General practitioners’ attitudes towards and frequency of collaboration with pharmacists in China: a cross-sectional study

BMC Health Services Research

Research

Ming Yan¹  Panpan Lu²  Songtao Cai³  Zhijie Xu⁴  Yiting Lu⁵  Haixin Li⁶  Wanchao Li⁷  Connie Van⁸  Zhiling Deng⁹  Xianghui Huang^1,10 

[1] Department of General Practice, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, 310016, Hangzhou, China;Department of General Practice, Taizhou Municipal Hospital, 318000, Taizhou, China;Department of General Practice, The Second Affiliated Hospital, School of Medicine, The Chinese University of Hong Kong, Shenzhen & Longgang District People’s Hospital of Shenzhen, 518172, Shenzhen, China;Department of General Practice, The Second Affiliated Hospital, Zhejiang University School of Medicine, No.88, Jiefang Rd, 310009, Hangzhou, Shangcheng District, China;Department of General Practice, Tongji University School of Medicine, 200092, Shanghai, China;Department of Pharmacy, The First Affiliated Hospital of Xi’an Jiaotong University, 710061, Xi’an, China;Lincheng Healthcare Center of Changxing County, 310016, Huzhou, China;Sydney Pharmacy School, Faculty of Medicine and Health, The University of Sydney, 2006, Sydney, NSW, Australia;The Eighth Affiliated Hospital, Sun Yat-sen University, 518033, Shenzhen, China;Xinsheng Community Health Service Center, Shenzhen Longgang Central Hospital, 518116, Shenzhen, China;

关键词: Interdisciplinary collaboration;    General practitioners;    Pharmacists;    Cross-sectional study;   

DOI  :  10.1186/s12913-023-10151-0

 received in 2023-07-08, accepted in 2023-10-16,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundBuilding interprofessional working relationships between general practitioners (GPs) and pharmacists is essential to ensure high-quality patient care. However, there is limited Chinese literature on GP–pharmacist collaboration, and few studies have explored GPs’ experiences with pharmacist integration into general practices. This study aimed to investigate GPs’ attitudes towards and frequency of collaboration with pharmacists in China.MethodsThis cross-sectional study used an online self-administered questionnaire integrating two scales, ATCI-GP and FICI-GP, which had been translated and validated to investigate 3,248 GPs from February 15 to March 15, 2023 across Zhejiang Province, China. Descriptive analyses were used, and the factors associated with GPs’ frequency of collaboration with pharmacists were explored using logistic regression analysis.ResultsA total of 2,487 GPs (76.6%) responded and consented to participate in the survey; 52.3% were male and the mean age was 35.4 years. Most GPs agreed that they shared common goals and objectives with pharmacists when caring for patients (90.0%), and pharmacists were open to working with them on patients’ medication management (80.8%). However, half of the GPs did not change or seldom changed the patient’s medication on the pharmacist’s advice (51.4%). Logistic regression analysis showed that GPs who were older and had more years of practice were more likely to agree that pharmacists were willing to collaborate, had common goals for treatment and that they would change the patient’s medication on the advice of the pharmacist. GPs who had regular communication protocols (adjusted odds ratio1 [aOR1] = 1.88, 95% CI 1.45–2.45; aOR2 = 3.33, 95% CI 2.76–4.02), participated in joint continuing education (aOR1 = 1.87, 95% CI 1.44–2.43; aOR2 = 2.27, 95% CI 1.91–2.70), provided recommendations for medication review (aOR1 = 3.01, 95% CI 2.07–4.38; aOR2 = 3.50, 95% CI 2.51–4.86), and communicated with pharmacists during resident training (aOR1 = 2.15, 95% CI 1.78–2.60; aOR2 = 1.38, 95% CI 1.18–1.62) were associated with a more positive attitude towards and higher frequency of cooperation.ConclusionsGPs in China displayed a positive attitude towards cooperating with pharmacists, but they did not demonstrate a similar level of practice. As environmental determinants impact interdisciplinary collaboration, healthcare managers and policy-makers need to implement measures that foster a supportive environment conducive to interdisciplinary collaboration.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

Fig. 5

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