryId":"95","ListUrlMain":"https://doi.org/10.1097/CEH.0000000000000466","RegionNum":4,"RegionCategory":"教育学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/4/21 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"EDUCATION, SCIENTIFIC DISCIPLINES","Score":null,"Total":0}
引用次数: 0

Abstract

Introduction: The building of interprofessional collaborative practices throughout the implementation process of a patient support program (Siscare) in primary care for patients with type 2 diabetes was assessed. Siscare included regular patient-pharmacist motivational-based interviews; medication adherence, patient-reported, and clinical outcomes monitoring; and physician-pharmacist interactions.

Method: This investigation was a prospective, multicenter, observational, mixed-methods cohort study. Interprofessionality was operationalized through four progressive levels of interrelationship practices between the health care professionals. The target number of patients per pharmacy was 10 among 20 pharmacies.

Results: The project started with the recognition of Siscare by stakeholders, the creation of an interprofessional steering committee, and the adoption of Siscare by 41 pharmacies among 47 pharmacies in April 2016. Nineteen pharmacies presented Siscare at 43 meetings attended by 115 physicians. Twenty-seven pharmacies included 212 patients; however, no physician prescribed Siscare. Collaboration primarily occurred through the unidirectional transmission of information from the pharmacist to the physician (level 1: 70% of pharmacists transmitted interview reports to physicians), bidirectional exchange of information sometimes occurred (level 2: 42% received physician responses), and concerted measures of treatment objectives took place occasionally (level 3). Twenty-nine of 33 physicians surveyed were in favor of this collaboration.

Discussion: Despite multiple implementation strategies, physician resistance and lack of motivation to participate exists, but Siscare was well received by pharmacists, patients, and physicians. Barriers to collaborative practice (financial and IT) need to be further explored. Interprofessional collaboration is a clear need to improve type 2 diabetes adherence and outcomes.

Abstract Image

Abstract Image

Abstract Image

通过为初级医疗中的 2 型糖尿病患者提供支持计划,建立跨专业合作实践。
简介本研究评估了在针对 2 型糖尿病患者的初级保健中实施患者支持计划(Siscare)的整个过程中建立跨专业合作实践的情况。Siscare 包括患者与药剂师之间基于动机的定期访谈;用药依从性、患者报告和临床结果监测;以及医生与药剂师之间的互动:这项调查是一项前瞻性、多中心、观察性、混合方法队列研究。医护人员之间的相互关系通过四个渐进的层次进行操作。在 20 家药房中,每家药房的目标患者人数为 10 人:该项目始于利益相关者对 Siscare 的认可、跨专业指导委员会的成立,以及 2016 年 4 月 47 家药房中 41 家药房对 Siscare 的采用。19 家药房在有 115 名医生参加的 43 次会议上介绍了 Siscare。27 家药房收治了 212 名患者,但没有医生开具 Siscare 处方。合作主要通过药剂师向医生单向传递信息进行(1 级:70% 的药剂师向医生传递访谈报告),有时进行双向信息交流(2 级:42% 的药剂师收到医生回复),偶尔进行治疗目标的协同措施(3 级)。在接受调查的 33 名医生中,有 29 名医生赞成这种合作:讨论:尽管采取了多种实施策略,但仍存在医生抵制和缺乏参与动力的问题,但 Siscare 得到了药剂师、患者和医生的一致好评。合作实践的障碍(资金和信息技术)需要进一步探讨。要提高 2 型糖尿病患者的依从性和治疗效果,显然需要开展跨专业合作。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
3.00
自引率
16.70%
发文量
85
审稿时长
>12 weeks
期刊介绍: The Journal of Continuing Education is a quarterly journal publishing articles relevant to theory, practice, and policy development for continuing education in the health sciences. The journal presents original research and essays on subjects involving the lifelong learning of professionals, with a focus on continuous quality improvement, competency assessment, and knowledge translation. It provides thoughtful advice to those who develop, conduct, and evaluate continuing education programs.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信