Developing a tool to measure contributions to medication-related processes in family practice.

Successful team care requires a shared understanding of roles and expertise. This paper describes the development and preliminary exploration of the psychometric properties of a tool designed to measure contributions to family practice medication-related processes. Our team identified medication-rel...

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Publicado en:Journal of Interprofessional Care Vol. 22; no. 1; pp. 17 - 30
Autores principales: Farrell B, Pottie K, Woodend K, Yao VH, Kennie N, Sellors C, Martin C, Dolovich L
Formato: research Journal Article
Publicado: Taylor & Francis Ltd Jan2008
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Taylor & Francis Ltd
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        atl: Developing a tool to measure contributions to medication-related processes in family practice.
      aug:
        au:
          Farrell B
          Pottie K
          Woodend K
          Yao VH
          Kennie N
          Sellors C
          Martin C
          Dolovich L
        affil: Pharmacy Department, SCO Health Service & Élisabeth Bruyère Research Institute & Department of Family Medicine, University of Ottawa, Ottawa
      sug:
        subj:
          Drug Therapy
          Family Practice
          Multidisciplinary Care Team Administration
          Family Practice Methods
          Female
          Male
          Nurses
          Pharmacists
          Physicians, Family
          Pilot Studies
          Psychometrics
          Human
          Female
          Male
      ab: Successful team care requires a shared understanding of roles and expertise. This paper describes the development and preliminary exploration of the psychometric properties of a tool designed to measure contributions to family practice medication-related processes. Our team identified medication-related processes commonly occurring in family practice. We assessed clinical appropriateness using a sensibility questionnaire and pilot-tested with 11 pharmacists, nurses and physicians. We performed a simulated exercise to group the processes and assessed the internal consistency of the groupings using Cronbach's alpha coefficient. We examined test-retest reliability using intra-class coefficient (ICC). Following three revisions, the final Medication Use Processes Matrix (MUPM) included 22 medication-related processes and scale descriptors reflecting contribution to each process. Mean sensibility ratings were high for each component. We developed five theoretical groupings (diagnosis & prescribing, monitoring, administrative/documentation, education, medication review) and found their overall internal consistency was good (alpha > 0.80). The test-retest reliability was strong (ICC > 0.80). Preliminary validation showed significant differences in how health professionals view interprofessional contributions toward medication-related processes. Interprofessional care requires a negotiated understanding of processes and contributions. The MUPM provides an explicit description of medication-related processes in primary care, measures perceived contributions and emerges as a new tool to measure collaborative care in family practices.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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