Pharmacist provision of primary health care: a modified Delphi validation of pharmacists' competencies

BMC Family Practice

Research Article

Sharon Johnston¹  Ashley Gubbels¹  Natalie Ward²  Barbara Farrell³  Tewodros Eguale⁴  Derek Jorgenson⁵  Lisa Dolovich⁶  Nancy Winslade⁷  Nancy Waite⁸  Natalie Kennie-Kaulbach⁹ 

[1] C.T. Lamont Primary Health Care Research Centre, Élisabeth Bruyère Research Institute, Ottawa, Ontario, Canada;C.T. Lamont Primary Health Care Research Centre, Élisabeth Bruyère Research Institute, Ottawa, Ontario, Canada;Department of Sociology and Anthropology, University of Ottawa, Ottawa, Ontario, Canada;C.T. Lamont Primary Health Care Research Centre, Élisabeth Bruyère Research Institute, Ottawa, Ontario, Canada;Scientist, C.T. Lamont Primary Health Care Research Centre, Élisabeth Bruyère Research Institute, 43 Bruyère Street, K1N 5C8, Ottawa, Ontario, Canada;Clinical and Health Informatics Research Group, Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Quebec, Canada;College of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, Saskatchewan, Canada;Department of Family Medicine, McMaster University, Centre for Evaluation of Medicines, Hamilton, Ontario, Canada;Faculty of Medicine, McGill University and Winslade Consultants Inc, Montreal, Quebec, Canada;School of Pharmacy, University of Waterloo, Kitchener, Ontario, Canada;Summerville Family Health Team, Mississauga, Ontario, Canada;

关键词: Primary health care;    Pharmacy;    Pharmacists;    Competencies;    Scope of practice;   

DOI  :  10.1186/1471-2296-13-27

 received in 2011-12-19, accepted in 2012-03-28,  发布年份 2012

来源: Springer

【 摘 要 】

BackgroundPharmacists have expanded their roles and responsibilities as a result of primary health care reform. There is currently no consensus on the core competencies for pharmacists working in these evolving practices. The aim of this study was to develop and validate competencies for pharmacists' effective performance in these roles, and in so doing, document the perceived contribution of pharmacists providing collaborative primary health care services.MethodsUsing a modified Delphi process including assessing perception of the frequency and criticality of performing tasks, we validated competencies important to primary health care pharmacists practising across Canada.ResultsTen key informants contributed to competency drafting; thirty-three expert pharmacists replied to a second round survey. The final primary health care pharmacist competencies consisted of 34 elements and 153 sub-elements organized in seven CanMeds-based domains. Highest importance rankings were allocated to the domains of care provider and professional, followed by communicator and collaborator, with the lower importance rankings relatively equally distributed across the manager, advocate and scholar domains.ConclusionsExpert pharmacists working in primary health care estimated their most important responsibilities to be related to direct patient care. Competencies that underlie and are required for successful fulfillment of these patient care responsibilities, such as those related to communication, collaboration and professionalism were also highly ranked. These ranked competencies can be used to help pharmacists understand their potential roles in these evolving practices, to help other health care professionals learn about pharmacists' contributions to primary health care, to establish standards and performance indicators, and to prioritize supports and education to maximize effectiveness in this role.

【 授权许可】

Unknown   
© Kennie-Kaulbach et al; licensee BioMed Central Ltd. 2012. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.