Research in Social and Administrative Pharmacy
Volume 5, Issue 4 , Pages 319-326 , December 2009

Pharmacist's identity development within multidisciplinary primary health care teams in Ontario; qualitative results from the IMPACT (†) project

  • Kevin Pottie, M.D., C.C.F.P., M.ClSc., F.C.F.P.

      Affiliations

    • Department of Family Medicine, University of Ottawa, 1 Stewart Street, Ottawa, ON K1N 6N5, Canada
    • Corresponding Author InformationCorresponding author. Tel.: +613 241 3344 (W); fax: +613 241 1846.
  • ,
  • Susan Haydt, M.A.

      Affiliations

    • Élisabeth Bruyère Research Institute, 43 Bruyère Street, Room 704B-B, Ottawa, ON K1N 5C8, Canada
  • ,
  • Barbara Farrell, B.Sc. (Pharm.), Pharm.D.

      Affiliations

    • Department of Family Medicine, University of Ottawa, 1 Stewart Street, Ottawa, ON K1N 6N5, Canada
  • ,
  • Natalie Kennie, B.Sc. (Pharm.), Pharm.D.

      Affiliations

    • Summerville Family Health Team, 101 Queensway West, 5th Floor, Mississauga, ON L5B 2P7, Canada
  • ,
  • Connie Sellors, B.Sc. (Pharm)

      Affiliations

    • Department of Family Medicine, McMaster University, Hamilton, P.O. Box 198, MacTier, ON P0C 1H0, Canada
  • ,
  • Carmel Martin, M.B.B.S., M.Sc., Ph.D., M.R.C.G.P., F.R.A.C.G.P.

      Affiliations

    • Northern Ontario School of Medicine, 238 Bruyere Street, Ottawa, ON K1N 5E3, Canada
  • ,
  • Lisa Dolovich, B.Sc. (Pharm.), Pharm.D., M.Sc.

      Affiliations

    • Centre for Evaluation of Medicines, 105 Main Street East, Level P-1, Hamilton, ON L8N 1G6, Canada

References 

  1. Teamwork in healthcare . Promoting Effective Teamwork in Healthcare in Canada. Policy Synthesis and Recommendations. Ottawa, ON: Canadian Health Services Research Foundation; 2006;p36
  2. Dolovich L, Pottie K, Farrell B, Kaczorowski J, et al. Integrating family medicine and pharmacy to advance primary care therapeutics. (IMPACT). Canadian Pharmacy Journal. 2004;137(6):22
  3. Edmunds J, Calnan M. The reprofessionalization of community pharmacy? An exploration of attitudes to extended roles for community pharmacists amongst pharmacists and general practitioners in the United Kingdom. Soc Sci Med. 2001;53:943–955
  4. Holloway SWF, Jewson ND, Mason DJ. ‘Reprofessionalization’ or ‘occupational imperialism'?: some reflections on pharmacy in Britain. Soc Sci Med. 1986;23(3):323–332
  5. McDonough RP, Doucette WR. Developing collaborative working relationships. J Am Pharm Assoc. 2001;41:682–692
  6. Gilbert L. Pharmacy's attempts to extend its roles: a case study in South Africa. Soc Sci Med. 1998;47(2):153–164
  7. Harding G, Taylor K. Responding to change: the case of community pharmacy in Great Britain. Sociol Health Illn. 1997;19(5):547–560
  8. Hepler CD, Strand LM. Opportunities and responsibilities in pharmaceutical care. Am J Hosp Pharm. 1990;43:533–543
  9. Lambert B. Face and politeness in pharmacist-physician interaction. Soc Sci Med. 1996;43(8):1189–1198
  10. Bell JS, Rosen A, Aslani P, Whitehead P, Chen TF. Developing the role of pharmacists as members of community mental health teams: perspectives of pharmacists and mental health professionals. Res Social Adm Pharm. 2007;3(4):392–409
  11. Scott A, Bond C, Inch J, Grant A. Preferences of community pharmacists for extended roles in primary care: a survey and discrete choice experiment. Pharmacoeconomics. 2007;25(9):783–792
  12. Silcock J, Raynor DKT, Petty D. The organisation and development of primary care pharmacy in the United Kingdom. Health Policy. 2004;67(2):2004
  13. Tanner J, Cockerill R, Barnsley J, Williams AP. Gender and clinical pharmacy: the career of an occupational ideology. Can Rev Sociol Anthropol. 1998;35(4):535–554
  14. Birenbaum A. Reprofessionalization in pharmacy. Soc Sci Med. 1982;16:871–878
  15. Giddens A. Modernity and Self-identity: Self and Society in the Late Modern Age. Stanford, CA: Stanford University Press; 1991;
  16. Chreim S, Williams B, Hinings C. Interlevel influences on the reconstruction of professional role identity. Acad Manage J. 2007;50(6):1515–1539
  17. Ibarra H. Provisional selves: experimenting with image and identity in professional adaptation. Adm Sci Q. 1999;44(4):764–791
  18. Farrell B, Pottie K, Woodend K, et al. Developing a tool to measure contributions to medication-related processes in family practice. J Interprof Care. 2008;22(1):17–29
  19. Pottie K, Farrell B, Haydt S, et al. Physicians' perspectives on collaborative practice during the integration of pharmacists into family practices in Ontario. Can Fam Physician. 2008;54(12):1714–1717
  20. Gilbert K. Taking a narrative approach to grief: finding meaning in stories. Death Stud. 2002;26:223–239
  21. Babcock K, Farrell B, Dolovich L, Sellors C. Hiring a pharmacist to work in primary care: application to ambulatory and hospital pharmacy. CPJ. 2006;139(5):46–48
  22. Farrell B, Dolovich L, Austin Z, Sellors C. Mentoring pharmacists as they integrated into family practices: practical experience from the IMPACT project. CPJ, in preparation.
  23. IMPACT Job Description . IMPACT website. Available at www.impactteam.infoAccessed December 9, 2008
  24. Dolovich L, Pottie K, Kaczorowski J, et al. Integrating family medicine and pharmacy to advance primary care therapeutics: a collaborative practice model between physicians and pharmacists integrating family medicine. Clin Pharmacol Ther. 2008;6:913–918
  25. Greenhalgh T, Russell J, Swinglehurst D. Narrative methods in quality improvement research. Qual Saf Health Care. 2005;14(6):443–449
  26. Pottie K, Haydt S, Farrell B, Dolovich L, Sellors C, Hogg W. The use of narrative reports in monitoring and evaluating the integration of pharmacists into family practice settings. Ann Fam Med. 2008;l6((2):162–165
  27. Borkin J. Immersion/crystallization. In:  Crabtree BF,  Miller WL editor. Doing Qualitative Research. 2nd ed. Thousand Oaks, CA: Sage Publications; 1999;p. 179–194
  28. Addison RB. A grounded hermeneutic editing process. In:  Crabtree BF,  Miller WL editor. Doing Qualitative Research. 2nd ed. Thousand Oaks, CA: Sage Publications; 1999;p. 145–161
  29. Sellors J, Kaczorowski J, Sellors C, et al. A randomized controlled trial of a pharmacist consultation program for family physicians and their elderly patients. CMAJ. 2003;169(1):17–22
  30. Howard M, Trim K, Woodward C, et al. Collaboration between community pharmacists and family physicians: lessons learned from the Seniors Medication Assessment Trial. J Am Pharm Assoc. 2003;43(5):566–572
  31. Grumbach K, Bodenheimer T. Can health care teams improve primary care practice. JAMA. 2004;291:1246–1251
  32. Howard JA. Social psychology of identities. Annu Rev Sociol. 2000;26:367–393
  33. Reynolds J. Discourses of Inter-professionalism. Br J Soc Work. 2007;37:441–457
  34. Payne M. Identity politics in multiprofessional teams. JSW. 2006;6(2):137–150
  35. Leicht K, Fennell ML. The changing organizational context of professional work. Annu Rev Sociol. 1997;23:215–231
  36. Hilton R. Student placements—is there evidence supporting team skill development in clinical practice settings?. J Interprof Care. 2001;15(2):171–183
  37. San Martin-Rodriquez L, Beaulieu M-D, D'Amour D, Ferrada-Videla M. The determinants of successful collaboration: a review of theoretical and empirical studies. J Interprof Care. 2005;(suppl 1):132–147
  38. Kronus CL. Occupational versus organizational influences on reference group identification. Sociol Work Occup. 1976;3(3):303–330
  39. Farrell B, Pottie K, Haydt S, Kennie N, Sellors C, Dolovich L. Integrating into family practice: the experiences of pharmacists in Ontario, Canada. IJPP, in press.
  40. Keshishian F, Colodny N, Boone RT. Physician-patient and pharmacist-patient communication: geriatrics' perceptions and opinions. Patient Educ Couns. 2008;71(2):265–284

 IMPACT: Integrating family Medicine and Pharmacy to Advance primary Care Therapeutics.

PII: S1551-7411(09)00002-3

doi: 10.1016/j.sapharm.2008.12.002

Research in Social and Administrative Pharmacy
Volume 5, Issue 4 , Pages 319-326 , December 2009