title: Collaborative drug therapy management: case studies of three community-based models of care.
abstract: 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.
authors: Purdue University, Indianapolis, Indiana.
authors: Margie E
authors: ME
authors: Snyder
authors: ICF International, Inc, Atlanta, Georgia.
authors: Tara R
authors: TR
authors: Earl
authors: 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. Email: smg0@cdc.gov. 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.
authors: Siobhan
authors: S
authors: Gilchrist
authors: ICF International, Inc, Atlanta, Georgia.
authors: Michael
authors: M
authors: Greenberg
authors: ICF International, Inc, Cambridge, Massachusetts.Ms Heisler was affiliated with ICF International, Inc, Atlanta, Georgia.
authors: Holly
authors: H
authors: Heisler
authors: ICF International, Inc, Atlanta, Georgia.
authors: Michelle
authors: M
authors: Revels
authors: Office of the Associate Director for Science, Centers for Disease Control and Prevention, Atlanta, Georgia. Dr Matson-Koffman was affiliated with the Division for Heart Disease and Stroke Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia.
authors: Dyann
authors: D
authors: Matson-Koffman
mesh_terms: D001130:Arizona; D003157:Community Pharmacy Services / Q000458:organization & administration* / Q000592:standards; D006801:Humans; D007400:Interprofessional Relations; D007407:Interviews as Topic; D008507:Medically Underserved Area; D054539:Medication Therapy Management; D017146:Models, Organizational; D019982:Organizational Case Studies; D012051:Reimbursement Mechanisms; D000078329:Workforce