Performance model of community pharmacies in low-middle income countries: A societal perspective

Ranghchian, Maryam; Sehat, S; Akhgari, Mehdi; Mehralian, Gholamhossein

doi:10.1016/j.jretconser.2017.10.009

Cited by 14 publications

(25 citation statements)

References 37 publications

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“…Factors related to support from the community pharmacy chain were highlighted as facilitators of the implementation process. According to the literature, the support of the institution, the manager, and the supply of training, in uence the provision of CPS in different settings [15,26,27,36]. Regarding autonomy, studies have shown that this factor is in uenced by the market economy, often limiting the capacity for professionals, who are employed, to apply their own judgement when making decisions [37,38].…”

Section: Discussionmentioning

confidence: 99%

“…Regarding autonomy, studies have shown that this factor is in uenced by the market economy, often limiting the capacity for professionals, who are employed, to apply their own judgement when making decisions [37,38]. However, the fact that the community pharmacy supports patient care can empower pharmacists in their application of clinical activities and help improve patient care [14,36,39]. In this sense, all factors related to the support of the community pharmacy were related to the political domain of the Apoteca framework, which highlights the importance of strategies that engage managers throughout the CPS implementation process.…”

Section: Discussionmentioning

confidence: 99%

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Which factors may influence the implementation of drug dispensing in community pharmacies? A qualitative study

Cerqueira-Santos

Rocha

Araújo

et al. 2020

Preprint

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Background: Implementation of clinical pharmacy services, such as drug dispensing, is a complex process. It is necessary to understand the challenges associated with this practice from the perspective of the actors involved to help ensure optimal service provision. Thus, this study aimed to understand the factors that may influence the implementation of drug dispensing in community pharmacies, according to the perceptions of pharmacists. Methods: This qualitative study was based on semi-structured, face-to-face interviews. The participants were pharmacists who worked in a chain of community pharmacies in Brazil, selected based on their direct participation in the implementation process. The interview recordings were transcribed full verbatim and were independently analyzed using thematic analysis, followed by consensus meetings between researchers. The factors identified by the participants were classified according to the Apoteca framework. This study was approved by the Committee of Ethics in Research and all participants signed an informed consent form. Results: We conducted 18 interviews, with 47 factors that may influence the implementation of drug dispensing in community pharmacies being identified. These factors were allocated to seven categories: support from community pharmacy chain (4), pharmacy infrastructure (11), characteristics of the pharmacy, medicines and other health products (4), pharmacist (16), dispensing work process (2), pharmacy team (2), and patient (8). The classification of factors according to the Apoteca framework allocated most of them to administrative (14) and technical (14) domains, followed by attitudinal (13) and political (5) domains. Conclusions: This study identified several factors that can influence the implementation of drug dispensing and classified them according to the domains of the Apoteca framework, highlighting the multifactorial nature of the implementation process. The results of this study can guide the planning of strategies aimed at providing efficient drug dispensing in community pharmacies.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Which factors may influence the implementation of drug dispensing in community pharmacies? A qualitative study

Cerqueira-Santos

Rocha

Araújo

et al. 2020

Preprint

View full text Add to dashboard Cite

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“…This typology (gazelle vs non-gazelle firms) may help discuss what authors (Marchini, 2002;Del Baldo, 2008) have called "heterogeneity" of SMEs' environment. In the community pharmacies setting, the possession of managerial skills has been found to increase community pharmacies' performance (Hindle and Cutting, 2002;Ranghchian et al, 2018), and the use of MAP can support decision-making towards innovation (Gregório et al, 2016). However, to what extent the relation between MC and EO is mediated by MAP in community pharmacies' context has not yet been investigated representing an element of originality of this research.…”

Section: Theoretical Background and Hypothesis Developmentmentioning

confidence: 96%

“…In such a context, a shift toward a healthcare service-based business model was envisaged, as the traditional product-oriented business model of community pharmacies was no longer considered profitable (Gebauer, 2008). As a result of these institutional changes, pharmacy owners/managers need to develop managerial skills (Ottewill et al, 2000;Ranghchian et al, 2018); in particular, they need to develop performance measurement abilities through innovation, risk-taking and proactiveness, to face competition from new players that generally benefit from economies of scale. Indeed, competences and performance management tools are essential to face discontinuities from external and internal environments (Cardoni, 2018).…”

mentioning

confidence: 99%

How does management accounting affect entrepreneurial orientation in SMEs? A structural equation modelling

Oppi¹,

Cavicchi²,

Vagnoni³

2020

Management Control

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Management accounting practices (MAP) appear to be a prerequisite for entrepreneur-ial orientation (EO) to positively influence profitability. In addition, critical capacities are a precondition to develop and maintain MAP. Studies revealed that small and me-dium enterprises use informal MAP and they generally lack managerial competences (MC) to develop and implement effective control systems to respond to environmental challenges. However, those who develop MC are more likely to implement MAP. The aim of the paper is to analyze the relationship between the use of MAP and the devel-opment of EO, where EO is measured through the independent dimensions of innova-tiveness, proactiveness and risk-taking. Further, the paper argues that the use of MAP is positively affected by the possession of MC. The paper adopts structural equation modelling to test the hypotheses, focusing on a sample of 339 Italian community pharmacies (response rate 54.6%). Findings support a positive relationship between MC and MAP and between MAP and EO, contributing to a field that is underexplored and providing suggestions for managers, practitioners and educators.

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“…Hence, a major reform regarding Pharm‐D curriculum has occurred recently to provide students with more opportunities to receive social trainings on pharmaceutical care services. Specifically, this reform helps students to be well qualified, which means how appropriately they can communicate with patients, how they can influence the quality of pharmacotherapy as well as related services, and how they would be clinically oriented in a hospital setting. With respect to hospital pharmacy, students have to experience clinical practices, particularly in communicating with both physicians and patients, as to how they can play their role in increasing the outcome of physicians’ interventions.…”

Section: Introductionmentioning

confidence: 99%

Diabetic Patients’ Views on Services Provided by Community Pharmacies

Mehralian

Sheikhi

Peiravian

2018

J Pharm Health Serv Res

Self Cite

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Objectives The purpose of this study is to evaluate the attitude of the patients with diabetes towards and satisfaction with services provided by the community pharmacists in Tehran. Although there is no national guideline for diabetic disease management in Iran, pharmacists, as accessible and trained healthcare professionals, provide patients with consultation regarding medications, diet and physical activity. With the increasing number of patients with diabetes in Iran, it is needed to evaluate the patients’ satisfaction with and attitude towards pharmacists’ services to better understanding how such services can be improved. Methods This study is a cross‐sectional and self‐administrated survey conducted among patients with diabetes in Tehran between April and September 2016. Once finished with extracting the possible factors related to the attitudes of the patients with diabetes from existing literature, a standardised questionnaire with 35 questions was designed and distributed randomly among patients with diabetes. Four hundred and four completed questionnaires were finally returned. Key findings Although pharmacists’ services such as giving advices on diabetes management, giving information to patients and educating them about diabetes self‐management were found not to be implemented at an appropriate level, the majority of patients agreed that they receive consultation services from pharmacists regarding diabetes and had good attitude towards such services. More than 70% of patients agreed that, after receiving consultation services, their knowledge of diabetes increased and they have been more successful at diabetes self‐management. Conclusions According to the results, patients with diabetes in this study have relatively positive views on pharmacists and their services.

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Performance model of community pharmacies in low-middle income countries: A societal perspective

Cited by 14 publications

References 37 publications

Which factors may influence the implementation of drug dispensing in community pharmacies? A qualitative study

Which factors may influence the implementation of drug dispensing in community pharmacies? A qualitative study

How does management accounting affect entrepreneurial orientation in SMEs? A structural equation modelling

Diabetic Patients’ Views on Services Provided by Community Pharmacies

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