Journal article
Pharmacist-Community-Based Organization Collaboration to Address Health-Related Social Needs
Journal of the American Pharmacists Association, Vol.64(5), 102144
06/05/2024
DOI: 10.1016/j.japh.2024.102144
PMID: 38849081
Abstract
Community-based organizations (CBOs) help address community issues, including health-related social needs (HRSNs). Community pharmacies are positioned to collaborate with CBOs to help their patients identify and address HRSNs to optimal medication use.
To develop and evaluate two models of community pharmacy-CBO collaboration to address HRSNs facing patients taking medications.
Two different pharmacy-CBO models were studied. The CBO-initiated model had two CBOs assess and refer clients to a community pharmacy to address HRSN-related medication concerns. In the pharmacy-initiated model, pharmacists screened patients for HRSNs, addressed those related to medication costs and referred patients to a CBO for other HRSNs. Documented HRSNs were extracted and analyzed. Participating pharmacy and CBO staff were interviewed. The interview recordings were transcribed and coded, using rapid qualitative analyses.
The CBO-initiated model screened 23 clients with 17 receiving a comprehensive medication review. In the pharmacy-initiated model, 39 patients were screened for HRSNs with 6 patients having medication costs issues addressed at the pharmacy and 23 patients being referred to the CBO. The most common HRSNs were high stress levels (43%), lack of confidence filling out forms (36%), feeling overwhelmed (34%), and inability to get food (27%).
Patient-related themes from interviews were patient willingness to participate in the service, obstacles patients faced in obtaining medication therapy and establishing patient trust. Pharmacy-related and CBO-related themes included fitting new activities into workflow, importance of time management and good communication and establishing relationships between pharmacy and CBO personnel.
Both pharmacy-CBO models effectively identified clients in need of medication management services or patients with HRSNs affecting medication optimization. Limited trust between the patient and the party to which they were referred was an obstacle to successful referral. Developing pharmacy and CBO personal relationships is a vital key in planning and coordinating these pharmacy-CBO collaboration models.
Details
- Title: Subtitle
- Pharmacist-Community-Based Organization Collaboration to Address Health-Related Social Needs
- Creators
- William R. Doucette - Professor, 180 S Grand Avenue 339 CPB, Iowa City, IA 52242Kaley Wolff - University of IowaKari Trapskin - Initiatives (Denmark)Helene McDowell - Director, Health Equity and Outreach, Pharmacy Society of Wisconsin, Madison, WIDavid A. Mott - University of Wisconsin–MadisonRandal P. McDonough - Chief Executive Officer, Towncrest Pharmacies, Madison, WI
- Resource Type
- Journal article
- Publication Details
- Journal of the American Pharmacists Association, Vol.64(5), 102144
- DOI
- 10.1016/j.japh.2024.102144
- PMID
- 38849081
- NLM abbreviation
- J Am Pharm Assoc (2003)
- ISSN
- 1544-3191
- eISSN
- 1544-3450
- Publisher
- Elsevier Inc
- Grant note
- DAM
- Language
- English
- Electronic publication date
- 06/05/2024
- Academic Unit
- Pharmacy Practice and Science
- Record Identifier
- 9984643754802771
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