The Collaborative Care Model: Realizing healthcare values and increasing responsiveness in the pharmacy workforce

Forsyth, P (通讯作者),Pharm Serv, Clin Cardiol, 56 Busby Rd, Glasgow G76 7AT, Scotland.
2023-1
Healthcare values are fairly ubiquitous across the globe, focusing on caring and respect, patient health, excellence in care delivery, and multi-stakeholder collaboration. Many individual pharmacists embrace these core values. However, their ability to honor these values is significantly determined by the nature of the system in which they work. The paper starts by presenting the prevailing pharmacist workforce model, the 'Atomistic' Model, in Scotland, in which core roles are typically separated into hierarchically disaggregated jobs focused on one professional 'pillar': Clinician/Practice Provider; Educator; Leader/Manager; and Researcher. This skillssegregation yields a workforce of individuals working in isolation rather than collaborating, lacking a shared purpose. Key strategic flaws include suboptimal responsiveness to population needs, inconsistency/inequity of care, erosion of professional agency, and lower job satisfaction. It is conjectured that this results from a lack of congruence between values, professional ethos, and organizational structure. 'Atomism' culminates in a syndrome of widespread professional-level cognitive dissonance. The paper contrasts this with an emerging workforce vision, the Collaborative Care Model. This new model defines a systems-first-approach, built on the principle that all jobs must include all four professional 'pillars'. Vertical skills integration, involving education and task sharing, supports sustainability and succession planning. Horizontal skills integration (across practice, leadership/management, education, and research) is included to improve responsiveness to population need and individual professional agency. The working conditions, supportive ethos, and career structure needed to make the model work are described. Moral and workforce theory are used to justify why the model may be more effective for population health, delivering greater job satisfaction for individuals and ultimately helping systematically realize healthcare values. Finally, the paper sketches the first steps needed to implement the model at the national level, starting with the operationalization of new multi-'pillar' professional curricula across the career spectrum. Potential challenges also are discussed.
RESEARCH IN SOCIAL & ADMINISTRATIVE PHARMACY
卷号:19|期号:1|页码:110-122
ISSN:1551-7411|收录类别:SSCI
语种
英语
来源机构
University of Dundee; NHS Education for Scotland; Queens University Belfast; University of Edinburgh
被引频次(WOS)
1
被引频次(其他)
1
180天使用计数
5
2013以来使用计数
5
EISSN
1934-8150
出版年
2023-1
DOI
10.1016/j.sapharm.2022.08.016
学科领域
循证公共卫生
关键词
Pharmacists Values Professionalism Workforce Skills development
WOS学科分类
Public, Environmental & Occupational Health Pharmacology & Pharmacy