Evidence map›Paper›PMID 38654340›Full record

ArticleBMC health services research2024

Non-dispensing pharmacists integrated into general practices as a new interprofessional model: a qualitative evaluation of general practitioners' experiences and views.

A C M Hazen, V M Sloeserwij, E de Groot, J J de Gier, N J de Wit, A A de Bont, D L M Zwart

Abstract read
In one paragraph

Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

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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

7 authors.

A C M Hazen *Department of General Practice, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht (UMCU), Utrecht University, Universiteitsweg 100 3584 CG Utrecht. Postal address STR 6.131, P.O. Box 85500, 3508 GA, Utrecht, The Netherlands. a.c.m.hazen@umcutrecht.nl.ORCID http://orcid.org/0000-0001-8769-1278
V M Sloeserwij *Department of General Practice, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht (UMCU), Utrecht University, Universiteitsweg 100 3584 CG Utrecht. Postal address STR 6.131, P.O. Box 85500, 3508 GA, Utrecht, The Netherlands.ORCID http://orcid.org/0000-0003-3521-8109
E de GrootDepartment of General Practice, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht (UMCU), Utrecht University, Universiteitsweg 100 3584 CG Utrecht. Postal address STR 6.131, P.O. Box 85500, 3508 GA, Utrecht, The Netherlands.ORCID http://orcid.org/0000-0003-0388-385X
J J de GierDepartment of Pharmacotherapy, - Epidemiology and - Economics, University of Groningen, Antonius Deusinglaan 1, Building 3214, 9713 AV, Groningen, The Netherlands.ORCID http://orcid.org/0000-0001-5189-2705
N J de WitDepartment of General Practice, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht (UMCU), Utrecht University, Universiteitsweg 100 3584 CG Utrecht. Postal address STR 6.131, P.O. Box 85500, 3508 GA, Utrecht, The Netherlands.ORCID http://orcid.org/0000-0002-0273-8290
A A de BontTilburg School of Social and Behavioral Sciences, Warandelaan 2, 5037 AB, Tilburg, The Netherlands.ORCID http://orcid.org/0000-0002-0745-4537
D L M ZwartDepartment of General Practice, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht (UMCU), Utrecht University, Universiteitsweg 100 3584 CG Utrecht. Postal address STR 6.131, P.O. Box 85500, 3508 GA, Utrecht, The Netherlands.ORCID http://orcid.org/0000-0003-0098-4882

Funding

ZonMw 80-833600-98-10206
6 · The paper itself

Abstract

backgroundA new interprofessional model incorporating non-dispensing pharmacists in general practice teams can improve the quality of pharmaceutical care. However, results of the model are dependent on the context. Understanding when, why and how the model works may increase chances of successful broader implementation in other general practices. Earlier theories suggested that the results of the model are achieved by bringing pharmacotherapeutic knowledge into general practices. This mechanism may not be enough for successful implementation of the model. We wanted to understand better how establishing new interprofessional models in existing healthcare organisations takes place.

methodsAn interview study, with a realist informed evaluation was conducted. This qualitative study was part of the Pharmacotherapy Optimisation through Integration of a Non-dispensing pharmacist in primary care Teams (POINT) project. We invited the general practitioners of the 9 general practices who (had) worked closely with a non-dispensing pharmacist for an interview. Interview data were analysed through discussions about the coding with the research team where themes were developed over time.

resultsWe interviewed 2 general practitioners in each general practice (18 interviews in total). In a context where general practitioners acknowledge the need for improvement and are willing to work with a non-dispensing pharmacist as a new team member, the following mechanisms are triggered. Non-dispensing pharmacists add new knowledge to current general practice. Through everyday talk (discursive actions) both general practitioners and non-dispensing pharmacists evolve in what they consider appropriate, legitimate and imaginable in their work situations. They align their professional identities.

conclusionsNot only the addition of new knowledge of non-dispensing pharmacist to the general practice team is crucial for the success of this interprofessional healthcare model, but also alignment of the general practitioners' and non-dispensing pharmacists' professional identities. This is essentially different from traditional pharmaceutical care models, in which pharmacists and GPs work in separate organisations. To induce the process of identity alignment, general practitioners need to acknowledge the need to improve the quality of pharmaceutical care interprofessionally. By acknowledging the aspect of interprofessionality, both general practitioners and non-dispensing pharmacists will explore and reflect on what they consider appropriate, legitimate and imaginable in carrying out their professional roles.

trial registrationThe POINT project was pre-registered in The Netherlands National Trial Register, with Trial registration number NTR-4389.

Indexed as

General PracticeGeneral PractitionersInterprofessional RelationsInterviews as TopicPharmacistsQualitative ResearchAttitude of Health PersonnelFemaleHumansMalePatient Care TeamProfessional RoleGeneral practiceInterprofessional modelInterview studyNon-dispensing pharmacistPrimary careQuality improvement

Identifiers

PMID38654340
PMCPMC11040768

What OpenQuestion holds

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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.