TY - JOUR
KW - Attitude to Health
KW - Data Collection
KW - Delivery of Health Care, Integrated/organization & administration
KW - Family Practice/organization & administration
KW - Female
KW - Humans
KW - Male
KW - Middle Aged
KW - Patient Acceptance of Health Care
KW - Patient Care Team/organization & administration
KW - Patient-Centered Care/organization & administration
KW - Pharmaceutical Services/organization & administration
KW - Pharmacists/organization & administration
KW - Primary Health Care/organization & administration
KW - Quality of Health Care
KW - Time Factors
KW - Time Management
AU - M. Kozminski
AU - R. Busby
AU - M. S. McGivney
AU - P. M. Klatt
AU - S. R. Hackett
AU - J. H. Merenstein
A1 - 
AB - OBJECTIVE: To determine the acceptance and attitudes of family medicine physicians, clinical and nonclinical office staff, pharmacists, and patients during pharmacist integration into a medical home. DESIGN: Qualitative study.Setting: Pittsburgh, PA, area from August 2009 to June 2010. PARTICIPANTS: Physicians, staff, pharmacists, and patients at four single-specialty family medicine office practices functioning as medical homes. MAIN OUTCOME MEASURES: Attitudes, acceptance, barriers, and problems identified by participants. RESULTS: A total of 84 interviews were conducted: 21 interviews with family medicine physicians, 26 with patient care staff, 9 with nonclinical staff, 13 with patients, 6 with pharmacists, and 8 with office managers. Five main themes emerged from each group regarding the integration of a pharmacist, including positive overall feeling; clinical, educational, and time-saving benefits to the various groups; challenges understanding the role of the pharmacist; improved workflow and integration resulting from pharmacist flexibility and motivation; and suggestions to increase the pharmacists' time in each office. Pharmacists felt that they were accepted within 6 months of the integration process and that time management was a challenge. CONCLUSION: Participants felt that inclusion of a pharmacist into their practice improves the quality of patient care, provides a valuable resource for all providers and staff, and empowers patients. The initial concerns of the clinical and nonclinical staff disappeared within the first months of pharmacist integration. These results provide guidance to clinicians and insight into strategies for building a pharmacist-integrated medical home team.
BT - Journal of the American Pharmacists Association : JAPhA
C5 - Education & Workforce; Medical Home
CP - 2
CY - United States
DO - 10.1331/JAPhA.2011.10188
IS - 2
JF - Journal of the American Pharmacists Association : JAPhA
N2 - OBJECTIVE: To determine the acceptance and attitudes of family medicine physicians, clinical and nonclinical office staff, pharmacists, and patients during pharmacist integration into a medical home. DESIGN: Qualitative study.Setting: Pittsburgh, PA, area from August 2009 to June 2010. PARTICIPANTS: Physicians, staff, pharmacists, and patients at four single-specialty family medicine office practices functioning as medical homes. MAIN OUTCOME MEASURES: Attitudes, acceptance, barriers, and problems identified by participants. RESULTS: A total of 84 interviews were conducted: 21 interviews with family medicine physicians, 26 with patient care staff, 9 with nonclinical staff, 13 with patients, 6 with pharmacists, and 8 with office managers. Five main themes emerged from each group regarding the integration of a pharmacist, including positive overall feeling; clinical, educational, and time-saving benefits to the various groups; challenges understanding the role of the pharmacist; improved workflow and integration resulting from pharmacist flexibility and motivation; and suggestions to increase the pharmacists' time in each office. Pharmacists felt that they were accepted within 6 months of the integration process and that time management was a challenge. CONCLUSION: Participants felt that inclusion of a pharmacist into their practice improves the quality of patient care, provides a valuable resource for all providers and staff, and empowers patients. The initial concerns of the clinical and nonclinical staff disappeared within the first months of pharmacist integration. These results provide guidance to clinicians and insight into strategies for building a pharmacist-integrated medical home team.
PP - United States
PY - 2011
SN - 1544-3450; 1086-5802
SP - 173
EP - 183
EP - 
T1 - Pharmacist integration into the medical home: Qualitative analysis
T2 - Journal of the American Pharmacists Association : JAPhA
TI - Pharmacist integration into the medical home: Qualitative analysis
U1 - Education & Workforce; Medical Home
U2 - 21382807
U3 - 10.1331/JAPhA.2011.10188
VL - 51
VO - 1544-3450; 1086-5802
Y1 - 2011
ER -