“I really like the idea of a partnership”: A qualitative exploration of patients’ perspectives on pharmacist and physiotherapist collaboration for musculoskeletal care

Abstract Background: Acute musculoskeletal (MSK) injuries are one of the most common reasons for health care visits, yet many patients face barriers to timely primary care access. This study explored patients’ perspectives on pharmacist–physiotherapist collaboration to inform the development of a framework to improve access to acute MSK care. Methods: A qualitative study consisting of 2 rounds of semi-structured focus groups with adults who had received care from a pharmacist and/or physiotherapist in Nova Scotia was conducted using the Theoretical Framework of Acceptability. Discussions focused on experiences and expectations regarding collaborative care for acute MSK injuries. Transcripts were coded deductively using the Acceptability, Practicability, Effectiveness, Affordability, Side effects/safety, Equity (APEASE) criteria and analyzed inductively to develop themes. Results: Eight participant data points were coded from 2 focus groups (July and August 2024). Participants expressed support for pharmacist–physiotherapist collaboration, citing benefits such as reduced emergency department use and faster access to care. Suggested implementation strategies included the use of pharmacy-based clinics, mobile units, and virtual care, especially in rural communities. Identified barriers included poor communication, unclear role definitions, limited integration within the health system, and gaps in affordability and accessibility. Discussion: Patients supported structured collaboration between pharmacists and physiotherapists to improve timely, coordinated MSK care. Key recommendations included public education, integrated services, and clarified professional roles. Addressing communication, privacy, and affordability concerns is essential to delivering equitable, patient-centred care. Conclusions: Patients supported collaboration between pharmacists and physiotherapists for MSK care and identified challenges to be addressed in developing a collaborative framework.