Table 2.
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 |
DVA = Department of Veteran Affairs.
Concepts are not ranked.