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  • "AN ANALYSIS OF HOW COLLABORATION BETWEEN PHYSICIANS AND PHARMACISTS MIGHT FACILITATE IMPROVED HEALTHCARE IN NIGERIA" by Moyosore Osoko Oluwatoyosi

    Moyosore Oluwatoyosi OsokoInter-professional collaboration among healthcare workers impacts the delivery of healthcare, of all these professionals, physicians and pharmacist collaboration has the greatest effect on positive patient outcomes which is the goal of healthcare. All over the world there have been repeated studies into this relationship and they have shown that an excellent inter-professional collaboration between physicians and pharmacists led to positive patient outcomes. In Nigeria, the healthcare sector is not paid much attention by the government, it is under-funded, the workers are overworked and not properly remunerated and citizens also deal with poverty. Despite all these, the country can still benefit from good collaboration between physicians and pharmacists in order to deliver quality healthcare to its populace.

     

     


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     Objectives:

    The objectives of this research traversed:

    (1). Analysis of the inter-professional collaboration among healthcare professionals, specifically physicians and pharmacists in Nigeria.

    (2). Evaluating the factors that hinder this collaboration in Nigeria.

    (3). Evaluating the factors that improve this collaboration in Nigeria.

    (4). Suggesting feasible solutions that will bolster the collaboration between physicians and pharmacists in Nigeria.

    Methodology:

    The research methodology employed was a mixture of qualitative and quantitative approaches through a mixed-method questionnaire making use of the online platform, google forms. The questionnaire was devoid of bias, no personal questions were asked and there was no interference on the part of the author to the responses garnered. The qualitative approach was phenomenological centered around the daily experiences of physicians and pharmacists. The questionnaire was dispersed to physicians and pharmacists in government hospitals, primary care centers, community pharmacists and patients in these environments. Likert scales were employed in measuring the varying views on the subject. The patients were also asked their opinion of physicians, pharmacists and the quality of healthcare they receive.
     
    Findings:

    The research confirmed a finding from the literature review that in this relationship, community pharmacists are indispensable as they account for the majority of pharmacists in Nigeria. This is also important because they interact the most with patients. The research also showed a current scarcity of interactions between physicians and pharmacists which shows why this has been foreign in Nigeria's healthcare sector. Physicians and pharmacists that have interacted have had an amenable relationship, this shows that the relationship is welcome and has the capacity to improve healthcare in Nigeria. Finally, patients visit their pharmacists for the more common ailments highlighting their importance and the possibility of a good relationship when these two professionals work hand in hand.
     
    Analysis:

    This research to the best of my knowledge was the first of its kind in Nigeria. It is important because for a developing country, healthcare is an important sector that cannot be overlooked. In developed countries, inter-professional collaboration has been widely researched and confirmed to improve the healthcare of their patients and the goal of the research is to test the veracity of this knowledge in a developing country like Nigeria. This was done by gathering responses from physicians, pharmacists and patients by employing a mixed method questionnaire, seeking their opinion because it directly affects them. The result showed that this collaboration is almost non-existent in Nigeria and a lot of work needs to be done by the government, healthcare professionals, the governing bodies of these professions and even the public in order to bring this collaboration to fruition and cause good clinical outcomes.

    Conclusions:

    A major discovery of this body of work from the secondary research was that community pharmacists have a huge role to play in this relationship, findings from primary research also confirmed this. This relationship also has not been developed effectively in Nigeria, but it is welcome nonetheless. Unsurprisingly also, physicians in Nigeria do not view pharmacists as colleagues, they have little respect for this profession this is enhanced by lack of proper communication between these professionals and even the patients. The Nigerian government need to be more proactive and invest in the Nigerian healthcare system, the study of this relationship should also be introduced into the curriculum of medical and pharmacy students. Finally, there should be establishment of electronic medical records and accountable care organizations that enhances access to patient information under the strictest regulations.

  • "Assessment of the best Theories of Collaboration for conducting Academic-Industry Collaborations in the Pharmaceutical Industry" by Ayush Vasudeva

    AyushThe exploration of Theories of Collaboration for the utilization of their themes and the creation of novel combinations of these themes has not been an idea that has been explored thoroughly. My dissertation explored these combined themes to overcome complex challenges in Academic-Industry Collaborations in the Pharmaceutical Industry. The idea of what these collaborations are, what kind of challenges they are exposed to and how these are successfully overcome has been the core of my dissertation, applying the combined themes created across the scope of challenges identified.

     

     


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    Objectives:

    • To gain insights on the challenges faced in academic-industrial collaboration in the pharmaceutical industry
    • To understand and explore the theories of collaboration and their themes that supplement Academic- Industry collaborations
    • To analyse and determine the degree of applicability of the theories in academic-industry collaborations in the pharmaceutical industry 

    Methodology:

    The paradigm and philosophical approach was chosen to be Interpretivist, as the nature of the study had involved interpreting the data collected in the primary research by the use of a narrative analysis approach. The responses of the interviewees selected were taken in the forms of their stories, which was composed of the knowledge and experiences that they had as professionals involved in academic-industry collaborations in the pharmaceutical industry. The strategy involved was to frame questions for the interview in a manner that enabled me to receive responses in the form of stories of the interviewees that have been interviewed.

    Findings:

    i. Every theme in different theories of collaboration is connected and related, in terms of specific applicability in dealing with the listed challenges The themes used in the theories were used as codes for application to the transcripts generated from the interviews conducted for the participants in the dissertation study.

    ii. Knowledge sharing, networking and stakeholder focus are more prevalent and applicable than their corresponding counterparts at resolving specific challenges in academic-industry collaborations. The codes generated were compared after generating their relations map via creative coding. The data tools of MAXQDA revealed that these themes were more omnipresent than the other selected themes, making them desirable for being used in combined theme applications.

    iii. Combinational themes generated better outcomes than individual themes: An analysis of the codes used was generated and the codes were compared to understand their utilisation and need, as per the in-depth interviews conducted.

    Analysis:

    The data analysis approach included producing a coding system based on the theories of collaboration explored in the literature review. Transcripts from the interview were generated from each participant, and the codes produced for each theory were matched with the responses provided by the participants. This approach led to understanding the application of the chosen theories to the experiences of the academic and industry professionals with collaborative experience and revealed the utilisation of said theories in specific circumstances in academic-industry collaborations. MAXQDA was applied as an analysis tool, using its transcription mode to transcribe the recordings of the interviews and were coded using the same. All the findings coded produced a pattern of the different uses of theories under a variety of circumstances in the collaborations coded and analysed by using a narrative analysis approach. A creative coding function was used visualize the coded system produced.

    Conclusion:

    The findings determined by me will be essential in assisting academic and industry professionals involved in academic-industry collaborations to conduct collaborations that utilize the themes determined, and their principles explored. The collaborations conducted on a global scale will benefit from the findings produced as a result of the analysis conducted. The themes should be inculcated in the training period for personnel and awareness of the same should be checked routinely for those involved in collaborations by experienced and knowledgeable collaborators involved in the collaboration. Future research should focus extensively on developing new theories in line with emerging trends and arising challenges. Also, a variety of theories developed by theorists that are not directly focusing on collaboration but on the themes identified should be explored, in order to rummage through for knowledge that can be translated into a novel practice, one that has not been discovered thus far.

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