An exploration of barriers, facilitators, and practical solutions for adopting medication synchronization into community pharmacies: A qualitative analysis

Hughes, Trevor; Cutrell, Stacey; Minshew, Lana M.; Brown, Patrick H.; Ferreri, Stefanie P.

doi:10.1016/j.rcsop.2022.100111

Cited by 4 publications

(2 citation statements)

References 38 publications

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“…Similar to other studies, the implementation of the ABM was aided by staff engagement and proactive organization of the program. 36,37 This highlights the potential to adopt the ABM while maintaining other routine responsibilities.…”

Section: Discussionmentioning

confidence: 98%

The appointment-based model in community pharmacies: Patient demographics and reimbursable clinical services uptake in Ontario

Tilli,

Mathers,

Lin

et al. 2024

Can Pharm J

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Background: Community pharmacies typically require patients to request medication refills. The appointment-based model (ABM) is a proactive approach that synchronizes refills and schedules patient–pharmacist appointments. These appointments provide opportunities for medication reviews, medication optimization and health promotion services. The primary aim of this study was to describe the types of patients who received an ABM service in a community pharmacy in Ontario in 2017. The secondary aim was to describe reimbursable clinical service uptake. Methods: In September 2017, the ABM was implemented across 3 Ontario community pharmacies within a Canadian pharmacy banner. Patients who filled at least 1 chronic oral medication and consented to enrolment were eligible. In December 2018, data were extracted from a sample of 3 pharmacies using pharmacy management software. Descriptive statistics and frequencies were generated. Results: Analysis of 131 patients (51.1% female; mean ± SD age 70.8 ± 10.5 years) revealed patients were dispensed a mean ± SD of 5.1 ± 2.7 medications, and 73 (55.7%) experienced polypharmacy. Hypertension (87.8%) and dyslipidemia (68.7%) were the most common medical conditions. There were 74 (56.5%) patients who received ≥1 medication review service (MedsCheck). Of 79 unique drug therapy problems (DTPs) identified, the most common categories related to patients needing additional drug therapy and adverse drug reactions. Discussion and conclusion: Patients enrolled in the ABM were generally older adults experiencing polypharmacy. The ABM presented opportunities for DTP identification and delivery of reimbursed services. Findings support continued exploration of the ABM to support integration of clinical services within community practice.

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Section: Discussionmentioning

confidence: 98%

The appointment-based model in community pharmacies: Patient demographics and reimbursable clinical services uptake in Ontario

Tilli,

Mathers,

Lin

et al. 2024

Can Pharm J

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“…Therefore, it is crucial to create and implement collaborative models between physicians and pharmacists. This approach will help to address medication-related challenges in outpatient settings, especially for patients on multiple medications (Hughes et al, 2022). By leveraging their knowledge of medications, pharmacists can help their patients achieve better outcomes (Ferreri et al, 2020).…”

Section: Masero Et Al Medication Therapy Management Among Kenyan Phar...mentioning

confidence: 99%

A call to strengthen medication therapy management training in the Kenyan pharmacy undergraduate curriculum: Feedback from a snapshot of the knowledge and practices among pharmacists in diverse disciplines

Masero,

Wafula,

Kihugi

et al. 2024

Pharm Educ

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Background: The role of the pharmacist has continued to evolve, placing the profession at the fulcrum of holistic patient care, including offering medication therapy management (MTM), a critical component of any effective pharmaceutical care plan. Objective: This study was conducted to assess the knowledge, attitudes, and practices of Kenyan pharmacists regarding MTM. Methods: A cross-sectional study was performed whereby Google Form questionnaires were distributed among pharmacists working at hospitals and community pharmacies between 1st October 2022 and 30th November 2022. Results: Slightly over half (62, 52.5%) of the pharmacists rated themselves as knowledgeable about MTM, with most participants (55, 46.6%) stating that the undergraduate pharmacy curriculum was insufficient to prepare one to offer MTM services competently. Notably, online courses and workshops were the most popular channels (72%) for accessing MTM-related continuous professional development among the respondents. Conclusion: This study revealed some gaps in the knowledge and competence of undergraduate-level Kenyan pharmacists in their quest to offer MTM services. Therefore, embedding MTM in the undergraduate curriculum can bridge this gap and empower Kenyan pharmacists to provide holistic pharmaceutical care.

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Enhancing pharmaceutical cold supply chain: integrating medication synchronization and diverse delivery modes

Potters,

Mosalla Nezhad,

Bernard

et al. 2024

Int Trans Operational Res

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The significance of last‐mile logistics in the healthcare supply chain is growing steadily, especially in pharmacies where the growing prevalence of medication delivery to patients' homes is remarkable. This paper proposes a novel mathematical model for the last‐mile logistics of the pharmaceutical supply chain and optimizes a pharmacy's logistical financial outcome while considering medication synchronization, different delivery modes, and temperature requirements of medicines. We propose a mathematical formulation of the problem using mixed‐integer linear programming evolved from the actual problem of an outpatient pharmacy of a Dutch hospital. We create a case study by gathering, preparing, processing, and analyzing the associated data. We find the optimal solution, using Python MIP package and the Gurobi solver, which indicates the number of order batches, the composition of these batches, and the number of staff related to the preparation of the order batches. Our results show that our optimal solution increases the pharmacy's logistical financial outcome by 34%. Moreover, we propose other model variations and perform extensive scenario analysis to provide managerial insights applicable to other pharmacies and distributors in the last step of cold supply chains. Based on our scenario analysis, we conclude that improving medication synchronization can significantly enhance the pharmacy's logistical financial outcome.

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An exploration of barriers, facilitators, and practical solutions for adopting medication synchronization into community pharmacies: A qualitative analysis

Cited by 4 publications

References 38 publications

The appointment-based model in community pharmacies: Patient demographics and reimbursable clinical services uptake in Ontario

The appointment-based model in community pharmacies: Patient demographics and reimbursable clinical services uptake in Ontario

A call to strengthen medication therapy management training in the Kenyan pharmacy undergraduate curriculum: Feedback from a snapshot of the knowledge and practices among pharmacists in diverse disciplines

Enhancing pharmaceutical cold supply chain: integrating medication synchronization and diverse delivery modes

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