Interprofessional Prescription Opioid Abuse Communication among Prescribers and Pharmacists: A Qualitative Analysis
| Autor: | Elizabeth J. Hagy, Brittany Ratliff, Robert P. Pack, Nicholas E. Hagemeier, Angela Hagaman, Scott Brewster, Fred Tudiver |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Attitude of Health Personnel Substance-Related Disorders education Pharmacist Psychological intervention Nurses Medicine (miscellaneous) Pharmacists 01 natural sciences Article 03 medical and health sciences 0302 clinical medicine Qualitative analysis Nursing Physicians Humans Medicine 030212 general & internal medicine 0101 mathematics Qualitative Research Data collection business.industry 010102 general mathematics Focus Groups Middle Aged Opioid-Related Disorders Focus group Psychiatry and Mental health Prescription opioid Family medicine Female Interdisciplinary Communication Network providers business Appalachia |
| Zdroj: | Substance Abuse. 39:89-94 |
| ISSN: | 1547-0164 0889-7077 |
| DOI: | 10.1080/08897077.2017.1365803 |
| Popis: | Background Prescribers and community pharmacists commonly perceive prescription opioid abuse to be a problem in their practice settings and communities. Both cohorts have expressed support for interventions that improve interprofessional communication and reduce prescription opioid abuse. The objective of this study was to describe prescription opioid abuse-related communication among and between prescribers and community pharmacists in South Central Appalachia. Methods The investigators conducted five focus groups with 35 Appalachian Research Network practice-based research network providers between February and October, 2014. Two prescriber-specific, two pharmacist-specific, and one interprofessional (prescribers and pharmacists) focus groups were conducted, recorded, and transcribed. Data collection and analysis occurred iteratively. Emerging themes were inductively derived and refined. Five member-checking interviews were conducted to validate themes. Results Providers noted several factors that influence intraprofessional and interprofessional communication, including level of trust, role perceptions, conflict history and avoidance, personal relationships, and prescription monitoring program use. Indirect communication approaches via patients, office staff, and voicemail systems were common. Direct pharmacist to prescriber and prescriber to pharmacist communication was described as rare and often perceived to be ineffective. Prescriber to pharmacist communication was reported by prescribers to have decreased after implementation of state prescription monitoring programs. Difficult or uncomfortable conversations were often avoided by providers. Conclusions Interprofessional and intraprofessional prescription opioid abuse communication is situational and influenced by multiple factors. Indirect communication and communication avoidance are common. Themes identified in this study can inform development of interventions that improve providers’ intra- and interprofessional communication skills. |
| Databáze: | OpenAIRE |
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