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A conceptual framework of the way forward to a community pharmacist–general practitioner collaborative medication therapy management model for chronic diseases in Malaysian primary care: a qualitative study

Background: There is a growing global interest in formulating such policies and strategic plans that help devise collaborative working models for community pharmacists (CPs) and general practitioners (GPs) in primary care settings. Objective: To conceptualize a stakeholder-driven framework to...

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Main Authors: Mubarak, Naeem, Raja, Sarwat Ali, Sarwar Khan, Asma, Kanwal, Sabba, Saif-ur-Rehman, Nasira, Aziz, Muhammad Majid, Hussain, Irshad, Hatah, Ernieda, Zin, Che Suraya
Format: Article
Language:English
English
Published: Dove Medical Press 2021
Subjects:
RS Pharmacy and materia medica
Online Access:http://irep.iium.edu.my/90931/7/90931_A%20conceptual%20framework%20of%20the%20way%20forward%20to%20a%20community%20pharmacist%E2%80%93general%20practitioner%20collaborative_SCOPUS.pdf
http://irep.iium.edu.my/90931/8/90931_A%20conceptual%20framework%20of%20the%20way%20forward%20to%20a%20community%20pharmacist%E2%80%93general%20practitioner%20collaborative.pdf
http://irep.iium.edu.my/90931/
https://www.dovepress.com/a-conceptual-framework-of-the-way-forward-to-a-community-pharmacistnda-peer-reviewed-fulltext-article-RMHP
https://doi.org/10.2147/RMHP.S296113
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spelling my.iium.irep.909312021-07-22T02:57:18Z http://irep.iium.edu.my/90931/ A conceptual framework of the way forward to a community pharmacist–general practitioner collaborative medication therapy management model for chronic diseases in Malaysian primary care: a qualitative study Mubarak, Naeem Raja, Sarwat Ali Sarwar Khan, Asma Kanwal, Sabba Saif-ur-Rehman, Nasira Aziz, Muhammad Majid Hussain, Irshad Hatah, Ernieda Zin, Che Suraya RS Pharmacy and materia medica Background: There is a growing global interest in formulating such policies and strategic plans that help devise collaborative working models for community pharmacists (CPs) and general practitioners (GPs) in primary care settings. Objective: To conceptualize a stakeholder-driven framework to improve collaboration between CPs and GPs in Malaysian primary care to effectively manage medicines in chronic diseases. Design and Setting: A qualitative study that involved individual semi-structured inter- views of the leadership of various associations, guilds, and societies representing CPs, GPs, and Nurses in Malaysia. Methods: This study collected and reported data in accordance with the guidelines of the Consolidated Criteria for Reporting of Qualitative Studies. Key informants were recruited based on purposive (expert) sampling. Interviews were transcribed verbatim and data were coded based on the principles of thematic analysis in NVivo. Results: A total of 12 interviews (5 CPs, 5 GPs, and 2 nurses) were conducted. Five themes emerged: Theme 1 highlighted a comparison of community pharmacy practice in Malaysia and developed countries; Theme 2 involved current practices in Malaysian primary care; Theme 3 encompassed the advantages of CP–GP collaboration in chronic diseases; Theme 4 highlighted the barriers which impede collaboration in Malaysian primary care; and Theme 5 delineated the way forward for CP–GP collaboration in Malaysia. Conclusion: The actionable insights obtained from the Malaysian stakeholders offered an outline of a framework to enhance collaboration between CPs and GPs in primary care. Generally, stakeholders were interested in CP–GP collaboration in primary care and identified many positive roles performed by CPs, including prescription review, adher- ence support, and patient education. The framework of the way forward includes: separation of CP and GP roles through a holistic revision of relevant legislation to grant an active role to CPs in chronic care; definition of protocols for collaborative practices; incentivization of both stakeholders (CPs and GPs); and design and implemen- tation of an effective regulatory mechanism whereby the Malaysian Ministry of Health may take a leading role Dove Medical Press 2021-04-19 Article PeerReviewed application/pdf en http://irep.iium.edu.my/90931/7/90931_A%20conceptual%20framework%20of%20the%20way%20forward%20to%20a%20community%20pharmacist%E2%80%93general%20practitioner%20collaborative_SCOPUS.pdf application/pdf en http://irep.iium.edu.my/90931/8/90931_A%20conceptual%20framework%20of%20the%20way%20forward%20to%20a%20community%20pharmacist%E2%80%93general%20practitioner%20collaborative.pdf Mubarak, Naeem and Raja, Sarwat Ali and Sarwar Khan, Asma and Kanwal, Sabba and Saif-ur-Rehman, Nasira and Aziz, Muhammad Majid and Hussain, Irshad and Hatah, Ernieda and Zin, Che Suraya (2021) A conceptual framework of the way forward to a community pharmacist–general practitioner collaborative medication therapy management model for chronic diseases in Malaysian primary care: a qualitative study. Risk Management and Healthcare Policy, 14. pp. 1615-1627. ISSN 1179-1594 https://www.dovepress.com/a-conceptual-framework-of-the-way-forward-to-a-community-pharmacistnda-peer-reviewed-fulltext-article-RMHP https://doi.org/10.2147/RMHP.S296113
institution Universiti Islam Antarabangsa Malaysia
building IIUM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider International Islamic University Malaysia
content_source IIUM Repository (IREP)
url_provider http://irep.iium.edu.my/
language English
English
topic RS Pharmacy and materia medica
spellingShingle RS Pharmacy and materia medica
Mubarak, Naeem
Raja, Sarwat Ali
Sarwar Khan, Asma
Kanwal, Sabba
Saif-ur-Rehman, Nasira
Aziz, Muhammad Majid
Hussain, Irshad
Hatah, Ernieda
Zin, Che Suraya
A conceptual framework of the way forward to a community pharmacist–general practitioner collaborative medication therapy management model for chronic diseases in Malaysian primary care: a qualitative study
description Background: There is a growing global interest in formulating such policies and strategic plans that help devise collaborative working models for community pharmacists (CPs) and general practitioners (GPs) in primary care settings. Objective: To conceptualize a stakeholder-driven framework to improve collaboration between CPs and GPs in Malaysian primary care to effectively manage medicines in chronic diseases. Design and Setting: A qualitative study that involved individual semi-structured inter- views of the leadership of various associations, guilds, and societies representing CPs, GPs, and Nurses in Malaysia. Methods: This study collected and reported data in accordance with the guidelines of the Consolidated Criteria for Reporting of Qualitative Studies. Key informants were recruited based on purposive (expert) sampling. Interviews were transcribed verbatim and data were coded based on the principles of thematic analysis in NVivo. Results: A total of 12 interviews (5 CPs, 5 GPs, and 2 nurses) were conducted. Five themes emerged: Theme 1 highlighted a comparison of community pharmacy practice in Malaysia and developed countries; Theme 2 involved current practices in Malaysian primary care; Theme 3 encompassed the advantages of CP–GP collaboration in chronic diseases; Theme 4 highlighted the barriers which impede collaboration in Malaysian primary care; and Theme 5 delineated the way forward for CP–GP collaboration in Malaysia. Conclusion: The actionable insights obtained from the Malaysian stakeholders offered an outline of a framework to enhance collaboration between CPs and GPs in primary care. Generally, stakeholders were interested in CP–GP collaboration in primary care and identified many positive roles performed by CPs, including prescription review, adher- ence support, and patient education. The framework of the way forward includes: separation of CP and GP roles through a holistic revision of relevant legislation to grant an active role to CPs in chronic care; definition of protocols for collaborative practices; incentivization of both stakeholders (CPs and GPs); and design and implemen- tation of an effective regulatory mechanism whereby the Malaysian Ministry of Health may take a leading role
format Article
author Mubarak, Naeem
Raja, Sarwat Ali
Sarwar Khan, Asma
Kanwal, Sabba
Saif-ur-Rehman, Nasira
Aziz, Muhammad Majid
Hussain, Irshad
Hatah, Ernieda
Zin, Che Suraya
author_facet Mubarak, Naeem
Raja, Sarwat Ali
Sarwar Khan, Asma
Kanwal, Sabba
Saif-ur-Rehman, Nasira
Aziz, Muhammad Majid
Hussain, Irshad
Hatah, Ernieda
Zin, Che Suraya
author_sort Mubarak, Naeem
title A conceptual framework of the way forward to a community pharmacist–general practitioner collaborative medication therapy management model for chronic diseases in Malaysian primary care: a qualitative study
title_short A conceptual framework of the way forward to a community pharmacist–general practitioner collaborative medication therapy management model for chronic diseases in Malaysian primary care: a qualitative study
title_full A conceptual framework of the way forward to a community pharmacist–general practitioner collaborative medication therapy management model for chronic diseases in Malaysian primary care: a qualitative study
title_fullStr A conceptual framework of the way forward to a community pharmacist–general practitioner collaborative medication therapy management model for chronic diseases in Malaysian primary care: a qualitative study
title_full_unstemmed A conceptual framework of the way forward to a community pharmacist–general practitioner collaborative medication therapy management model for chronic diseases in Malaysian primary care: a qualitative study
title_sort conceptual framework of the way forward to a community pharmacist–general practitioner collaborative medication therapy management model for chronic diseases in malaysian primary care: a qualitative study
publisher Dove Medical Press
publishDate 2021
url http://irep.iium.edu.my/90931/7/90931_A%20conceptual%20framework%20of%20the%20way%20forward%20to%20a%20community%20pharmacist%E2%80%93general%20practitioner%20collaborative_SCOPUS.pdf
http://irep.iium.edu.my/90931/8/90931_A%20conceptual%20framework%20of%20the%20way%20forward%20to%20a%20community%20pharmacist%E2%80%93general%20practitioner%20collaborative.pdf
http://irep.iium.edu.my/90931/
https://www.dovepress.com/a-conceptual-framework-of-the-way-forward-to-a-community-pharmacistnda-peer-reviewed-fulltext-article-RMHP
https://doi.org/10.2147/RMHP.S296113
_version_ 1706956599918067712
score 13.211869

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