Preventing Chronic Disease | Collaborative Drug Therapy Management: Case Studies of Three Community-Based Models of Care - CDC
Collaborative Drug Therapy Management: Case Studies of Three Community-Based Models of Care
Margie E. Snyder, PharmD, MPH; Tara R. Earl, PhD, MSW; Siobhan Gilchrist, JD, MPH; Michael Greenberg, JD, MPH; Holly Heisler, MPH, MBA; Michelle Revels, MA; Dyann Matson-Koffman, DrPH, MPH, CHES
Suggested citation for this article:
Snyder ME, Earl TR, Gilchrist S, Greenberg M, Heisler H, Revels M, et al. Collaborative Drug Therapy Management: Case Studies of Three Community-Based Models of Care. Prev Chronic Dis 2015;12:140504. DOI:http://dx.doi.org/10.5888/pcd12.140504
Collaborative drug therapy management agreements are a strategy for expanding the role of pharmacists in team-based care with other providers. However, these agreements have not been widely implemented. This study describes the features of existing provider–pharmacist collaborative drug therapy management practices and identifies the facilitators and barriers to implementing such services in community settings. We conducted in-depth, qualitative interviews in 2012 in a federally qualified health center, an independent pharmacy, and a retail pharmacy chain. Facilitators included 1) ensuring pharmacists were adequately trained; 2) obtaining stakeholder (eg, physician) buy-in; and 3) leveraging academic partners. Barriers included 1) lack of pharmacist compensation; 2) hesitation among providers to trust pharmacists; 3) lack of time and resources; and 4) existing informal collaborations that resulted in reduced interest in formal agreements. The models described in this study could be used to strengthen clinical–community linkages through team-based care, particularly for chronic disease prevention and management.
CDC funded this study. The authors gratefully acknowledge Benjamin Bluml and Lindsay Watson from the American Pharmacists Association Foundation for their assistance in identifying sites.
Corresponding Author: Siobhan Gilchrist, JD, MPH, Applied Research and Evaluation Branch, Division for Heart Disease and Stroke Prevention, Centers for Disease Control and Prevention, 4770 Buford Hwy NE, Mailstop F-72, Atlanta, GA 30341. Telephone: 770-488-8195. Email: firstname.lastname@example.org
Author Affiliations: Margie E. Snyder, Purdue University, Indianapolis, Indiana; Tara R. Earl, Michael Greenberg, Michelle Revels, ICF International, Inc, Atlanta, Georgia; Holly Heisler, ICF International, Inc, Cambridge, Massachusetts; Dyann Matson-Koffman, Office of the Associate Director for Science, Centers for Disease Control and Prevention, Atlanta, Georgia. Siobhan Gilchrist is also affiliated with IHRC, Inc, Atlanta, Georgia. At the time the study was conducted, Ms Gilchrist was affiliated with Columbus Technologies and Services, Inc, Atlanta, Georgia; Ms Heisler was affiliated with ICF International, Inc, Atlanta, Georgia; and Dr Matson-Koffman was affiliated with the Division for Heart Disease and Stroke Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia.
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