Essential factors demonstrating readiness of primary care practices for clinical pharmacy services.

Purpose. The characteristics of primary care practices that are necessary to establish and maintain ambulatory care clinical pharmacy services were identified. Methods. A focus group of 15 ambulatory care pharmacists in Western North Carolina developed a survey of 26 practice readiness statements pe...

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Publicado en:American Journal of Health-System Pharmacy Vol. 75; no. 21; pp. 1708 - 1714
Autores principales: Carrington, Anne, Pokallus, Ashley, Ulrich, Irene Park, Scott, Mollie Ashe, Fay, Allison E., Drake, Evan S., Wilson, Courtenay Gilmore
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA 11/1/2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 11/1/2018
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      pub: Oxford University Press / USA
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        atl: Essential factors demonstrating readiness of primary care practices for clinical pharmacy services.
      aug:
        au:
          Carrington, Anne
          Pokallus, Ashley
          Ulrich, Irene Park
          Scott, Mollie Ashe
          Fay, Allison E.
          Drake, Evan S.
          Wilson, Courtenay Gilmore
        affil: UNC Health Sciences at MAHEC, Asheville, NC, and UNC Eshelman School of Pharmacy, Chapel Hill, NC
      sug:
        subj:
          Primary Health Care North Carolina
          Pharmacy Service
          Ambulatory Care
          Human
          Focus Groups
          Pharmacists
          North Carolina
          Surveys
          Delphi Technique
          Electronic Health Records
          Physicians
          Administrative Personnel
          Multidisciplinary Care Team
          Access to Information
      ab: Purpose. The characteristics of primary care practices that are necessary to establish and maintain ambulatory care clinical pharmacy services were identified. Methods. A focus group of 15 ambulatory care pharmacists in Western North Carolina developed a survey of 26 practice readiness statements pertaining to the development of clinical pharmacy services in primary care. National ambulatory care pharmacy experts were then surveyed using a modified Delphi model for consensus building to determine which items were essential. Four rounds of surveys were completed. After each round, statements were accepted as consensus, modified, or removed from the survey based on responses. Statements were deemed to have reached consensus when 80% of respondents were in agreement. Results. A total of 6 statements reached agreement after 4 rounds of survey: (1) full integration into the team, (2) access to the electronic health record (EHR), (3) a physician or administrative champion, (4) appropriate equipment provided by the clinic, (5) a private room to see patients, and (6) a practice that is open to team-based care. Conclusion. An expert panel of ambulatory care pharmacists identi- fied 6 factors that should be considered prior to establishing ambulatory care services in primary care practices. Of these, foundational elements included full integration into the care team, presence of a physician or administrative champion, and a practice that is ready for team-based care. Operational elements included access to the practice's EHR, equipment provided by the practice, and private space to see patients.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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