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What is the Role of a Pharmacist in a Parkinson’s Disease Interdisciplinary Team?
Dhap, Jaswinder L.
Dhap, Jaswinder L.
Publication Date
2021
End of Embargo
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The University of Bradford theses are licenced under a Creative Commons Licence.
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Open Access status
Accepted for publication
Institution
University of Bradford
Department
Faculty of Life Sciences
Awarded
2021
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Abstract
The care of people with Parkinson’s disease (PD) involves input from different
healthcare professionals (HCPs). A literature search identified that the HCPs
involved in PD multidisciplinary (MDT) clinics, including interdisciplinary team
(IDT), varied both in the number and type of HCPs. None of the studies
identified involved pharmacists. Pharmacists have shown benefits when
working in MDTs for other long-term conditions (LTCs); however, their role in
PD MDTs was identified as a gap in the literature.
The aim of the study was to determine the role of pharmacists in a PD IDT.
Patients attended a PD IDT clinic comprising PD nurse, physiotherapist,
occupational therapist and pharmacist. A mixed methods convergent design
was used to collect both qualitative and quantitative data. Qualitative focus
group and interview data were analysed using The Framework Method.
Quantitative data analysis involved counts of HCP interventions.
Pharmacists can support PD IDTs as they have in other LTC MDTs by
conducting holistic medication reviews. Three new roles were identified for
pharmacists in PD IDTs as: 1) independent prescribing, 2) supporting HCPS in
their roles by supporting staff knowledge, and 3) leading the PD IDT clinics.
Quantitative data showed the pharmacist made a medication review
intervention for all patients.
HCPs and patients identified the roles and value of involving pharmacists in PD
IDTs. The PD IDT clinics offer a holistic approach to patient care and a greater
opportunity for patients to be involved. The findings identified a ‘review-shared care template’
for PD IDTs and recommends development of a ‘pharmacist’s PD competency framework’.
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Type
Thesis
Qualification name
PharmD