General Practitioners | Pharmacists | Health Care Consumers | Practice Managers | Mixed Pharmacist and GP Group |
---|---|---|---|---|
Positively viewed roles | ||||
Medication review | Medication review | Medication review | Medication review | Medication review |
Medication information | Medication reconciliation/history taking | Medication information/counselling | Medication counselling | Medication information |
Education to patients | Education | Patient advocate to GP | Education and Drug Information | Patient education/Patient medication profile print outs |
(GPs and Patients) | ||||
Quality prescribing initiatives | Specialty clinics | Medication profile print outs | Medication Reconciliation | Cost savings on medications |
Education to GPs | Prescribing | Prescribing (script renewal) | Repeat prescribing | Repeat prescribing |
Negatively viewed roles | ||||
Dispensing | Dispensing | Dispensing | Dispensing | Ordering pathology |
Prescribing | Prescribing | Prescribing | Prescribing | Prescribing |
Diagnosing | Diagnosing | Physical examination/diagnosing | Diagnosis | Diagnosing |
Procedural tasks | Immunisations | Routine GP services | ||
Barriers to integration | ||||
Remuneration | Remuneration | Remuneration | Funding | Funding |
Size of practice | Medical culture/“Turf wars” | Reluctance from GPs | Turf wars | Size of the practice |
Lack of space | Operational/logistical issues | Physical space | Size of the practice/available space | Operational |
Preconceptions of pharmacist roles | Experience of the pharmacist | Logistical issues | ||
Facilitators to integration | ||||
Remuneration | Remuneration | Remuneration | Funding | Funding |
Training of the pharmacist | Training of the pharmacist | Support of GPs | Additional training of pharmacist | Changes in legislation/business rules for services |
Defined scope of practice | Education on role to medical profession | Promoting services to community | Education to GPs on benefits | |
Administrative support | Administration support | Education to patients on benefits | ||
Potential benefits of integration | ||||
Increased access and communication | Access to patient medical file | Access to medical notes and GPs | Access to patient medical file | Access to patients record |
Increased rapport | Privacy | Privacy | Increased privacy | Privacy |
Pharmacist seen as independent | Dedicated time for services | Dedicated time to spend with patient | Increased rapport and communication between pharmacist and GP | Dedicated time |
Increased patient acceptance of pharmacist services | Increased rapport and communication with GP | Closer working relationship with GPs | Enhanced coordination of services | Less commercial influences |
Reduce GP workload | Continuity of care | |||
Method of remuneration | ||||
Government | Government | Government | Government | Government/DVA |
Patient | Patient | Patient co-payment | ||
Medical Centre | Medical centre | |||
Health Insurance |