Barriers to the implementation of advanced clinical pharmacy services at Portuguese hospitals

Brazinha, Isabel; Fernández-Llimós, Fernando

doi:10.1007/s11096-014-9991-0

Cited by 38 publications

(36 citation statements)

References 43 publications

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“…Studies have found similar findings regarding the insufficient workforce [ 25 , 29 – 31 ]. Brazinha and Fernandez-Llimós [ 32 ] showed that an insufficient pharmacy workforce impacted on the high pharmacist workload in terms of logistic and administrative tasks, and lead to a reduced focus on clinical activities. Therefore, health systems must ensure sufficient human resources to collaborate with pharmacists on bureaucratic, administrative, and clinical tasks.…”

Section: Discussionmentioning

confidence: 99%

“…A collaborative relationship between pharmacists and healthcare professionals, with the aim of improving patient and health system outcomes, has become an important goal to be achieved since pharmacists changed their original focus from drug supply towards a focus on patient care [ 45 – 47 ]. Studies indicate that barriers related to pharmacist-healthcare team interaction may hinder the CPS implementation process [ 32 , 48 ]. Accordingly, inter-professional collaborative relationships should be encouraged to help decrease resistance and increase understanding and awareness among the healthcare team regarding the implementation of CPS.…”

Section: Discussionmentioning

confidence: 99%

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Perceived barriers to the implementation of clinical pharmacy services in a metropolis in Northeast Brazil

et al. 2018

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BackgroundCLinical pharmacy services (CPS) are professional services provided by pharmacists, who use their skills and knowledge to take an active role in patient health. These services have expanded in health systems around the world. However, it is important to have a comprehensive understanding of factors that may hinder the implementation of CPS in health systems.ObjectiveTo identify pharmacists’ and managers’ perceptions of barriers regarding the implementation of CPS in some public health units in a metropolis in Northeast Brazil.MethodsThis is a qualitative study based on focus groups and semi-structured, face-to-face, in-depth interviews. Participants were health-system pharmacists and managers, selected based on their direct participation in the implementation process. Focus groups were carried out with the pharmacists, and interviews were carried out with managers. The audio and videos were transcribed verbatim in full, and were independently analyzed using content analysis. This study was approved by the Brazilian Committee of Ethics in Research and all participants signed informed consent forms.FindingsThere were two focus groups and five interviews. The discussions generated 240 minutes of recordings. The health-system pharmacists and managers expressed barriers were allocated into five categories to facilitate a comprehensive understanding of the implementation of CPS; these barriers were related to: the local healthcare networks, the healthcare team, the pharmacists, the implementation process, and the patients.ConclusionsThis study revealed the perceptions of barriers associated with the participants involved in the implementation of CPS in some public health units in a metropolis in Northeast Brazil. The barriers reflect the challenges to be overcome in the CPS implementation process in the health systems.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Perceived barriers to the implementation of clinical pharmacy services in a metropolis in Northeast Brazil

et al. 2018

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“…It was interesting to note that adequacy of time to counsel patients and perceived workload were not associated with initiating the conversation. Previous research indicates that lack of time, interruptions, being rushed and having attention divided between tasks were negatively related to perceived patient consultation performance .…”

Section: Discussionmentioning

confidence: 99%

“…Previous research indicates that lack of time, interruptions, being rushed and having attention divided between tasks were negatively related to perceived patient consultation performance. [26][27][28] It also indicates that, in developed and developing countries alike, profit is an important factor influencing pharmacists' behaviour including counselling and selection of products to dispense. [29][30][31] Most pharmacies in Alexandria are independent working in competition with one another.…”

Section: Discussion and Conclusion Discussionmentioning

confidence: 99%

Pharmacist–patient communication about medication regimen adjustment during Ramadan

Amin

Chewning

2016

International Journal of Pharmacy Practice

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“…importantes estavam a falta de remuneração dos serviços, mas também a falta de apoio dos gestores e das entidades profissionais 2 . Pesquisas realizadas no âmbito de sistemas públicos de saúde, em que a remuneração adicional não seria fator limitante, trouxeram de forma coincidente a falta de apoio de gestores de saúde como obstáculo 3…”

Section: Serviços Farmacêuticos Clínicosunclassified

Inovação em serviços farmacêuticos clínicos no componente especializado da assistência farmacêutica do Estado do Paraná

Rossignoli

Pontarolli

Corrêa

et al. 2019

R. saú. publ. Paraná

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A implementação de serviços farmacêuticos clínicos, seja em âmbito público ou privado, não tem alcançado os níveis desejados. Uma das explicações para esse fato pode residir no desenho desses serviços que por vezes são serviços amplos, complexos e com objetivos demasiado ambiciosos. A partir de processos de reengineering, uma carteira de serviços farmacêuticos clínicos no âmbito do Componente Especializado da Assistência Farmacêutica (CEAF) da Secretaria de Estado da Saúde do Paraná (SES/PR), está sendo desenhada com intuito de melhorar os desfechos clínicos resultantes do uso de medicamentos desse componente. A proposta é implementar vários serviços com objetivos específicos utilizando a seleção de pacientes guiada por dados (data driven). Implementar esses serviços e torná-los sustentáveis é o desafio que se apresenta à Assistência Farmacêutica da SES/PR para os próximos anos com o objetivo de contribuir para melhoria da saúde dos pacientes e para a racionalização de recursos do sistema de saúde.

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Barriers to the implementation of advanced clinical pharmacy services at Portuguese hospitals

Cited by 38 publications

References 43 publications

Perceived barriers to the implementation of clinical pharmacy services in a metropolis in Northeast Brazil

Perceived barriers to the implementation of clinical pharmacy services in a metropolis in Northeast Brazil

Pharmacist–patient communication about medication regimen adjustment during Ramadan

Inovação em serviços farmacêuticos clínicos no componente especializado da assistência farmacêutica do Estado do Paraná

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