Figure 1
A schematic diagram of the two-phase study. In the first stage, six qualitative studies were carried out with four different HCP categories; in the second stage, the data were summarized.
HP = hospital physician; FP = family physician; CPh = community pharmacist; N = Nurse; PDP = personalized drug plan; PFP = personalized frailty plan.
Figure 2
Study flow chart.
HP = hospital physician; FP = family physician; CPh = community pharmacist; PDP = personalized drug plan; PFP = personalized frailty plan.
Table 1
Results of the six qualitative surveys: common themes.
| HCPS WHO AGREED TO PARTICIPATE IN THE PAERPA PROGRAM | HCPS WHO REFUSED TO PARTICIPATE IN THE PAERPA PROGRAM | |||||
|---|---|---|---|---|---|---|
| HCPS INVOLVED IN A PDP | HCPS INVOLVED IN A PFP | PDPS AND PFPS | ||||
| HPS | FPS | CPHS | FPS | NURSES | FPS | |
| Interest in geriatric care | Moderate | Moderate | High | High | Not mentioned | Absent |
| Frustrated by care for elderly patients | Moderate | Moderate | Not mentioned | High | High | Absent |
| Level of information about the project | Insufficient | Insufficient | Insufficient | Insufficient | Insufficient | Insufficient |
| Communication between HCPs | Little or no change | Little or no change | Little or no change | Little or no change | Little or no change | – |
| Feedback on patient outcomes | Insufficient | Insufficient | Insufficient | Insufficient | Insufficient | – |
| Role of the care coordinator | – | Essential | Essential Barrier to direct communication with HCPs | Essential | Essential Catalyst for communication between HCPs | – |
| Personal benefit | Time savings. Greater knowledge about pharmacology in older patients | Time savings. Task delegation | Enhancing the status of the health professions | Time savings. Task delegation. | Time savings. Task delegation. Enhancing the status of the health professions. Training | Extra workload and a waste of time. Intrusiveness. Judgment of personal practices |
| Benefit for the patient | High: medication review by an expert | High: medication review by an expert | High | Not often mentioned | High | Intrusion into the physician-patient relationship |
[i] HP = hospital physician; FP = family physician; CPh = community pharmacist; PDP = personalized drug plan; PFP = personalized frailty plan.