[51] From this starting point, the results from this research suggest that the need to gain knowledge and understanding of each other’s roles through effective communication, is important. The current research suggests that while pharmacists may have thought about the role of different HCPs in asthma management, the GPs have not considered a role for the pharmacist that is beyond medications. The results
indicate that GPs would be open to a broader role for pharmacists, if they were confident that pharmacists had received the appropriate training. One way to gain confidence with one another is through interactions. The extent and means by which interactions occur between GPs and pharmacists may be different at different
stages of their relationship; however, having access to one another is obviously extremely selleck kinase inhibitor important. In this research, a vast majority of participants were in close proximity to the nearest GP or pharmacist, but proximity was not specifically mentioned as an essential element to the relationship. However, pharmacists articulated face-to-face contact as an important enabler of the GP–pharmacist relationship. This is perhaps due to the heightened access/engagement that face-to-face contact provides[52] and the fact that it could be used as a means of ensuring engagement of both HCPs, rather than just ‘access’. At Epigenetic inhibitor chemical structure the centre of the GP–pharmacist relationship was the act and nature of ‘communication’. It is clearly recognised by both HCP groups as an essential part of their relationship. Two clear aspects of communication were evident in this research:
the clinical content of the communication and the nature/style of the communication. GPs acknowledged the importance of the clinical content of the communication while pharmacists focused on the more personal aspect of the communication as was displayed in the nature and the style of communication between the HCPs. In both instances, the communication was clearly evaluated by the HCPs (Stage 2: a fragile point in the relationship where roles are being explored and tested) IKBKE and influenced future development of the relationship. It can be postulated that this particular point in the relationship is critical as the mismatch of expectations observed between GPs and pharmacists (in terms of the relationship, the purpose of communication, their respective roles in patient care, perceptions of the quality of disease management delivered and patient needs) could drive the relationship forwards or backwards. In fact, it might be at this point that the perceived barriers to collaboration, articulated both in this study and in the literature (including territorialism, attitudes, low morale, remuneration and patient engagement) may be most important[17,52–59] (Figure 1). Despite these challenges, there is a need to look beyond this critical point.
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