Abstract

Collaborative practice in health-care has proven to be an effective and efficient method for the management of chronic diseases. This study describes a de novo collaborative practice between a pharmacist and a family physician. The primary objective of the study is to describe the collaboration model between a pharmacist and family physician. The secondary objective is to describe the pharmacist workload. A list of patients who had at least one interaction with the pharmacist was generated and printed from the electronic medical record. There were 389 patients on the patient panel. The pharmacist had at least one encounter with 159 patients. There were 83 females. The most common medical condition seen by the pharmacist was hypertension. A total of 583 patient consultations were made by the pharmacist and 219 of those were independent visits. The pharmacist wrote 1361 prescriptions. The expanded scope of practice for pharmacists in Alberta includes additional prescribing authority. The pharmacists’ education and clinical experience gained trust from the family physician. These, coupled with the family physician’s previous positive experience working with pharmacists made the collaboration achievable.

Highlights

  • The World Health Organization (WHO) defines collaborative practice in health-care as “multiple health workers from different professional backgrounds providing comprehensive services by working with patients, their families, carers and communities to deliver the highest quality of care across settings” [1]

  • Physician roles are different from those of other primary care physicians such as primary care pediatricians, internists or psychiatrists who have a limited range of practice (Table 1)

  • This study describes a de novo collaborative practice between a pharmacist and a family physician in a family medicine clinic

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Summary

Introduction

The World Health Organization (WHO) defines collaborative practice in health-care as “multiple health workers from different professional backgrounds providing comprehensive services by working with patients, their families, carers and communities to deliver the highest quality of care across settings” [1]. This practice has proven to be effective and efficient for the management of chronic diseases [2]. Family physicians play a crucial role in health promotion and illness prevention, coordinating care with other specialties and health professionals They advocate on behalf of their patients’ care and services in all parts of the health care system. Physician roles are different from those of other primary care physicians such as primary care pediatricians, internists or psychiatrists who have a limited range of practice (Table 1)

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