Task sharing in an interprofessional medication management program – a survey of general practitioners and community pharmacists
Abstract Background Pharmacist-led medication review and medication management programs (MMP) are well-known strategies to improve medication safety and effectiveness. If performed interprofessionally, outcomes might even improve. However, little is known about task sharing in interprofessional MMP,...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-08-01
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| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-022-08378-4 |
| _version_ | 1811315469189120000 |
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| author | Robert Moecker Marina Weissenborn Anja Klingenberg Lucas Wirbka Andreas Fuchs Christiane Eickhoff Uta Mueller Martin Schulz Petra Kaufmann-Kolle ARMIN Study Group Walter E. Haefeli Hanna M. Seidling |
| author_facet | Robert Moecker Marina Weissenborn Anja Klingenberg Lucas Wirbka Andreas Fuchs Christiane Eickhoff Uta Mueller Martin Schulz Petra Kaufmann-Kolle ARMIN Study Group Walter E. Haefeli Hanna M. Seidling |
| author_sort | Robert Moecker |
| collection | DOAJ |
| description | Abstract Background Pharmacist-led medication review and medication management programs (MMP) are well-known strategies to improve medication safety and effectiveness. If performed interprofessionally, outcomes might even improve. However, little is known about task sharing in interprofessional MMP, in which general practitioners (GPs) and community pharmacists (CPs) collaboratively perform medication reviews and continuously follow-up on patients with designated medical and pharmaceutical tasks, respectively. In 2016, ARMIN (Arzneimittelinitiative Sachsen-Thüringen) an interprofessional MMP was launched in two German federal states, Saxony and Thuringia. The aim of this study was to understand how GPs and CPs share tasks in MMP when reviewing the patients’ medication. Methods This was a cross-sectional postal survey among GPs and CPs who participated in the MMP. Participants were asked who completed which MMP tasks, e.g., checking drug-drug interactions, dosing, and side effects. In total, 15 MMP tasks were surveyed using a 5-point Likert scale ranging from “I complete this task alone” to “GP/CP completes this task alone”. The study was conducted between 11/2020 and 04/2021. Data was analyzed using descriptive statistics. Results In total, 114/165 (69.1%) GPs and 166/243 (68.3%) CPs returned a questionnaire. The majority of GPs and CPs reported (i) checking clinical parameters and medication overuse and underuse to be completed by GPs, (ii) checking storage conditions of drugs and initial compilation of the patient’s medication including brown bag review being mostly performed by CPs, and (iii) checking side-effects, non-adherence, and continuous updating of the medication list were carried out jointly. The responses differed most for problems with self-medication and adding and removing over-the-counter medicines from the medication list. In addition, the responses revealed that some MMP tasks were not sufficiently performed by either GPs or CPs. Conclusions Both GPs’ and CPs’ expertise are needed to perform MMP as comprehensively as possible. Future studies should explore how GPs and CPs can complement each other in MMP most efficiently. |
| first_indexed | 2024-04-13T11:31:01Z |
| format | Article |
| id | doaj.art-90401f17d73f42e0a261d6b1f231c744 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-04-13T11:31:01Z |
| publishDate | 2022-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-90401f17d73f42e0a261d6b1f231c7442022-12-22T02:48:34ZengBMCBMC Health Services Research1472-69632022-08-0122111010.1186/s12913-022-08378-4Task sharing in an interprofessional medication management program – a survey of general practitioners and community pharmacistsRobert Moecker0Marina Weissenborn1Anja Klingenberg2Lucas Wirbka3Andreas Fuchs4Christiane Eickhoff5Uta Mueller6Martin Schulz7Petra Kaufmann-Kolle8ARMIN Study GroupWalter E. Haefeli9Hanna M. Seidling10Cooperation Unit Clinical Pharmacy, University of HeidelbergCooperation Unit Clinical Pharmacy, University of HeidelbergaQua Institute for Applied Quality Improvement and Research in Health CareDepartment of Clinical Pharmacology and Pharmacoepidemiology, Heidelberg University HospitalAOK PLUS – Die GesundheitskasseDepartment of Medicine, ABDA – Federal Union of German Associations of PharmacistsDepartment of Medicine, ABDA – Federal Union of German Associations of PharmacistsDepartment of Medicine, ABDA – Federal Union of German Associations of PharmacistsaQua Institute for Applied Quality Improvement and Research in Health CareCooperation Unit Clinical Pharmacy, University of HeidelbergCooperation Unit Clinical Pharmacy, University of HeidelbergAbstract Background Pharmacist-led medication review and medication management programs (MMP) are well-known strategies to improve medication safety and effectiveness. If performed interprofessionally, outcomes might even improve. However, little is known about task sharing in interprofessional MMP, in which general practitioners (GPs) and community pharmacists (CPs) collaboratively perform medication reviews and continuously follow-up on patients with designated medical and pharmaceutical tasks, respectively. In 2016, ARMIN (Arzneimittelinitiative Sachsen-Thüringen) an interprofessional MMP was launched in two German federal states, Saxony and Thuringia. The aim of this study was to understand how GPs and CPs share tasks in MMP when reviewing the patients’ medication. Methods This was a cross-sectional postal survey among GPs and CPs who participated in the MMP. Participants were asked who completed which MMP tasks, e.g., checking drug-drug interactions, dosing, and side effects. In total, 15 MMP tasks were surveyed using a 5-point Likert scale ranging from “I complete this task alone” to “GP/CP completes this task alone”. The study was conducted between 11/2020 and 04/2021. Data was analyzed using descriptive statistics. Results In total, 114/165 (69.1%) GPs and 166/243 (68.3%) CPs returned a questionnaire. The majority of GPs and CPs reported (i) checking clinical parameters and medication overuse and underuse to be completed by GPs, (ii) checking storage conditions of drugs and initial compilation of the patient’s medication including brown bag review being mostly performed by CPs, and (iii) checking side-effects, non-adherence, and continuous updating of the medication list were carried out jointly. The responses differed most for problems with self-medication and adding and removing over-the-counter medicines from the medication list. In addition, the responses revealed that some MMP tasks were not sufficiently performed by either GPs or CPs. Conclusions Both GPs’ and CPs’ expertise are needed to perform MMP as comprehensively as possible. Future studies should explore how GPs and CPs can complement each other in MMP most efficiently.https://doi.org/10.1186/s12913-022-08378-4Interprofessional medication managementMedication reviewPrimary careTask sharingSurvey |
| spellingShingle | Robert Moecker Marina Weissenborn Anja Klingenberg Lucas Wirbka Andreas Fuchs Christiane Eickhoff Uta Mueller Martin Schulz Petra Kaufmann-Kolle ARMIN Study Group Walter E. Haefeli Hanna M. Seidling Task sharing in an interprofessional medication management program – a survey of general practitioners and community pharmacists BMC Health Services Research Interprofessional medication management Medication review Primary care Task sharing Survey |
| title | Task sharing in an interprofessional medication management program – a survey of general practitioners and community pharmacists |
| title_full | Task sharing in an interprofessional medication management program – a survey of general practitioners and community pharmacists |
| title_fullStr | Task sharing in an interprofessional medication management program – a survey of general practitioners and community pharmacists |
| title_full_unstemmed | Task sharing in an interprofessional medication management program – a survey of general practitioners and community pharmacists |
| title_short | Task sharing in an interprofessional medication management program – a survey of general practitioners and community pharmacists |
| title_sort | task sharing in an interprofessional medication management program a survey of general practitioners and community pharmacists |
| topic | Interprofessional medication management Medication review Primary care Task sharing Survey |
| url | https://doi.org/10.1186/s12913-022-08378-4 |
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