Systematic Literature Review of Pharmacists in General Practice in Supporting the Implementation of Shared Care Agreements in Primary Care

Overview

Journal Syst Rev

Publisher Biomed Central

Date 2022 May 13

PMID 35546411

Authors

Naveed Iqbal

Chi Huynh

Ian Maidment

Affiliations

Soon will be listed here.

Abstract

Background: Rising demand for healthcare continues to impact all sectors of the health service. As a result of the growing ageing population and the burden of chronic disease, healthcare has become more complex, and the need for more efficient management of specialist medication across the healthcare interface is of paramount importance. With the rising number of pharmacists working in primary care in clinical roles, is this a role that pharmacists could support to ensure the successful execution of shared care agreement (SCA) in primary care for these patients?

Aim Of The Review: Systematic review to identify activities and assess the interventions provided by pharmacists in primary care on SCA provision and how it affects health-related quality of life (HRQoL) for patients.

Method: Primary studies in English which tested the intervention or obtained views of stakeholders related to pharmacist input to shared care agreement within primary care were included. The following electronic databases were systematically searched from the date of inception to November 2021: AMED®, CINAHL®, Cochrane Database of Systematic Reviews (CDSR), EMBASE®, EMCARE®, Google Scholar, HMIC®, MEDLINE®, PsycINFO®, Scopus and Web of Science®. Grey literature sources were also searched. The search was adapted according to the respective database-specific search tools. It was searched using a combination of Medical Subject Heading terms (MeSH), free-text search terms and Boolean operators.

Results: A total of 5244 titles/abstracts were screened after duplicates were removed, and 64 full articles were assessed for eligibility. On examination of full text, no studies met the inclusion criteria for this review.

Conclusion: This review highlights the need for further research to evaluate how pharmacists in general practice can support the safe and effective integration of specialist medication in primary care with the use of SCA.

Systematic Review Registration: NIHR PROSPERO No: 2020 CRD42020165363 .

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References

. Cost-effectiveness of shared pharmaceutical care for older patients: RESPECT trial findings. Br J Gen Pract. 2009; 60(570):e20-7. PMC: 2801802. DOI: 10.3399/bjgp09X482312. View

Avery A . Pharmacists working in general practice: can they help tackle the current workload crisis?. Br J Gen Pract. 2017; 67(662):390-391. PMC: 5569715. DOI: 10.3399/bjgp17X692201. View

Wilcock M, Rohilla A . Three decades of shared care guidelines: are we any further forward?. Drug Ther Bull. 2020; 58(5):67-68. DOI: 10.1136/dtb.2019.000080. View

Weber Z, Skelley J, Sachdev G, Kliethermes M, Haydon-Greatting S, Patel B . Integration of pharmacists into team-based ambulatory care practice models. Am J Health Syst Pharm. 2015; 72(9):745-51. DOI: 10.2146/ajhp140576. View

Agyapong V, Conway C, Guerandel A . Shared care between specialized psychiatric services and primary care: the experiences and expectations of consultant psychiatrists in Ireland. Int J Psychiatry Med. 2012; 42(3):295-313. DOI: 10.2190/PM.42.3.e. View

Yones E, Mullan J, Horwood A, Connell N, Odams S, Maloney J . Prescribing dronedarone for paroxysmal atrial fibrillation: how is it done across the UK and is it safe?. Eur J Hosp Pharm. 2019; 26(4):220-222. PMC: 6613916. DOI: 10.1136/ejhpharm-2017-001207. View

Smith S, Cousins G, Clyne B, Allwright S, ODowd T . Shared care across the interface between primary and specialty care in management of long term conditions. Cochrane Database Syst Rev. 2017; 2:CD004910. PMC: 6473196. DOI: 10.1002/14651858.CD004910.pub3. View

Al-Alawi K, Al Mandhari A, Johansson H . Care providers' perceptions towards challenges and opportunities for service improvement at diabetes management clinics in public primary health care in Muscat, Oman: a qualitative study. BMC Health Serv Res. 2019; 19(1):18. PMC: 6325807. DOI: 10.1186/s12913-019-3866-y. View

Horne R, Mailey E, Frost S, Lea R . Shared care: a qualitative study of GPs' and hospital doctors' views on prescribing specialist medicines. Br J Gen Pract. 2001; 51(464):187-93. PMC: 1313949. View

10.

Ali S, Smith T, Mican L, Brown C . Psychiatric Providers' Willingness to Participate in Shared Decision Making When Prescribing Psychotropics. J Pharm Technol. 2021; 31(5):212-218. PMC: 5990192. DOI: 10.1177/8755122515578288. View

11.

James O, Cardwell K, Moriarty F, Smith S, Clyne B . Pharmacists in general practice: a qualitative process evaluation of the General Practice Pharmacist (GPP) study. Fam Pract. 2020; 37(5):711-718. DOI: 10.1093/fampra/cmaa044. View

12.

Hickman M, Drummond N, Grimshaw J . A taxonomy of shared care for chronic disease. J Public Health Med. 1994; 16(4):447-54. DOI: 10.1093/oxfordjournals.pubmed.a043026. View

13.

Cresswell A, Hart M, Suchanek O, Young T, Leaver L, Hibbs S . Mind the gap: Improving discharge communication between secondary and primary care. BMJ Qual Improv Rep. 2016; 4(1). PMC: 4693041. DOI: 10.1136/bmjquality.u207936.w3197. View

14.

Butterworth J, Sansom A, Sims L, Healey M, Kingsland E, Campbell J . Pharmacists' perceptions of their emerging general practice roles in UK primary care: a qualitative interview study. Br J Gen Pract. 2017; 67(662):e650-e658. PMC: 5569745. DOI: 10.3399/bjgp17X691733. View

15.

Alshehri A, Cheema E, Yahyouche A, Haque M, Jalal Z . Evaluating the role and integration of general practice pharmacists in England: a cross-sectional study. Int J Clin Pharm. 2021; 43(6):1609-1618. PMC: 8642258. DOI: 10.1007/s11096-021-01291-6. View

16.

Weeks G, George J, MacLure K, Stewart D . Non-medical prescribing versus medical prescribing for acute and chronic disease management in primary and secondary care. Cochrane Database Syst Rev. 2016; 11:CD011227. PMC: 6464275. DOI: 10.1002/14651858.CD011227.pub2. View

17.

Bajramovic J, Emmerton L, Tett S . Perceptions around concordance--focus groups and semi-structured interviews conducted with consumers, pharmacists and general practitioners. Health Expect. 2004; 7(3):221-34. PMC: 5060234. DOI: 10.1111/j.1369-7625.2004.00280.x. View

18.

Nkansah N, Mostovetsky O, Yu C, Chheng T, Beney J, Bond C . Effect of outpatient pharmacists' non-dispensing roles on patient outcomes and prescribing patterns. Cochrane Database Syst Rev. 2010; (7):CD000336. PMC: 7087444. DOI: 10.1002/14651858.CD000336.pub2. View

19.

Swallow V, Nightingale R, Williams J, Lambert H, Webb N, Smith T . Multidisciplinary teams, and parents, negotiating common ground in shared-care of children with long-term conditions: a mixed methods study. BMC Health Serv Res. 2013; 13:264. PMC: 3720539. DOI: 10.1186/1472-6963-13-264. View

20.

. Integrated care for diabetes: clinical, psychosocial, and economic evaluation. Diabetes Integrated Care Evaluation Team. BMJ. 1994; 308(6938):1208-12. PMC: 2540045. View