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BACKGROUND Collaborative working relationships (CWRs) between community pharmacists and physicians may foster the provision of medication therapy management services, disease state management, and other patient care activities; however, pharmacists have expressed difficulty in developing such relationships. Additional work is needed to understand the(More)
BACKGROUND A theoretical model of physician/pharmacist collaborative relationships, driven by 3 groups of relationship characteristics termed participant, context, and exchange, has been developed. There are no studies that have examined the types of characteristics which most influence development of collaborative relationships between physicians and(More)
National guidelines and a recent clinical trial have supported the use of thiazide diuretics as the preferred initial pharmacological treatment for hypertension. However, evidence from this and other clinical trials have also found an increased incidence of new onset diabetes among those patients receiving thiazide diuretics. The mechanisms responsible for(More)
STUDY OBJECTIVE To examine community pharmacy practice with regard to providing smoking-cessation counseling. DESIGN Mailed survey. SETTING Iowa community pharmacies. PARTICIPANTS A stratified random sample of pharmacists statewide. MEASUREMENTS AND MAIN RESULTS Descriptive statistics were computed for all study variables. Fisher exact test or chi2(More)
OBJECTIVE To examine the sensitivity and criterion validity of the 14-item Physician/Pharmacist Collaboration Index (PPCI). DESIGN Substudy of an unblinded, randomized trial of pharmacist interventions with patients with uncontrolled hypertension. SETTING 6 intervention and 6 control pharmacies in eastern Iowa. PARTICIPANTS 25 community pharmacists.(More)
OBJECTIVE Using a conceptual model of collaborative working relationships between pharmacists and physicians, a measure for physician-pharmacist collaboration from the physician perspective was developed. The measure was analyzed for its factor structure, internal consistency, construct validity, and other psychometric properties. METHODS An initial(More)
BACKGROUND Preference-based measures of health-related quality of life (HRQL) focus on choice and strength of preference for health outcomes. If the value people attach to the health improvement they receive from medical treatments for asthma is known, preference-based measures can be used in cost-effectiveness analyses to aid resource allocation decisions.(More)
OBJECTIVE Pharmacogenomic-guided dosing has the potential to improve patient outcomes but its implementation has been met with clinical challenges. Our objective was to develop and evaluate a clinical decision support system (CDSS) for pharmacogenomic-guided warfarin dosing designed for physicians and pharmacists. METHODS Twelve physicians and pharmacists(More)
PURPOSE Few studies have examined prescribers' interactions with medication alerts at the point of prescribing. We conducted an in situ, human factors investigation of outpatient prescribing to uncover factors that influence the prescriber-alert interaction and identify strategies to improve alert design. METHODS Field observations and interviews were(More)
OBJECTIVE Major depression is common in low-income and chronically ill persons and is a barrier for effective chronic disease care. We evaluated a Medicaid-sponsored strategy for detecting depressive symptoms in adults with diabetes or congestive heart failure. METHODS Using a two-item screening tool, 890 adults enrolled in the Indiana Chronic Disease(More)