Provider Perception of Pharmacy Services in the Patient-Centered Medical Home

Albanese, Nicole Paolini; Pignato, Alyssa M.; Monte, Scott V.

doi:10.1177/0897190016679759

Cited by 14 publications

(17 citation statements)

References 14 publications

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“…Similar to the current study, several studies showed that a lack of understanding and awareness, and resistance among the patients, were barriers to implementation of CPS [ 24 , 30 , 69 ]. Two studies reported that the pharmacist should assume a proactive role in the pharmacist-patient relationship [ 70 , 71 ].…”

Section: Discussionsupporting

confidence: 79%

“…The lack of adequate physical structures in the health units was a barrier to the implementation of CPS. Structural problems can impact on the quality of care provided, the privacy required to perform CPS, and the construction of a therapeutic relationship between the pharmacist and their patients [ 11 , 24 , 25 ]. In Brazil, there is legislation that regulates the provision of adequate physical structures.…”

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: Discussionsupporting

confidence: 79%

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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“…28 , 29 A similar survey distributed to providers within a PCMH identified top-tier clinical services as medication counseling, reconciliation, adherence assessment, polypharmacy assessment, and drug information consultations. 30 Of note, pain management was only reported to be offered in 35% of the practices but was ranked as one of the most impactful in our study. Our data can help guide clinical pharmacists to tailor their services to best fit the needs of their practice site.…”

Section: Discussionmentioning

confidence: 65%

Clinical pharmacists in primary care: Provider satisfaction and perceived impact on quality of care provided

et al. 2017

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Purpose:The purpose of this study is to evaluate primary care provider satisfaction and perceived impact of clinical pharmacy services on the disease state management in primary care.Methods:A cross-sectional survey with 24 items and 4 domains was distributed anonymously to pharmacy residency program directors across the United States who were requested to forward the survey to their primary care provider colleagues. Primary care providers were asked to complete the survey.Results:A total of 144 primary care providers responded to the survey, with 130 reporting a clinical pharmacist within their primary care practice and 114 completing the entire survey. Primary care providers report pharmacists positively impact quality of care (mean = 5.5 on Likert scale of 1–6; standard deviation = 0.72), high satisfaction with pharmacy services provided (5.5; standard deviation = 0.79), and no increase in workload as a result of clinical pharmacists (5.5; standard deviation = 0.77). Primary care providers would recommend clinical pharmacists to other primary care practices (5.7; standard deviation = 0.59). Primary care providers perceived specific types of pharmacy services to have the greatest impact on patient care: medication therapy management (38.6%), disease-focused management (29.82%), and medication reconciliation (11.4%). Primary care providers indicated the most valuable disease-focused pharmacy services as diabetes (58.78%), hypertension (9.65%), and pain (11.4%).Conclusion:Primary care providers report high satisfaction with and perceived benefit of clinical pharmacy services in primary care and viewed medication therapy management and disease-focused management of diabetes, hypertension, and pain as the most valuable clinical pharmacy services. These results can be used to inform development or expansion of clinical pharmacy services in primary care.

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“…Similarly, some studies show that one of the main difficulties in this process is to reconcile clinical and logistic activities. [ 84 , 87 , 98 ]. For Garcia-Cardenas et al [ 25 ], several factors can contribute to the lack of time, such as lack of priority, commitment, and poor distribution of activities.…”

Section: Discussionmentioning

confidence: 99%

Facilitators and strategies to implement clinical pharmacy services in a metropolis in Northeast Brazil: a qualitative approach

Ramos

Júnior

Pereira

et al. 2018

BMC Health Serv Res

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BackgroundClinical Pharmacy Services (CPS) are a reality in many health systems around the world. However, there are few studies that discuss the facilitators and the strategies to implement CPS in healthcare systems. In this way, the objective of this study was to identify the facilitators and strategies involved in the CPS implementation process in some public health units in a metropolis in the Northeast Brazil.MethodsA qualitative study was carried out with health-system pharmacists and managers who experienced the implementation of CPS. Therefore, focus groups were conducted with pharmacists, and the interviews with the managers. The discussions were carried out through semi-structured scripts and were recorded in audio and videos, after the signature of the consent form. The recordings were transcribed and analyzed independently through content analysis, followed by consensus meetings between researchers.ResultsTwo focus groups were conducted, with an average of seven pharmacists per group, and five interviews with local health managers. Participants reported 39 facilitators who were related to the categories: local healthcare network, healthcare team, pharmacists and implementation process of the CPS. And 21 strategies attributed to the following categories: local healthcare network, pharmacists and implementation process of the CPS.ConclusionsThis study identified facilitators and strategies of the implementation of CPS. Most of the positive experiences were related to the clinical skills and proactive attitudes of pharmacists. These findings may support pharmacists and health managers to implement CPS in health systems.Electronic supplementary materialThe online version of this article (10.1186/s12913-018-3403-4) contains supplementary material, which is available to authorized users.

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Provider Perception of Pharmacy Services in the Patient-Centered Medical Home

Cited by 14 publications

References 14 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

Clinical pharmacists in primary care: Provider satisfaction and perceived impact on quality of care provided

Facilitators and strategies to implement clinical pharmacy services in a metropolis in Northeast Brazil: a qualitative approach

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