Emergent Themes and Example Quotation
| Theme | Example Quotation |
|---|---|
| Collaborative partner | “I think a lot of the burnout comes from all the multiple decisions you have to make in a day. That can be exhausting. So just again, having someone you can collaborate with on some of those things is great, so I think it reduces burnout. That collaboration absolutely reduces burnout.” (Participant 3) |
| Added skillset and resource | “I'll run things by [the pharmacist], med interactions or different questions, so having that resource available makes my job easier and more fulfilling to be able to have someone to ask questions.” (Participant 14) |
| Decreased workload | “It does offload some of the work…it's another part of the team helping you take care of your very complicated patients that's equivalent to a provider in terms of their knowledge of medications, if not more; so it really helps take away some of that stress of managing all of those chronically ill patients by yourself. (Participant 12) |
| Satisfaction patients are receiving better care | “Just their expertise makes me feel satisfied, because I feel my patients are getting the highest quality [care]. I think it feels so unsatisfying when you don't know something for a patient, so even if I'm not the one solving it for them, to be able to have a resource nearby makes me feel satisfied, because I feel like I can see that my patients are getting quality care even if it's not a hundred percent from me.” (Participant 2) |
| Reassurance | “I've been around long enough to see not only burnout as far as a chronic condition, just wearing people down, and you see that, but what you also see is an occasional catastrophic event, lawsuit, loss of license, really horrific things to patients and to providers. I think there's a two-way thing on this and that's part of why I wanted to be able to talk about this openly is the major effect is it reduces that risk.” (Participant 10) |
| Decreased mental exhaustion | “A lot of the patients that [CMM] sees are really complex and they need so much time, and they have so much information, and I think it's just even if I could spend the extra time, it just feels like such a mental burden and sometimes an emotional burden, that it feels so nice to either know there's another set of eyes on this patient or oh, this person can handle this one chunk for me.” (Participant 2) |
| Professional learning | “I'm constantly learning things from [CMM]. Especially with the diabetes, they're very knowledgeable with all the new things coming out, all the little tricks, or ways to help patients take meds [medications] easier, so I think it plays a lot into compliance. I think it makes me a better doctor, hearing those things as we work together.” (Participant 1) |
| Increased patient access to providers | “My patients' biggest complaint is that they can't get in to see me, so being able to see [CMM] and save some other appointments for myself for my more complicated patients is a huge help.” (Participant 14) |
| Achievement of quality measures | “We're constantly graded on quality, like are we meeting certain standards for diabetes, high blood pressure, all these things, and having [CMM] as another resource for our patients, another place, another person that can fine-tune some things for us indirectly, helps our quality numbers as a provider, but also our whole clinic when we look at it. To make sure people are reaching their goals that they need to be at number-wise.” (Participant 1) |
| Barriers to CMM | “There are sometimes barriers to having [pharmacists providing CMM], like not knowing if patients are covered by them or when patients aren't covered by them [i.e. insurance coverage for CMM services]. But that's not a disadvantage; it's just more of a barrier to care.” (Participant 2) |
| Areas of opportunity | “Just [CMM] being here five days a week. Just that consistency would be nice. Then it's a service that you can count on in a way that is predictable.” (Participant 12) |
CMM, comprehensive medication management.