Investigating the impact of integrated care models involving pharmacists, nurses, and laboratories on healthcare quality and efficiency

Manal Alhawasawi; Suliman Mohammad Karire; Fahad Ali Aati; Basil Mohammed Alsalamah; Baalqasim Naji Alsahabi; Mariam Jabbar Aljabery; Abeer Hussail Aldossari; Alhassan Ali Jabbari; Rashed Yahya Huntul; Amal Hamed Sughayyir; Taibah Ibrahim Almuwallad; Bahjat Asame A. Alegaily; Sarah Moryah Alshahray; Amjad Abdullrahman Almotawa

doi:10.53730/ijhs.v7nS1.14702

Authors

Manal Alhawasawi Taibah University, Madinah, Saudi Arabia
Suliman Mohammad Karire Imam Abdulrahman Alfaisl Hospital, Riyadh
Fahad Ali Aati Imam Abdulrahman Alfaisl Hospital, Riyadh
Basil Mohammed Alsalamah Imam Abdulrahman Alfaisl Hospital, Riyadh
Baalqasim Naji Alsahabi Imam Abdurhman Alfisal Hospital, Riyadh
Mariam Jabbar Aljabery Imam Abdulrahman Alfaisl Hospital, Riyadh
Abeer Hussail Aldossari Imam Abdulrahman Alfaisl Hospital, Riyadh
Alhassan Ali Jabbari Imam Abdurhman Alfisal Hospital, Riyadh
Rashed Yahya Huntul Imam Abdurhman Alfisal Hospital, Riyadh
Amal Hamed Sughayyir Imam Abdurhman Alfisal Hospital, Riyadh
Taibah Ibrahim Almuwallad Islamic University, Madinah, Saudi Arabia
Bahjat Asame A. Alegaily Alshif first PHC, Riyadh
Sarah Moryah Alshahray Imam Abdurhman Alfisal Hospital, Riyadh
Amjad Abdullrahman Almotawa Clinical Pharmacology, Ministry of Health, KSA

Keywords:

pharmacist, nurse, laboratory, relationships, integrated care models, healthcare quality, efficiency

Abstract

Background: The inclusion of healthcare professionals, such as pharmacists, nurses, and labs, in patient care has received more attention recently since it has the potential to enhance the quality and effectiveness of healthcare. Nonetheless, it is important to conduct a thorough examination of the current research in order to ascertain the effects of integrated care models that include these professions. Aim: This study seeks to examine the effects of integrated care models that include pharmacists, nurses, and labs on the quality and efficiency of healthcare. More precisely, the evaluation aims to combine current research about patient outcomes, cost reductions, and healthcare use in these models. Furthermore, the study seeks to analyze the distinct responsibilities and contributions of pharmacists, nurses, and labs in the context of integrated care. Method: A methodical search technique was used to locate relevant studies in electronic databases, such as PubMed, MEDLINE, and Cochrane Library. The inclusion criteria were centered on studies that documented the effects of integrated care models, which included the involvement of pharmacists, nurses, and labs, on the quality and efficiency of healthcare. Both quantitative and qualitative research were taken into account for inclusion.

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References

Thorstensen-Woll, C., Wellings, D., Crump, H., & Graham, C. (2021). Understanding integration: how to listen to and learn from people and communities. The King’s Fund.

Rechel, B. (2020). How to enhance the integration of primary care and public health? Approaches, facilitating factors and policy options. European Observatory on Health Systems and Policies, Policy Brief 10.

Khaira, M., Mathers, A., Benny Gerard, N., & Dolovich, L. (2020). The evolving role and impact of integrating pharmacists into primary care teams: experience from Ontario, Canada. Pharmacy, 8(4), 234.

Piquer-Martinez, C., Urionagüena, A., Benrimoj, S. I., Calvo, B., Martinez-Martinez, F., Fernandez-Llimos, F., ... & Gastelurrutia, M. A. (2022). Integration of community pharmacy in primary health care: the challenge. Research in Social and Administrative Pharmacy, 18(8), 3444-3447.

Codispoti, C., Douglas, M. R., McCallister, T., & Zuniga, A. (2004). The use of a multidisciplinary team care approach to improve glycemic control and quality of life by the prevention of complications among diabetic patients. The Journal of the Oklahoma State Medical Association, 97(5), 201-204.

Conley, M. P., Chim, C., Magee, C. E., & Sullivan, D. J. (2014). A review of advances in collaborative pharmacy practice to improve adherence to standards of care in diabetes management. Current diabetes reports, 14, 1-8.

Codispoti, C., Douglas, M. R., McCallister, T., & Zuniga, A. (2004). The use of a multidisciplinary team care approach to improve glycemic control and quality of life by the prevention of complications among diabetic patients. The Journal of the Oklahoma State Medical Association, 97(5), 201-204.

Armor, B. L., Britton, M. L., Dennis, V. C., & Letassy, N. A. (2010). A review of pharmacist contributions to diabetes care in the United States. Journal of pharmacy practice, 23(3), 250-264.

Pousinho, S., Morgado, M., Falcão, A., & Alves, G. (2016). Pharmacist interventions in the management of type 2 diabetes mellitus: a systematic review of randomized controlled trials. Journal of managed care & specialty pharmacy, 22(5), 493-515.

Fazel, M. T., Bagalagel, A., Lee, J. K., Martin, J. R., & Slack, M. K. (2017). Impact of diabetes care by pharmacists as part of health care team in ambulatory settings: a systematic review and meta-analysis. Annals of Pharmacotherapy, 51(10), 890-907.

Ramalho, A., Castro, P., Goncalves-Pinho, M., Teixeira, J., Santos, J. V., Viana, J., ... & Freitas, A. (2019). Primary health care quality indicators: an umbrella review. PloS one, 14(8), e0220888.

World Health Organization. (2016). Integrated care models: an overview. Geneva: World Health Organization.

UK, N. G. A. (2022). Evidence reviews for effectiveness of approaches to improve access to and engagement with health and social care and joined up approaches.

Kodner, D. L. (2009). All together now: a conceptual exploration of integrated care. Healthcare Quarterly (Toronto, Ont.), 13, 6-15.

Shaw, S., Rosen, R., & Rumbold, B. (2011). What is integrated care. London: Nuffield Trust, 7, 1-23.

Bradley, F., Elvey, R., Ashcroft, D. M., Hassell, K., Kendall, J., Sibbald, B., & Noyce, P. (2008). The challenge of integrating community pharmacists into the primary health care team: a case study of local pharmaceutical services (LPS) pilots and interprofessional collaboration. Journal of interprofessional care, 22(4), 387-398.

Baltaxe, E., Czypionka, T., Kraus, M., Reiss, M., Askildsen, J. E., Grenkovic, R., ... & Cano, I. (2019). Digital health transformation of integrated care in Europe: overarching analysis of 17 integrated care programs. Journal of medical Internet research, 21(9), e14956.

Bradley, F., Ashcroft, D. M., & Noyce, P. R. (2012). Integration and differentiation: a conceptual model of general practitioner and community pharmacist collaboration. Research in social and administrative pharmacy, 8(1), 36-46.

Valentijn, P. P., Schepman, S. M., Opheij, W., & Bruijnzeels, M. A. (2013). Understanding integrated care: a comprehensive conceptual framework based on the integrative functions of primary care. International journal of integrated care, 13.

Urionagüena, A., Piquer-Martinez, C., Gastelurrutia, M. Á., Benrimoj, S. I., Garcia-Cardenas, V., Fernandez-Llimos, F., ... & Calvo, B. (2023). Community pharmacy and primary health care-types of integration and their applicability: a narrative review. Research in Social and Administrative Pharmacy, 19(3), 414-431.

Dineen-Griffin, S., Benrimoj, S. I., & Garcia-Cardenas, V. (2020). Primary health care policy and vision for community pharmacy and pharmacists in Australia. Pharmacy Practice (Granada), 18(2).

Raiche, T., Pammett, R., Dattani, S., Dolovich, L., Hamilton, K., Kennie-Kaulbach, N., & Mccarthy, L. (2020). Community pharmacists' evolving role in Canadian primary health care: a vision of harmonization in a patchwork system. Pharmacy Practice (Granada), 18(4).

Eickhoff, C., Griese-Mammen, N., Müeller, U., Said, A., & Schulz, M. (2021). Primary healthcare policy and vision for community pharmacy and pharmacists in Germany. Pharmacy Practice (Granada), 19(1).

Beeson, A. C. (2023). The Patient Experience: Medicare Payor Type and Beneficiary Satisfaction (Doctoral dissertation, Georgetown University).

Stroedecke, N., Lee, J., Stutsky, M., Boothe, K., Tong, K., Luon, S., ... & Renauer, M. (2022). Implementation of an integrated pharmacist collaborative care model in specialty disease state clinics. American Journal of Health-System Pharmacy, 79(22), 2047-2052.

Hayhoe, B., Cespedes, J. A., Foley, K., Majeed, A., Ruzangi, J., & Greenfield, G. (2019). Impact of integrating pharmacists into primary care teams on health systems indicators: a systematic review. British journal of general practice, 69(687), e665-e674.

De Baetselier, E., Dilles, T., Batalha, L. M., Dijkstra, N. E., Fernandes, M. I., Filov, I., ... & Van Rompaey, B. (2021). Perspectives of nurses’ role in interprofessional pharmaceutical care across 14 European countries: A qualitative study in pharmacists, physicians and nurses. PloS one, 16(5), e0251982.

Mohiuddin, A. K. (2020). The Role of the Pharmacist in Patient Care: Achieving High Quality, Cost-Effective and Accessible Healthcare through a Team-Based, Patient-Centered Approach. Universal-Publishers.

Pande, S., Hiller, J. E., Nkansah, N., Bero, L., & Cochrane Effective Practice and Organisation of Care Group. (1996). The effect of pharmacist‐provided non‐dispensing services on patient outcomes, health service utilisation and costs in low‐and middle‐income countries. Cochrane Database of Systematic Reviews, 2013(2).

Weitzel, K. (2018). Patient care shines when pharmacists are part of the team. Pharmacy Today, 24(5), 6.