Anna Maria Jové Massó
Directors
Dr. Carlos Martín Cantera i Dra. Maria Rubio Valera
Departament de Medicina
Barreres i facilitadors de la comunicació i la col·laboració entre el metge
d’atenció primària i
el farmacèutic comunitari
Tesi doctoral
Anna Maria Jové Massó
Directors: Dr. Carlos Martín Cantera i Dra. Maria Rubio Valera
Programa de doctorat en Medicina Departament de Medicina
Facultat de Medicina
Universitat Autònoma de Barcelona
Barcelona, juny de 2014
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4.2.3 Percepció positiva de la utilitat de la col·laboració...114
4.2.3.1 Percepció positiva de la utilitat de la col·laboració a nivell del Sistema Sanitari...115
4.2.3.2 Percepció positiva de la utilitat de la col·laboració a nivell dels professionals...120
4.2.3.3 Percepció positiva de la utilitat de la col·laboració a nivell dels pacients ...122
4.3 Diferències en el discurs entre els MAP i els FC, entre Comunitats Autònomes i entre els professionals amb i sense experiència en col·laboració (objectiu secundari)...123
5 DISCUSSIÓ...125
5.1 Fortaleses i limitacions...127
5.1.1 Fortaleses...127
5.1.2 Limitacions...127
5.2 Resultats més rellevants i comparació amb d’altres estudis...129
5.2.1 Percepció d’utilitat...130
5.2.2 Opinió recíproca...134
5.2.3 Factors que canvien les opinions negatives...136
5.2.4 Assoliment dels objectius...139
5.2.5 Factors que influeixen en l’assoliment dels objectius...140
5.2.6 Altres factors rellevants de la col·laboració...142
5.3 Estratègies per a la col·laboració entre MAP i FC...145
5.3.1 Estratègies per a iniciar la col·laboració...145
5.3.2. Estratègies per a mantenir la col·laboració...146
5.3.3 Altres estratègies...146
6 CONCLUSIONS...147
REFERÈNCIES...153
ANNEX I: Protocol de treball per a les entrevistes individuals semiestructurades a metges d’atenció primària i a farmacèutics comunitaris...i
ANNEX II: Publicacions derivades d'aquest estudi...xi
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