Abstract
Purpose: In primary care, clinical pharmacists often deliver a service called comprehensive medication management (CMM). While research has identified that CMM positively influences most aspects of the Quadruple Aim, it is unclear how CMM— both the service and the role of the pharmacist—may influence the primary care provider’s (PCP) clinical work, professional satisfaction, and burnout (described here as PCP’s work-life). We aimed to identify how PCPs perceive CMM impacts their work-life. Methods: Sixteen PCPs were interviewed. Interview questions centered on how CMM affects their work-life. After interviews were transcribed, a codebook was developed by 2 researchers and from the codes, themes were identified. Results: PCPs spoke of the pharmacist being an added skillset and resource and a collaborative partner in caring for patients. They also described 7 outcomes of having CMM available that contribute to their work-life. These outcomes were: decreased workload, satisfaction patients are receiving better care, reassurance, decreased mental exhaustion, enhanced professional learning, increased provider access, and achievement of quality measures. Lastly, the PCPs described barriers and areas of opportunity related to CMM. Conclusion: Our findings suggest PCPs believe CMM, in general, positively affects their work-life. CMM’s impact on PCPs aligns with many previously identified drivers of burnout and engagement among providers. These results shed light on how CMM may foster achievement of the Quadruple Aim.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 462-473 |
| Number of pages | 12 |
| Journal | Journal of the American Board of Family Medicine |
| Volume | 32 |
| Issue number | 4 |
| DOIs | |
| State | Published - Jul 14 2019 |
Bibliographical note
Funding Information:Funding: This work was funded by the The American College of Clinical Pharmacy (ACCP) and the ACCP Foundation Grant Enhancing Performance in Primary Care Medical Practice through Implementation of Comprehensive Medication Management. The authors acknowledge Amanda Brummel, PharmD, BCACP for her valuable feedback. In addition, the authors wish to acknowledge all the participating primary care providers, pharmacists, and the entire CMM in Primary Care Team for their insights on this project.
Funding Information:
Funding: This work was funded by the The American College of Clinical Pharmacy (ACCP) and the ACCP Foundation Grant Enhancing Performance in Primary Care Medical Practice through Implementation of Comprehensive Medication Management. Conflict of interest: none declared.
Publisher Copyright:
© 2019 American Board of Family Medicine. All rights reserved.
Keywords
- CMM
- Job Satisfaction
- Occupational Burnout
- Pharmacists
- Primary Health Care
- Workload
