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Developing consensus on the principles and key actions for collaborative working between general practices and community pharmacies: a modified eDelphi study

Harris, Simon; Mills, Elizabeth; Venables, Rebecca Hayley; Bradley, Fay; White, Simon

Authors

Simon Harris

Elizabeth Mills

Rebecca Hayley Venables

Fay Bradley



Abstract

Objectives: To develop consensus on the principles and key actions for collaborative working in practice between general practice, community pharmacy and patients and their carers.

Design: Three-round modified eDelphi study, starting from an established conceptual model of collaboration between general practitioners (GPs) and community pharmacists.

Setting: Community pharmacies and general practices in England, UK.

Participants: A panel of 123 experts: 43% from a community pharmacy background; 36% from a GP background; 13% patients, carers or patient representatives and 8% from academic or commissioner backgrounds. Panellist numbers reduced by approximately 30% in rounds 2 and 3. Primary and secondary outcome measures: Consensus between expert panellists, defined as at least 75% agreement.

Results: A high level of consensus (>80%) was achieved on all components of a model of collaboration composed of Fundamental Principles of Collaboration and Key Activities for Action, supported by a series of aspirational statements and suggested practical actions. The fundamental principles and key activities are appended by contextual points. The findings indicate that collaboration in practice involves team members other than just GPs and community pharmacists and recognises that patients often want to know how each professional team is involved in their care. This study also provides insights into how collaboration between general practice and community pharmacy settings appears to have shifted during the COVID-19 pandemic, especially through opportunities for virtual collaboration and communication that can transcend the need for close geographical proximity.

Conclusion: A consensus-based model of collaboration between general practice teams, community pharmacy teams, and patients and their carers has been developed. It is practically focused, values the patient voice and incorporates general practice and community pharmacy team members. While developed in England, the model is likely to also have applicability to other countries with similar health systems that include general practices and community pharmacies.

Journal Article Type Article
Acceptance Date Aug 29, 2023
Online Publication Date Sep 21, 2023
Publication Date Sep 1, 2023
Deposit Date Oct 6, 2023
Publicly Available Date Oct 6, 2023
Journal BMJ Open
Publisher BMJ Publishing Group
Peer Reviewed Peer Reviewed
Volume 13
Issue 9
Article Number e074023
DOI https://doi.org/10.1136/bmjopen-2023-074023
Keywords Health policy, Quality in health care, Interprofessional Relations, Primary Health Care, Patient-Centered Care

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Licence
https://creativecommons.org/licenses/by-nc/4.0/

Publisher Licence URL
https://creativecommons.org/licenses/by-nc/4.0/

Copyright Statement
This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.





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