Evidence map›Paper›PMID 37734889›Full record

ArticleBMJ open2023

Developing consensus on the principles and key actions for collaborative working between general practices and community pharmacies: a modified eDelphi study.

Simon Harris, Elizabeth Mills, Rebecca Hayley Venables, Fay Bradley, Simon White

Abstract readConsensus Statement
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Simon HarrisGreen Light Pharmacy, London, UK simon@greenlightpharmacy.com.ORCID 0009-0002-9629-6557
Elizabeth MillsSchool of Pharmacy, University College London, London, UK.ORCID 0000-0001-7707-2019
Rebecca Hayley VenablesSchool of Pharmacy and Bioengineering, Keele University, Keele, UK.ORCID 0000-0003-3509-2438
Fay BradleySchool of Health Sciences, The University of Manchester, Manchester, UK.ORCID 0000-0002-0009-1470
Simon WhiteSchool of Pharmacy and Bioengineering, Keele University, Keele, UK.ORCID 0000-0003-0096-251X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo develop consensus on the principles and key actions for collaborative working in practice between general practice, community pharmacy and patients and their carers.

designThree-round modified eDelphi study, starting from an established conceptual model of collaboration between general practitioners (GPs) and community pharmacists.

settingCommunity pharmacies and general practices in England, UK.

participantsA panel of 123 experts: 43% from a community pharmacy background; 36% from a GP background; 13% patients, carers or patient representatives and 8% from academic or commissioner backgrounds. Panellist numbers reduced by approximately 30% in rounds 2 and 3. PRIMARY AND SECONDARY OUTCOME MEASURES: Consensus between expert panellists, defined as at least 75% agreement.

resultsA high level of consensus (>80%) was achieved on all components of a model of collaboration composed of Fundamental Principles of Collaboration and Key Activities for Action, supported by a series of aspirational statements and suggested practical actions. The fundamental principles and key activities are appended by contextual points. The findings indicate that collaboration in practice involves team members other than just GPs and community pharmacists and recognises that patients often want to know how each professional team is involved in their care. This study also provides insights into how collaboration between general practice and community pharmacy settings appears to have shifted during the COVID-19 pandemic, especially through opportunities for virtual collaboration and communication that can transcend the need for close geographical proximity.

conclusionA consensus-based model of collaboration between general practice teams, community pharmacy teams, and patients and their carers has been developed. It is practically focused, values the patient voice and incorporates general practice and community pharmacy team members. While developed in England, the model is likely to also have applicability to other countries with similar health systems that include general practices and community pharmacies.

Indexed as

General PracticeIntersectoral CollaborationPharmaciesCOVID-19HumansPandemicsHealth policyInterprofessional RelationsPatient-Centered CarePrimary Health CareQuality in health care

Identifiers

PMID37734889
PMCPMC10514654

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.