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

Details

Serval ID
serval:BIB_F6915382C535
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Exploring the implementation of a medication adherence programme by community pharmacists: a qualitative study
Journal
International Journal of Clinical Pharmacy
Author(s)
Marquis J., Schneider M.P., Spencer B., Bugnon O., Du Pasquier S.
ISSN
2210-7711 (Electronic)
Publication state
Published
Issued date
2014
Peer-reviewed
Oui
Volume
36
Number
5
Pages
1014-1022
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov'tPublication Status: ppublish
Abstract
BACKGROUND: Medication adherence has been identified as an important factor for clinical success. Twenty-four Swiss community pharmacists participated in the implementation of an adherence support programme for patients with hypertension, diabetes mellitus and/or dyslipidemia. The programme combined tailored consultations with patients about medication taking (expected at an average of one intervention per month) and the delivery of each drug in an electronic monitoring system (MEMS6?).
OBJECTIVE: To explore pharmacists' perceptions and experiences with implementation of the medication adherence programme and to clarify why only seven patients were enrolled in total.
SETTING: Community pharmacies in French-speaking Switzerland.
METHOD: Individual in-depth interviews were audio-recorded, with 20 of the pharmacists who participated in the adherence programme. These were transcribed verbatim, coded and thematically analysed. Process quality was ensured by using an audit trail detailing the development of codes and themes; furthermore, each step in the coding and analysis was verified by a second, experienced qualitative researcher.
MAIN OUTCOME MEASURE: Community pharmacists' experiences and perceptions of the determining factors influencing the implementation of the adherence programme.
RESULTS: Four major barriers were identified: (1) poor communication with patients resulting in insufficient promotion of the programme; (2) insufficient collaboration with physicians; (3) difficulty in integrating the programme into pharmacy organisation; and (4) insufficient pharmacist motivation. This was related to the remuneration perceived as insufficient and to the absence of clear strategic thinking about the pharmacist position in the health care system. One major facilitator of the programme's implementation was pre-existing collaboration with physicians.
CONCLUSION: A wide range of barriers was identified. The implementation of medication adherence programmes in Swiss community pharmacies would benefit from an extended training aimed at developing communication and change management skills. Individualised onsite support addressing relevant barriers would also be necessary throughout the implementation process.
Pubmed
Web of science
Create date
22/11/2014 9:50
Last modification date
20/08/2019 16:23
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