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Poster Abstracts

Social representing as a modulating factor of collaboration between pharmacist and physician at hospital

Authors:

Emma Bajeux ,

University Hospital, France, FR
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François-Xavier Schweyer,

EA7348 MOS, FR
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Emma Bajeux,

University Hospital, France, FR
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Lilian Alix,

University Hospital, France, FR
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Benoit Hue,

University Hospital, France, FR
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Dominique Somme

University Hospital, France CNRS, ARENES-UMR 6051, FR
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Abstract

Introduction and objectives: Medication reconciliation (MR) was developed in view of reducing medication errors and adverse drug events (ADE), during and after hospitalization. French multicenter observational study was conducted in Brittany to assess the effect of MR at discharge for patients aged 65 years or older on their unplanned rehospitalization for ADEs within 30 days; on the patients’ experience of discharge and on their knowledge of their medication regimen. Furthermore, this study aimed to assess the interprofessional cooperation between physicians and pharmacists, which has the potential to transform hospital pharmacy practice and challenge the model of the established professions.

Aims, Theory and Methods: MR appeared to be a vector of transformation of multi-professional practices in hospital. It presupposes several collaborative exchanges between physicians and pharmacists, the quality of which is dependent on the professionals’ commitment. 10 observations were performed in the 5 Brittany hospitals participating to the study. A sociologist conducted 14 open and 38 semi-structured interviews with hospital pharmacists and physicians in order to document the implementation process. We focus here on social representations of respective roles of physicians and pharmacists as a modulating factor of the implementation of the MR process.

Results: Physicians welcomed differentially MR and their perception of MR utility was a determining factor of success. Hospital pharmacists were usually leaders of the MR process and it was accepted both by pharmacists and physicians. Pharmacists were seen as the ones who have anything to “gain”. Indeed, pharmacists reported that they feel to have to be both “adaptable” and “diplomatic”, putting themselves “at the service” of physicians without changing “too much” the system. The “initiative for communication” lied with the pharmacist even when physicians were a support. By the way, dialogue with physicians “enriches the field of activity” of pharmacists. This value-adding characteristic of the MR was very important in their implication. Regarding professional in training, Medical students reported that contact with pharmacists was beneficial to improve their “pharmaceutical knowledge”, as well as pharmaceutical students reported that this collaborative model of care greatly enriched their hospital internship.

Conclusions: Social representations are a very important modulating factor of MR in hospital. The physicians are the ones to convince and the pharmacists have a lot to win if they adopt a leading position. The implementation have great and very fast effects in training pharmacists and physicians to collaborative care.

Implications for applicability/transferability, sustainability, and limitations: Taking into account social representations is crucial while implementing major organizational innovations that promotes collaborative care. Additionally, even before the optimal implementation, it produces important effects on future social representation of professionals in training and thus participates to the future of healthcare system.
How to Cite: Bajeux E, Schweyer F-X, Bajeux E, Alix L, Hue B, Somme D. Social representing as a modulating factor of collaboration between pharmacist and physician at hospital. International Journal of Integrated Care. 2022;22(S3):213. DOI: http://doi.org/10.5334/ijic.ICIC22328
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Published on 04 Nov 2022.

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