Exploring the implementation of a medication adherence programme by community pharmacists: a qualitative study

Marquis, Julien; Schneider, M.; Spencer, Brenda; Bugnon, Olivier; Pasquier, Sophie Du

doi:10.1007/s11096-014-9989-7

Cited by 34 publications

(31 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This was not unexpected given success in this area in a previous study, which informed the development of the carer service. [16] As training alone is unlikely to translate into full-scale implementation, [33] additional mentoring support should be considered in the short term for pharmacy staff providing any new service. Further adjustments based on our findings are needed to optimise the current training and service prior to implementation in a pilot study which, if successful, will inform a clinical trial.…”

Section: Discussionmentioning

confidence: 99%

A pharmacy carer support service: obtaining new insight into carers in the community

McMillan

King

Stapleton

et al. 2018

International Journal of Pharmacy Practice

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

A pharmacy carer support service: obtaining new insight into carers in the community

McMillan

King

Stapleton

et al. 2018

International Journal of Pharmacy Practice

View full text Add to dashboard Cite

show abstract

“…A clear definition and the evaluation of a testing stage could bring additional information and could improve the implementation progress by overcoming barriers detected during this stage. However, we used the results of an unsuccessful implementation study that we carried out in the past as a testing phase [ 3 ]. The four barriers that emerged from this former experience were removed by the active collaboration of all stakeholders and the proposed medication adherence training for pharmacists.…”

Section: Discussionmentioning

confidence: 99%

“…Initially, this program was confined to the community pharmacy of the PMU. In 2008, its research team attempted to implement its medication adherence program for hypertensive, diabetic and/or dyslipidemic patients in community pharmacies in the French-speaking part of Switzerland [ 3 ]. The study failed and detected four major barriers to implementation: a) lack of pharmacist-patient communication, which led to insufficient promotion of the program; b) insufficient collaboration between pharmacists and physicians; c) difficulties in integrating the program into the routine activity of the pharmacy; and d) lack of motivation among pharmacists.…”

Section: Introductionmentioning

confidence: 99%

Implementation of an interprofessional medication adherence program for HIV patients: description of the process using the framework for the implementation of services in pharmacy

Lelubre

Clerc

Grosjean

et al. 2018

BMC Health Serv Res

Self Cite

View full text Add to dashboard Cite

BackgroundThe community pharmacy center of the Department of Ambulatory Care and Community Medicine of the Policlinique Médicale Universitaire (PMU), Lausanne, Switzerland developed and implemented an interprofessional medication adherence program for chronic patients (IMAP). In 2014, a project was launched to implement the IMAP for HIV patients in a public non-academic hospital with the collaboration of community pharmacists in the Neuchâtel area (Switzerland). This article aims to describe the different implementation stages and strategies of the project.MethodsA posteriori description of the implementation process, including the conceptualization strategies and stages (exploration, preparation, operation, sustainability) using the Framework for the Implementation of Services in Pharmacy (FISpH).ResultsIn 2014, an attending infectious disease physician and a nurse at a public hospital (Neuchâtel, Switzerland) contacted the PMU to implement the IMAP in their setting in collaboration with community pharmacies. Five volunteer community pharmacies in Neuchâtel were trained to deliver the program. Three factors were found to be essential to the successful launch and progress of the implementation project: the experience of the community pharmacy center of the PMU with the IMAP, the involvement of the PMU research team, and collaboration with an external start up (SISPha) to train and support pharmacists. During the operation stage, the most important strategy developed was that of regular meetings between all stakeholders. These allowed healthcare professionals to discuss the implementation progress, to address each stakeholder’s expectations, and to exchange experiences to facilitate interprofessional collaboration and program delivery. Structural changes allowed the formalization of the activities at the hospital and in a community pharmacy. This formalization was identified as the transition step between the operation and the sustainability stages.ConclusionsThe transfer of the IMAP for HIV patients to a non-academic setting and its implementation are feasible. However, implementation of a new model of pharmacy service such as IMAP implies a deep change in practice. A transitional external support and the allocation of sufficient resources to carry out the IMAP are essential for its long-term sustainability.

show abstract

“…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

View full text Add to dashboard Cite

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.

show abstract

Exploring the implementation of a medication adherence programme by community pharmacists: a qualitative study

Cited by 34 publications

References 31 publications

A pharmacy carer support service: obtaining new insight into carers in the community

A pharmacy carer support service: obtaining new insight into carers in the community

Implementation of an interprofessional medication adherence program for HIV patients: description of the process using the framework for the implementation of services in pharmacy

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

Contact Info

Product

Resources

About