Establishment, Implementation, and Consolidation of Clinical Pharmacy Services in Community Pharmacies

Dosea, Aline Santana; Brito, Giselle de Carvalho; Santos, Lincoln Marques Cavalcante; Marques, Tatiane Cristina; Balisa-Rocha, Blície Jennifer; Pimentel, Déborah; Bueno, Denise; Lyra, Divaldo Pereira de

doi:10.1177/1049732315614294

Cited by 43 publications

(62 citation statements)

References 53 publications

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“…The findings of this study, on the one hand, have confirmed the importance of pharmacists becoming members of the primary care team which is consistent with many international studies (Bradley et al., ; Dosea et al., ; Jorgenson, Laubscher, Lyons, & Palmer, ; Silcock, Raynor, & Petty, ). With a health system moving towards an interprofessional approach to primary care, pharmacists may contribute value to the team by delivering comprehensive medication management, providing health education and drug information for team members, patients and populations, and enhancing system efficiencies through cost‐effective and quality use of medicines (Dolovich et al., ).…”

Section: Discussionsupporting

confidence: 91%

Investigating the impact of the universal healthcare coverage programme on community pharmacy practice

Hermansyah

Sainsbury

Krass

2017

Health Soc Care Community

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The introduction of Universal Healthcare Coverage (JKN) in 2014 has changed the landscape of the Indonesian healthcare and affected the community pharmacy sector. This paper investigates perceptions of healthcare and pharmacy stakeholders about the impact of JKN on the practice of pharmacists and pharmacy in both public (Puskesmas) and private (Community or Retail pharmacy) settings. In-depth, semi-structured interviews were conducted from February to August 2016 involving 29 participants representing key stakeholders from different provinces in Indonesia. While JKN was actually designed with good policy objectives for pharmacy integration within primary care network, it has created some unintended and unanticipated distortion in the healthcare system which may be detrimental to the community pharmacy sector. In fact, community pharmacy practice is still limited to dispensing and continued to be hampered by ongoing challenges mainly pharmacists' absence, lack of clinical competence and limited support from regulation changes. It is a missed opportunity for pharmacists to play a greater role in primary care services indicating the need for an overhaul to pharmacy education and policy system.

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Section: Discussionsupporting

confidence: 91%

Investigating the impact of the universal healthcare coverage programme on community pharmacy practice

Hermansyah

Sainsbury

Krass

2017

Health Soc Care Community

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“…and GPs' attitudes towards extended services in this review reflected international findings, where pharmacists in North America, Asia, Australasia, South America and Europe were also enthusiastic towards the concept of providing extended services (Dosea et al, 2017;Fang, Yang, Feng, Ni, & Zhang, 2011;Kinsey, Scahill, Bye, & Harrison, 2016;Kjome, Sandberg, & Granas, 2008;Schindel et al, 2017). Moreover, lack of awareness (Bjorkman, Viberg, Rydberg, & Stalsby Lundborg, 2008;Fakih, Marriott, & Hussainy, 2016;Freeman, Cottrell, Kyle, Williams, & Nissen, 2012;Wibowo, Sunderland, & Hughes, 2016), issues with community pharmacy premises (Babiker, Carson, & Awaisu, 2014;Bjorkman et al, 2008;Donald et al, 2017;Gray, Chamberlain, & Morris, 2016;Hattingh, Emmerton, Ng Cheong Tin, & Green, 2016;Murphy et al, 2016), lack of management support (Casserlie & Mager, 2016;Donald et al, 2017;Kinsey et al, 2016;Tsao et al, 2016;Watkins, McKee, Hughes, & Pfeiffenberger, 2017) and remuneration (Donald et al, 2017;Gray et al, 2016;Kinsey et al, 2016;Watkins et al, 2017) have also been found in other countries.…”

Section: Discussionsupporting

confidence: 61%

“…For instance, it is apparent that pharmacists are eager to expand their roles but lack the confidence to do so. Implementing regular training and increasing opportunities to apply training could enhance their confidence and reassure them of their competence (Donald et al, 2017;Dosea et al, 2017;Sim, Hattingh, Sherriff, & Tee, 2017;Watkins et al, 2017). Pharmacists' confidence could also be enhanced by having the ability to witness improved outcomes for patients.…”

Section: Discussionmentioning

confidence: 99%

Solidarity or dissonance? A systematic review of pharmacist and GP views on community pharmacy services in the UK

Hindi

Jacobs

Schafheutle

2018

Health Soc Care Community

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There has been a strong policy emphasis over the past decade on optimising patient-centred care and reducing general practitioners' (GPs') workload by extending community pharmacy services and collaboration between pharmacists and GPs. Our aim was to review current evidence of pharmacists' and GPs' views of extended community pharmacy services and pharmacists' roles in the United Kingdom (UK). A systematic review was undertaken looking at UK studies investigating pharmacists' and/or GPs' views of community pharmacy services or roles from 2005 to 2017. A range of databases were searched including EMBASE, PubMed, Scopus, Web of Science, International Pharmaceutical Abstracts (IPA), PsycINFO, Science Direct and The Cumulative Index to Nursing and Allied Health Literature (CINAHL). In addition, reference lists of included studies were screened and grey literature was searched. Following the application of inclusion/exclusion criteria, the quality of papers was critically analysed, findings were extracted into a grid and subjected to narrative synthesis following thematic analysis. The search strategy yielded a total of 4,066 unique papers from which 60 were included. Forty-seven papers covered pharmacists' views, nine combined both pharmacists' and GPs' views and four covered GPs' views. Study designs included interviews (n = 31, 52%), questionnaire surveys (n = 17, 28%) and focus groups (n = 7, 12%). Three main themes emerged from the data: "attitudes towards services/roles", "community pharmacy organisations" and "external influences". Pharmacists and GPs perceived a number of barriers to successful implementation and integration of pharmacy services. Moreover, collaboration between pharmacists and GPs remains poor despite the introduction of extended services. Overall, extending community pharmacy services require quality-driven incentives and joint working between community pharmacists and GPs to achieve better integration within the patient's primary care pathway.

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“…Studies conducted nationally and internationally highlight the lack of confidence of pharmacists in delivering services directly to patients and the need for them to develop specific skills for the clinical practice [33][34][35][36]. Besides understanding the theoretical and philosophical foundation of the professional practice, these skills include knowledge about the pharmacotherapy for a number of different medical conditions [30].…”

Section: Discussionmentioning

confidence: 99%

Comprehensive Medication Management Services in a Brazilian Speciality Pharmacy: A Qualitative Assessment

Detoni

Oliveira

Alves

et al. 2017

Int J Pharm Pharm Sci

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Objective: To understand and describe the implementation process of a comprehensive medication management (CMM) service in a public specialty pharmacy in Brazil.Methods: Ethnographic study conducted over 17 mo (September 2014 to February 2016 in a public specialty pharmacy. Semi-structured interviews were conducted with twelve participants. Notes on field journals, resulting from participant observation conducted by the two pharmacists directly responsible for the service implementation, were also used as a source of data.Results: Ten important conditions to improve the success of CMM service implementation were identified: manager support; evaluation of physical and material resources; evaluation of human resources practitioners' characteristics and knowledge about the theoretical framework of CMM services; time dedicated to CMM services; redefining the work process; defining patient eligibility criteria to CMM service; defining patient flow to CMM service; communication with healthcare team; integration with the staff; and marketing the service internally. Conclusion:The results unveiled by this article can be used by pharmacists and managers as a tool to optimize the implementation of CMM services in different healthcare settings. These conditions do not consist the only aspects necessary to ensure the success of the service; however, they can contribute to optimize the implementation process of the practice.

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Establishment, Implementation, and Consolidation of Clinical Pharmacy Services in Community Pharmacies

Cited by 43 publications

References 53 publications

Investigating the impact of the universal healthcare coverage programme on community pharmacy practice

Investigating the impact of the universal healthcare coverage programme on community pharmacy practice

Solidarity or dissonance? A systematic review of pharmacist and GP views on community pharmacy services in the UK

Comprehensive Medication Management Services in a Brazilian Speciality Pharmacy: A Qualitative Assessment

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