Physician readiness to collaborate with community pharmacists on drug therapy management
Bibliographic record
Abstract
With the increasing importance of drugs in patients' therapy and the rising drug costs, health policy makers are focusing attention on strategies to enhance the safety, effectiveness and efficiency of drug prescribing and use. The goal of this research was to assess Ontario family physicians' readiness to collaborate with community pharmacists on drug therapy management. A 22-item survey instrument, developed based on the Transtheoretical Model of Behaviour Change, was distributed to a stratified random sample of 848 family physicians across Ontario. The survey response rate was 36%. Eighty four percent of respondents regularly took community pharmacists' phone calls, pertaining to drug therapy management, while 78% sometimes sought pharmacists' recommendations regarding their patients' drug therapy. Only 29% of physicians, however, referred their patients to community pharmacists for medication reviews, with 45% unaware such a service exists. Overall, Ontario physicians were more engaged in lower level collaborative behaviours, than higher level collaborative behaviours, regarding drug therapy management.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.003 | 0.017 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.004 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".