Working across boundaries: new models of integration and collaboration across the pharmacy workforce in Greater Manchester

跨界工作：大曼彻斯特药房员工队伍整合与协作的新模式

• 批准号: 2070345
• 金额: --
• 依托单位: University of Manchester
• 依托单位国家: 英国
• 项目类别: Studentship
• 财政年份: 2018
• 资助国家: 英国
• 起止时间: 2018 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=studentship-2070345
• 关键词: Working; across; boundaries; new; models

BackgroundIncreasing the role of pharmacists and pharmacy technicians in primary and community care settings is a proposed cost-effective way of improving patient care as well as relieving the pressure on GPs (NHS Alliance/Royal Pharmaceutical Society, 2014). A number of local and national policy initiatives are underway to support this (NHS England, 2016; Primary Care Workforce Commission, 2015).The sparse evidence suggests that while this may be workable, it may not reduce service utilisation or costs (Dennis et al., 2009; Laurant et al., 2009). Little research focuses on different models of pharmacy professional engagement in organisational context (Finn et al., 2010), or locates such developments within wider research on professional boundaries and the identity work involved in establishing new professional roles (Reay et al., 2017). Greater Manchester (GM) presents an ideal location to compare and contrast experiences and impacts.Project aims and objectivesAim: explore, in depth, new roles undertaken by pharmacists and pharmacy technicians in primary care settings in GM.Objectives:1. Synthesise existing literature around new models of pharmacy professional work in primary care;2. Describe emerging models of pharmacy professional work in primary care settings in GM and what they are intended to achieve;3. Explore how new pharmacy professional roles are perceived by key stakeholder groups;4. Understand the impact of new pharmacy professional roles on professional identities; professional boundaries; and multidisciplinary teams working across general practice, community pharmacy and other services.5. Provide early evidence about the extent to which the introduction of such roles is likely to meet current policy objectives of reducing workload pressures in GP practices.MethodologyStage 1: Literature reviewStage 2: Modelling of emerging pharmacy professional rolesDraws on existing data sources to identify the number and range of emerging pharmacist/pharmacy technician roles in primary and community care in Greater Manchester and nationally, including settings and team composition. Stage 3. Information will be extracted from a recent Health Education England (HEE) survey of the pharmacy workforce, supplemented through primary data collection.Stage 3: Case studies (3-4)Up to 4 sites will be studied in-depth, covering different employment models and organisational contexts. Semi-structured interviews will be conducted with commissioners, pharmacists/pharmacy technicians, practice and other healthcare staff. Patient focus groups will be convened to capture their perceptions of access, quality and continuity of care. The student will also spend up to a week in each site observing pharmacy professionals.Anticipated outcomesIt will inform the development of primary care workforce strategies by GMHSCP, by providing insight into how pharmacists are employed in practice and with what impacts. It will provide guidance to inform training packages for pharmacists working in/with general practice. For employers of pharmacists, the findings will provide an understanding of how best to recruit and support pharmacists and their potential contribution. Finally, for NHS commissioners, the studentship will provide knowledge of what works, and how, to inform service redesign and commissioning. It will provide rich insight into the identity work involved in skill-mix change.Planned disseminationPapers will be prepared after each stage of the study for presentation at conferences, and for publication in a range of journals targeting. Academic papers will be submitted to leading international journals. Supported by GMHSCP, findings will also be disseminated through the Local Professional Networks, HEE/GMHSCP and through associated partner channels. Finally, to target patient/public audiences, a lay summary of study findings will be produced for distribution through patient groups and networks.

增加药剂师和药房技术人员在初级和社区护理环境中的作用是改善患者护理以及减轻全科医生压力的一种具有成本效益的方法（NHS联盟/皇家药学会，2014）。一些地方和国家政策举措正在进行中，以支持这一点（NHS英格兰，2016年;初级保健劳动力委员会，2015年）。稀疏的证据表明，虽然这可能是可行的，但它可能不会降低服务利用率或成本（丹尼斯等人，2009; Laurant等人，2009年）。很少有研究关注组织背景下药学专业参与的不同模式（Finn等人，2010年），或定位这种发展在更广泛的研究专业边界和身份工作涉及建立新的专业角色（雷伊等人，2017年）。大曼彻斯特（GM）提出了一个理想的位置，比较和对比的经验和impactions.Project aims和objectivesAim：探索，深入，药剂师和药学技术人员在GM的初级保健设置承担的新角色。综合现有的文献，围绕初级保健药学专业工作的新模式; 2。描述新兴模式的药学专业工作在初级保健设置在通用汽车公司和他们打算实现; 3。探索新的药学专业角色是如何被主要利益相关者群体所感知的; 4.了解新的药房专业角色对专业身份的影响;专业界限;以及跨全科医学，社区药房和其他服务的多学科团队。提供早期证据，说明引入此类角色可能在多大程度上满足当前减少全科医生工作量压力的政策目标。方法第1阶段：文献综述第2阶段：新兴药学专业角色的建模利用现有数据源，确定大曼彻斯特和全国初级和社区护理中新兴药剂师/药学技术员角色的数量和范围，包括设置和团队组成。第三阶段信息将从最近的健康教育英格兰（HEE）的药房劳动力的调查中提取，通过主要数据收集补充。第3阶段：案例研究（3 - 4）多达4个网站将进行深入研究，涵盖不同的就业模式和组织背景。将与专员，药剂师/药房技术人员，实践和其他医疗保健人员进行半结构化访谈。将召集患者焦点小组，以了解他们对护理的获取、质量和连续性的看法。学生还将花费长达一个星期的时间在每个网站观察药房专业人员。预期outcomesIt将告知初级保健劳动力战略的发展GMHSCP，通过提供洞察药剂师在实践中如何就业，以及有什么影响。它将提供指导，为在全科诊所工作的药剂师提供培训材料。对于药剂师的雇主，调查结果将提供如何最好地招聘和支持药剂师及其潜在贡献的理解。最后，对于NHS专员，学生奖学金将提供什么工作的知识，以及如何，通知服务重新设计和调试。它将提供丰富的洞察力的身份工作所涉及的技能组合的变化。计划的传播论文将在研究的每个阶段后，在会议上介绍准备，并在一系列期刊上发表的目标。学术论文将提交给领先的国际期刊。在GMHSCP的支持下，还将通过地方专业网络、高等教育/GMHSCP和相关的合作伙伴渠道传播调查结果。最后，为针对患者/公众受众，将制作研究结果的非正式摘要，通过患者团体和网络分发。