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In terms of roles and medication communication pathways, 11 of the 50 roles communicated with more than 5 other roles, they are: patient (34 other roles), family physician (28), pharmacist (22), HCC nurse (15), MOA (13), specialist physician (12), CHC nurse (12), family member (8), hospital ward doctor (8), hospital ward nurse (7), pharmacy technician (7), and Emergency Room (ER) doctor (6).
The articles were included if they described medication communication pathways and/or activities between care providers or patients.
The research team conducted a literature scoping review in December 2010 to explore medication communication pathways and activities.
An internal discussion with five members of the research team (one physician, two registered nurses, and two health informaticians) explored additional medication communication pathways and activities.
In this study, CCM was used to identify roles, and medication communication pathways and activities within the patient's circle of care, to highlight gaps and challenges, and reason about possible improvements.
Researchers can help fill a gap in knowledge by designing future studies to explore medication communication across the continuum of care; these studies can expand, validate, and revise the resources we provide in this paper, including exploring the differences in medication communication pathways between integrated and non-integrated clinics.
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We drew medication communication activities and pathways from the literature to create an initial Circle of Care medication communication model.
The medication communication activities were mapped along pathways between roles.
Several elements were extracted including roles, pathways, recurrent medication communication activities, and challenges encountered in medication communication.
The Circle of Care medication communication model grew from an initial 50 communication pathways between 11 roles from the literature to an intricate web of 252 communication pathways between 50 roles (doctor to nurse, nurse to doctor counts as 2 pathways).
Specific medication communication activities were mapped along each communication pathway between roles and to the medication management framework.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com