Population health management guiding principles to stimulate collaboration and improve pharmaceutical care

B.M. Steenkamer, C.A. Baan, Kim Putters, J.A.M. van Oers, Hanneke Drewes

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Purpose
A range of strategies to improve pharmaceutical care has been implemented by population health management (PHM) initiatives. However, which strategies generate the desired outcomes is largely unknown. The purpose of this paper is to identify guiding principles underlying collaborative strategies to improve pharmaceutical care and the contextual factors and mechanisms through which these principles operate.
Design/methodology/approach
The evaluation was informed by a realist methodology examining the links between PHM strategies, their outcomes and the contexts and mechanisms by which these strategies operate. Guiding principles were identified by grouping context-specific strategies with specific outcomes.
Findings
In total, ten guiding principles were identified: create agreement and commitment based on a long-term vision; foster cooperation and representation at the board level; use layered governance structures; create awareness at all levels; enable interpersonal links at all levels; create learning environments; organize shared responsibility; adjust financial strategies to market contexts; organize mutual gains; and align regional agreements with national policies and regulations. Contextual factors such as shared savings influenced the effectiveness of the guiding principles. Mechanisms by which these guiding principles operate were, for instance, fostering trust and creating a shared sense of the problem.
Practical implications
The guiding principles highlight how collaboration can be stimulated to improve pharmaceutical care while taking into account local constraints and possibilities. The interdependency of these principles necessitates effectuating them together in order to realize the best possible improvements and outcomes.
Originality/value
This is the first study using a realist approach to understand the guiding principles underlying collaboration to improve pharmaceutical care.
Original languageEnglish
Pages (from-to)224-245
JournalJournal of Health Organization and Management
Volume32
Issue number2
DOIs
Publication statusPublished - 2018

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Pharmaceutical Services
Foster Home Care
Pharmaceuticals
Health management
Population health

Keywords

  • CHANGE AGENCY
  • COMMUNITY
  • EDUCATION
  • GOVERNANCE
  • Governance
  • Health care
  • IMPLEMENTATION
  • Knowledge sharing
  • ORGANIZATIONS
  • PHARMACISTS
  • POLICY
  • Pharmaceuticals
  • Qualitative research
  • SERVICE
  • Strategy

Cite this

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title = "Population health management guiding principles to stimulate collaboration and improve pharmaceutical care",
abstract = "PurposeA range of strategies to improve pharmaceutical care has been implemented by population health management (PHM) initiatives. However, which strategies generate the desired outcomes is largely unknown. The purpose of this paper is to identify guiding principles underlying collaborative strategies to improve pharmaceutical care and the contextual factors and mechanisms through which these principles operate.Design/methodology/approachThe evaluation was informed by a realist methodology examining the links between PHM strategies, their outcomes and the contexts and mechanisms by which these strategies operate. Guiding principles were identified by grouping context-specific strategies with specific outcomes.FindingsIn total, ten guiding principles were identified: create agreement and commitment based on a long-term vision; foster cooperation and representation at the board level; use layered governance structures; create awareness at all levels; enable interpersonal links at all levels; create learning environments; organize shared responsibility; adjust financial strategies to market contexts; organize mutual gains; and align regional agreements with national policies and regulations. Contextual factors such as shared savings influenced the effectiveness of the guiding principles. Mechanisms by which these guiding principles operate were, for instance, fostering trust and creating a shared sense of the problem.Practical implicationsThe guiding principles highlight how collaboration can be stimulated to improve pharmaceutical care while taking into account local constraints and possibilities. The interdependency of these principles necessitates effectuating them together in order to realize the best possible improvements and outcomes.Originality/valueThis is the first study using a realist approach to understand the guiding principles underlying collaboration to improve pharmaceutical care.",
keywords = "CHANGE AGENCY, COMMUNITY, EDUCATION, GOVERNANCE, Governance, Health care, IMPLEMENTATION, Knowledge sharing, ORGANIZATIONS, PHARMACISTS, POLICY, Pharmaceuticals, Qualitative research, SERVICE, Strategy",
author = "B.M. Steenkamer and C.A. Baan and Kim Putters and {van Oers}, J.A.M. and Hanneke Drewes",
year = "2018",
doi = "10.1108/JHOM-06-2017-0146",
language = "English",
volume = "32",
pages = "224--245",
journal = "Journal of Health Organization and Management",
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Population health management guiding principles to stimulate collaboration and improve pharmaceutical care. / Steenkamer, B.M.; Baan, C.A.; Putters, Kim; van Oers, J.A.M.; Drewes, Hanneke.

In: Journal of Health Organization and Management, Vol. 32, No. 2, 2018, p. 224-245.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Population health management guiding principles to stimulate collaboration and improve pharmaceutical care

AU - Steenkamer, B.M.

AU - Baan, C.A.

AU - Putters, Kim

AU - van Oers, J.A.M.

AU - Drewes, Hanneke

PY - 2018

Y1 - 2018

N2 - PurposeA range of strategies to improve pharmaceutical care has been implemented by population health management (PHM) initiatives. However, which strategies generate the desired outcomes is largely unknown. The purpose of this paper is to identify guiding principles underlying collaborative strategies to improve pharmaceutical care and the contextual factors and mechanisms through which these principles operate.Design/methodology/approachThe evaluation was informed by a realist methodology examining the links between PHM strategies, their outcomes and the contexts and mechanisms by which these strategies operate. Guiding principles were identified by grouping context-specific strategies with specific outcomes.FindingsIn total, ten guiding principles were identified: create agreement and commitment based on a long-term vision; foster cooperation and representation at the board level; use layered governance structures; create awareness at all levels; enable interpersonal links at all levels; create learning environments; organize shared responsibility; adjust financial strategies to market contexts; organize mutual gains; and align regional agreements with national policies and regulations. Contextual factors such as shared savings influenced the effectiveness of the guiding principles. Mechanisms by which these guiding principles operate were, for instance, fostering trust and creating a shared sense of the problem.Practical implicationsThe guiding principles highlight how collaboration can be stimulated to improve pharmaceutical care while taking into account local constraints and possibilities. The interdependency of these principles necessitates effectuating them together in order to realize the best possible improvements and outcomes.Originality/valueThis is the first study using a realist approach to understand the guiding principles underlying collaboration to improve pharmaceutical care.

AB - PurposeA range of strategies to improve pharmaceutical care has been implemented by population health management (PHM) initiatives. However, which strategies generate the desired outcomes is largely unknown. The purpose of this paper is to identify guiding principles underlying collaborative strategies to improve pharmaceutical care and the contextual factors and mechanisms through which these principles operate.Design/methodology/approachThe evaluation was informed by a realist methodology examining the links between PHM strategies, their outcomes and the contexts and mechanisms by which these strategies operate. Guiding principles were identified by grouping context-specific strategies with specific outcomes.FindingsIn total, ten guiding principles were identified: create agreement and commitment based on a long-term vision; foster cooperation and representation at the board level; use layered governance structures; create awareness at all levels; enable interpersonal links at all levels; create learning environments; organize shared responsibility; adjust financial strategies to market contexts; organize mutual gains; and align regional agreements with national policies and regulations. Contextual factors such as shared savings influenced the effectiveness of the guiding principles. Mechanisms by which these guiding principles operate were, for instance, fostering trust and creating a shared sense of the problem.Practical implicationsThe guiding principles highlight how collaboration can be stimulated to improve pharmaceutical care while taking into account local constraints and possibilities. The interdependency of these principles necessitates effectuating them together in order to realize the best possible improvements and outcomes.Originality/valueThis is the first study using a realist approach to understand the guiding principles underlying collaboration to improve pharmaceutical care.

KW - CHANGE AGENCY

KW - COMMUNITY

KW - EDUCATION

KW - GOVERNANCE

KW - Governance

KW - Health care

KW - IMPLEMENTATION

KW - Knowledge sharing

KW - ORGANIZATIONS

KW - PHARMACISTS

KW - POLICY

KW - Pharmaceuticals

KW - Qualitative research

KW - SERVICE

KW - Strategy

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M3 - Article

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SP - 224

EP - 245

JO - Journal of Health Organization and Management

JF - Journal of Health Organization and Management

SN - 1477-7266

IS - 2

ER -