Factors Influencing the Implementation of a New Pharmacist Prescribing Service in Community Pharmacies.

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State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_243C190A014E
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Factors Influencing the Implementation of a New Pharmacist Prescribing Service in Community Pharmacies.
Journal
Pharmacy
Author(s)
Amador-Fernández N., Matthey-de-l'Endroit J., Berger J.
ISSN
2226-4787 (Electronic)
ISSN-L
2226-4787
Publication state
Published
Issued date
06/11/2023
Peer-reviewed
Oui
Volume
11
Number
6
Pages
173
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
The pharmacist prescribing service was legally permitted in 2019 in Switzerland to face challenges in the health system; however, there has been a lack of implementation. The aims of this study were to identify implementation factors and to evaluate pharmacy association interventions that aim to support implementation. A qualitative study with two methods was carried out: (1) twelve semi-structured interviews with community pharmacists were recorded, transcribed, and a thematic analysis was carried out using the Consolidated Framework of Implementation Research (CFIR); (2) questionnaires were submitted to the six pharmacy associations of French-speaking Switzerland. The main barriers found were non-reimbursement by health insurance companies, medications' lack of clinical relevance, a negative perception of GPs, and a lack of time. The main facilitators were the availability of service information, pharmacies belonging to chains/groups, a reduction in the medical consultation burden, and the accessibility of pharmacies. Five associations answered, revealing different initiatives supporting implementation, but none of them had strategies at the political level nor communication strategies aimed at patients or GPs. Based on the CFIR, the most frequent implementation factors were highlighted, and this classification facilitates the transposition of the results to other contexts. The results will allow the development of targeted strategies and add the role of the pharmacy associations, which should be considered in future studies.
Keywords
General Medicine, health care system, patient care, pharmacy education, pharmacy practice, pharmacy roles, pharmacy-expanded scope
Pubmed
Web of science
Open Access
Yes
Create date
06/11/2023 13:40
Last modification date
13/01/2024 8:08
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