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Factors influencing the degree of physician–pharmacist collaboration within Iraqi public healthcare settings

机译:影响伊拉克公共医疗环境中的医师药剂师合作程度的因素

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Abstract Objectives Medication safety and effectiveness can be improved through interprofessional collaboration. The goals of this study were to measure the degree of physician–pharmacist collaboration within Iraqi governmental healthcare settings and to investigate factors influencing this collaboration. Methods This cross‐sectional study was conducted in Al‐Najaf Province using the Collaborative Working Relationship Model and Physician–Pharmacist Collaborative Instrument ( PPCI ). Four pharmacists distributed paper surveys with a 7‐point Likert scale to a convenience sample of physicians and pharmacists working in seven public hospitals and two outpatient clinics. The questionnaire (in English) covered individual (demographics, practising years and academic affiliation), context (practice setting) and PPCI characteristics (trustworthiness, role specification and relationship initiation) in addition to collaborative care items: one for pharmacists and one for physicians. Separate multiple regressions were used to assess the association of the factors with collaborative care for physicians and for pharmacists. Key findings Seventy‐seven physicians and 86 pharmacists returned usable surveys (81.5% response rate). The majority of physicians were male (84%), while the majority of pharmacists were female (58%). The mean age of the physicians was (37.99 years) older than that of the pharmacists (30.35 years). The physicians had a longer period of practice (11.32 years) than pharmacists (5.45 years). Most (90%) of the providers were practising in hospitals. Pharmacist academic affiliation was significantly associated with collaborative care. The pharmacist and physician regressions indicated significant ( P 0.05) associations between collaborative care and two PPCI domains (role specification and relationship initiation for physicians; role specification and trustworthiness for pharmacists). Conclusions This study focused on physician–pharmacist collaboration within hospitals, and it was the first study measuring interprofessional collaboration in Iraq. The results showed there is physician–pharmacist collaboration within Iraqi hospitals and exchange characteristics had significant influence on this collaboration.
机译:摘要目的通过侦探合作可以改善药物安全和有效性。本研究的目标是衡量伊拉克政府医疗保健环境中的医生药剂师合作程度,并调查影响这一合作的因素。方法采用协同工作关系模型和医师药剂师协作仪(PPCI)在Al-Najaf省进行该横截面研究。四位药剂师分布纸张调查,以7分的李克特规模分布在七个公立医院和两个门诊诊所的医生和药剂师的便利样本。除合作护理物品外,调查问卷(英文)涵盖个人(人口统计学,练习年份和学术附属协会),背景(实践设定)和PPCI特征(可靠性,角色规范和关系启动):一个用于药剂师,一个用于医生。分离多元回归用于评估医生和药剂师的协作关怀的因素的关联。主要结果七十七名医生和86名药剂师返回可用的调查(81.5%的回复率)。大多数医生是男性(84%),而大多数药剂师是女性(58%)。医生的平均年龄(37.99岁)比药剂师(30.35年)更大。医生的实践期限(11.32年)比药剂师(5.45年)。大多数(90%)的提供商正在医院练习。药剂师学术隶属关系与协作关怀有关。药剂师和医生回归表明协同护理和两个PPCI域之间的显着(P& 0.05)关联(医生的角色规范和关系启动;药剂师的角色规范和可靠性)。结论本研究专注于医院内的医师 - 药剂师合作,是伊拉克第一研究衡量衡量侦探竞争协作。结果表明,伊拉克医院内的医师药剂师合作,交流特征对这一合作有重大影响。

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