Pharmacist and physician perception of barriers to collaborative drug therapy management in Missouri
Document Type
Article
Publication Title
Journal of Interprofessional Education and Practice
Abstract
Background: Collaborative drug therapy management (CDTM) rules were implemented in 2012 in Missouri, but community pharmacists are currently not working with physicians to implement services. Purpose: This study aims to uncover barriers to CDTM adoption by Missouri community pharmacists and outpatient physicians. Methods: A nine question, cross-sectional survey was mailed to a sample of 500 community pharmacists and 500 outpatient physicians in Missouri. Surveys were designed to assess knowledge, attitudes, and beliefs regarding CDTM. Discussion: A total of 103 community pharmacists (21.7%) and 23 outpatient physicians (4.7%) completed the survey. Pharmacists identified concerns about operational barriers such as time (93.2%), and reimbursement for services (80.6%). Physicians indicated concern with clinical risks, including potential disconnect between providers (70%) and inadequate pharmacist training (63.6%). Conclusions: Demonstration of clinical abilities and development of working relationships with physicians is important for the implementation of CDTM. Development of standardized reimbursement models and workflow models should be further evaluated.
DOI
10.1016/j.xjep.2020.100362
Publication Date
3-1-2021
Recommended Citation
Koval, Lauren L.; Jeon, Michelle; and Gattas, Nicole M., "Pharmacist and physician perception of barriers to collaborative drug therapy management in Missouri" (2021). Pharmacy Practice Faculty Publications. 633.
https://doi.org/10.1016/j.xjep.2020.100362
https://collections.uhsp.edu/pharm-practice_pubs/633