Evidence mapPaperPMID 38780894Full record

ArticleJournal of epidemiology and global health2024

Sustainable Implementation of Physician-Pharmacist Collaborative Clinics for Diabetes Management in Primary Healthcare Centers: A Qualitative Study.

Jie Xiao, Shuting Huang, Qing Wang, Shenglan Tan, Lei Chen, Haiyan Yuan, Daxiong Xiang, Bikui Zhang, Xia Li, Yan Guo and 7 more

Abstract read
In one paragraph

Article in Journal of epidemiology and global health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Jie Xiao *Department of Pharmacy, The Second Xiangya Hospital, Central South University, Changsha, CN, China.
Shuting Huang *Department of Pharmacy, The Second Xiangya Hospital, Central South University, Changsha, CN, China.
Qing WangDepartment of Pharmacy, The Second Xiangya Hospital, Central South University, Changsha, CN, China.
Shenglan TanDepartment of Pharmacy, The Second Xiangya Hospital, Central South University, Changsha, CN, China.
Lei ChenDepartment of Pharmacy, The Second Xiangya Hospital, Central South University, Changsha, CN, China.
Haiyan YuanDepartment of Pharmacy, The Second Xiangya Hospital, Central South University, Changsha, CN, China.
Daxiong XiangDepartment of Pharmacy, The Second Xiangya Hospital, Central South University, Changsha, CN, China.
Bikui ZhangDepartment of Pharmacy, The Second Xiangya Hospital, Central South University, Changsha, CN, China.
Xia LiDepartment of Endocrine, The Second Xiangya Hospital, Central South University, Changsha, CN, China.
Yan GuoDepartment of Pharmacy, Taoyuan People's Hospital, Changde, CN, China.
Haiying HuangDepartment of Pharmacy, The People's Hospital of Liuyang, Changsha, CN, China.
Qun LiDepartment of Pharmacy, The Second People's Hospital of Huaihua, Huaihua, CN, China.
Yaqi LiaoDepartment of Pharmacy, Taoyuan People's Hospital, Changde, CN, China.
Yuhan TanDepartment of Pharmacy, The Second Xiangya Hospital, Central South University, Changsha, CN, China.
Yining ChengDepartment of Pharmacy, The Second Xiangya Hospital, Central South University, Changsha, CN, China.
Hao LuIntemed Hospital Management & Development (Beijing) Centre, Beijing, CN, China.
Ping XuDepartment of Pharmacy, The Second Xiangya Hospital, Central South University, Changsha, CN, China. xuping1109@csu.edu.cn.

Funding

China Medical Board 18-292Health Commission of Hunan Province 2019158
6 · The paper itself

Abstract

backgroundAlthough physician-pharmacist collaborative clinics for diabetes management have been shown to be effective and cost-effective worldwide, there is limited understanding of the factors that influence their sustainable implementation. This study aims to identify the associated factors and provide sustainability strategy to better implement physician-pharmacist collaborative clinics for diabetes management in primary healthcare centers in China.

methodsA sample of 43 participants were participated in face-to-face, in-depth, semi-structured interviews. Consolidated Framework for Implementation Research was used to identify facilitators and barriers to implementing physician-pharmacist collaborative clinics for diabetes management in primary healthcare centers, and to explore discriminating factors between low and high implementation units. A sustainable strategy repository based on dynamic sustainability framework was established to inform further implementation.

resultsThis study demonstrated that clear recognition of intervention benefits, urgent needs of patients, adaptive and tailored plan, highly collaborative teamwork and leadership support were the major facilitators, while the major barriers included process complexity, large number and poor health literacy of patients in primary areas, inappropriate staffing arrangements, weak financial incentives and inadequate staff competencies. Six constructs were identified to distinguish between high and low implementation units. Sixteen strategies were developed to foster the implementation of physician-pharmacist collaborative clinics, targeting Intervention, Practice setting, and Ecological system.

conclusionThis qualitative study demonstrated facilitators and barriers to implementing physician-pharmacist collaborative clinics for diabetes management in primary healthcare centers and developed theory-based strategies for further promotion, which has the potential to improve the management of diabetes and other chronic diseases in under-resourced areas.

Indexed as

Diabetes MellitusPharmacistsPrimary Health CareQualitative ResearchAdultChinaCooperative BehaviorFemaleHumansMaleMiddle AgedPhysiciansDiabetes mellitusDisease managementImplementation sciencePharmacistPrimary healthcareSustainable development

Identifiers

PMID38780894
PMCPMC11442712

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.