Factors influencing the degree of physician-pharmacist collaboration within Iraqi public healthcare settings

Autor: Hayder K. Abbas, Furqan H Hussein, Mohammed Dakhil Al-Rekabi, Ali Azeez Al-Jumaili, William R. Doucette, Ahmed H. Hussein
Rok vydání: 2016
Předmět:
Adult
Male
medicine.medical_specialty
Attitude of Health Personnel
health care facilities
manpower
and services
Interprofessional Relations
education
Pharmacist
Pharmaceutical Science
Collaborative Care
Context (language use)
Pharmacy
Pharmacists
030226 pharmacology & pharmacy
Public healthcare
Likert scale
03 medical and health sciences
Young Adult
0302 clinical medicine
Professional Role
Physicians
Surveys and Questionnaires
medicine
Outpatient clinic
Humans
Medication Errors
030212 general & internal medicine
Cooperative Behavior
health care economics and organizations
Response rate (survey)
business.industry
Hospitals
Public
Health Policy
Public Health
Environmental and Occupational Health
Middle Aged
Personnel
Hospital
Cross-Sectional Studies
Family medicine
Healthcare settings
Iraq
Female
business
Pharmacy Service
Hospital
Delivery of Health Care
Zdroj: The International journal of pharmacy practice. 25(6)
ISSN: 2042-7174
Popis: Objectives Medication safety and effectiveness can be improved through interprofessional collaboration. The goals of this study were to measure the degree of physician–pharmacist collaboration within Iraqi governmental healthcare settings and to investigate factors influencing this collaboration. Methods This cross-sectional study was conducted in Al-Najaf Province using the Collaborative Working Relationship Model and Physician–Pharmacist Collaborative Instrument (PPCI). Four pharmacists distributed paper surveys with a 7-point Likert scale to a convenience sample of physicians and pharmacists working in seven public hospitals and two outpatient clinics. The questionnaire (in English) covered individual (demographics, practising years and academic affiliation), context (practice setting) and PPCI characteristics (trustworthiness, role specification and relationship initiation) in addition to collaborative care items: one for pharmacists and one for physicians. Separate multiple regressions were used to assess the association of the factors with collaborative care for physicians and for pharmacists. Key findings Seventy-seven physicians and 86 pharmacists returned usable surveys (81.5% response rate). The majority of physicians were male (84%), while the majority of pharmacists were female (58%). The mean age of the physicians was (37.99 years) older than that of the pharmacists (30.35 years). The physicians had a longer period of practice (11.32 years) than pharmacists (5.45 years). Most (90%) of the providers were practising in hospitals. Pharmacist academic affiliation was significantly associated with collaborative care. The pharmacist and physician regressions indicated significant (P < 0.05) associations between collaborative care and two PPCI domains (role specification and relationship initiation for physicians; role specification and trustworthiness for pharmacists). Conclusions This study focused on physician–pharmacist collaboration within hospitals, and it was the first study measuring interprofessional collaboration in Iraq. The results showed there is physician–pharmacist collaboration within Iraqi hospitals and exchange characteristics had significant influence on this collaboration.
Databáze: OpenAIRE
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