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Implementation of the physician-pharmacist collaborative model in primary care clinics.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Implementation of the physician-pharmacist collaborative model in primary care clinics./
作者:	Chang, Elizabeth H.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2013,
面頁冊數:	226 p.
附註:	Source: Dissertations Abstracts International, Volume: 78-09, Section: B.
Contained By:	Dissertations Abstracts International78-09B.
標題:	Health sciences. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=10184905
ISBN:	9781369623369

Implementation of the physician-pharmacist collaborative model in primary care clinics.
Chang, Elizabeth H.

Implementation of the physician-pharmacist collaborative model in primary care clinics. - Ann Arbor : ProQuest Dissertations & Theses, 2013 - 226 p.

Source: Dissertations Abstracts International, Volume: 78-09, Section: B.

Thesis (Ph.D.)--The University of Iowa, 2013.

This item must not be added to any third party search indexes.

In the modern society, chronic diseases have become the leading causes of death. With early recognition and proper management, however, many of the complications from chronic diseases could be prevented or delayed. Taking such a proactive approach in managing a population often requires the use of team-based approaches and delegation of certain clinical and nonclinical tasks to nonphysician team members. This three-study dissertation used a combination of methods to explore contextual factors that influence primary care teamwork and physician-pharmacist collaboration. The first study quantitatively examined baseline barriers and facilitators of physician-pharmacist collaboration in clinics participating in the Collaboration Among Pharmacists and Physicians To Improve Outcomes Now (CAPTION) Trial. Pharmacist expertise and clinic staff support were found to be the most important facilitators for physicians, while insurance reimbursement and task design factors were important for pharmacists. The second study characterized clinic personnel experience participating in the CAPTION trial and explored determinants of disease state control. Higher proportions of indigent and minority populations and higher baseline pharmacy structure scores were found to be associated with lower blood pressure control. The third study qualitatively examined organizational influences on primary care team effectiveness and the roles of pharmacists in a separate sample of primary care clinics. A lack of organizational rewards for teamwork in primary care was identified and pharmacists were integrated into clinic workflow in various degrees. These findings will be informative for practice managers and health care professionals seeking to redesign their practice to meet increasing needs of patients with chronic diseases.

ISBN: 9781369623369Subjects--Topical Terms:

3168359
Health sciences.
Subjects--Index Terms:

Ambulatory care

Implementation of the physician-pharmacist collaborative model in primary care clinics.
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