Zahava R S Rosenberg-Yunger1,2, Lee Verweel2, Michael R Gionfriddo3, Lori MacCallum4,5, Lisa Dolovich4,6,7. 1. Ted Rogers School of Management, Health Services Management, Ryerson University, Toronto, ON, Canada. 2. Ontario Pharmacists Association, Toronto, ON, Canada. 3. Center for Pharmacy Innovation and Outcomes, Geisinger, Forty Fort, PA, USA. 4. Leslie Dan Faculty of Pharmacy, University of Toronto, ON, Canada. 5. Banting & Best Diabetes Centre, Faculty of Medicine, University of Toronto, Toronto, ON, Canada. 6. Departments of Family Medicine, Health Research Methods, Evidence, and Impact and Medicine, McMaster University, Hamilton, Canada. 7. School of Pharmacy, University of Waterloo, Kitchener, ON, Canada.
Abstract
OBJECTIVES: Shared decision-making (SDM) is an approach where patients and clinicians share evidence and patients are supported to deliberate options resulting in preference-based informed decisions. The aim of this study was to describe community pharmacists' perceptions and awareness of SDM within their provision of general diabetes management [including Ontario's MedsCheck for Diabetes (MCD) programme], and potential challenges of implementing SDM within community pharmacy. METHODS: This qualitative study used semistructured interviews with a convenience sample of community pharmacists. Data were analysed using thematic analysis. KEY FINDINGS: We conducted 16 interviews. Six participants were male, and nine were certified diabetes educators. When providing a MCD, participants used aspects of a patient-centred approach focusing on providing education. Variation was evident in participants' description and use of SDM, as well as in their perceived level of training in SDM. Participants also highlighted challenges surrounding implementing a SDM approach in practice. CONCLUSION: Pharmacists are well positioned to apply SDM within community settings; however, implementation barriers exist. Pharmacists will require additional training as well as perceived patient and physician barriers should be addressed to encourage uptake.
OBJECTIVES: Shared decision-making (SDM) is an approach where patients and clinicians share evidence and patients are supported to deliberate options resulting in preference-based informed decisions. The aim of this study was to describe community pharmacists' perceptions and awareness of SDM within their provision of general diabetes management [including Ontario's MedsCheck for Diabetes (MCD) programme], and potential challenges of implementing SDM within community pharmacy. METHODS: This qualitative study used semistructured interviews with a convenience sample of community pharmacists. Data were analysed using thematic analysis. KEY FINDINGS: We conducted 16 interviews. Six participants were male, and nine were certified diabetes educators. When providing a MCD, participants used aspects of a patient-centred approach focusing on providing education. Variation was evident in participants' description and use of SDM, as well as in their perceived level of training in SDM. Participants also highlighted challenges surrounding implementing a SDM approach in practice. CONCLUSION: Pharmacists are well positioned to apply SDM within community settings; however, implementation barriers exist. Pharmacists will require additional training as well as perceived patient and physician barriers should be addressed to encourage uptake.
Authors: Anthony W Olson; Brian J Isetts; Timothy P Stratton; Rajiv Vaidyanathan; Keri D Hager; Jon C Schommer Journal: Am J Pharm Educ Date: 2021-07-22 Impact factor: 2.047