ArticleInternational journal of clinical pharmacy2014
Exploring the implementation of a medication adherence programme by community pharmacists: a qualitative study.
Article in International journal of clinical pharmacy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 37 citations in OpenAlex.
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- Encouraging dissemination of research on the use of artificial intelligence and related innovative technologies in clinical pharmacy practice and education: call for papers.International journal of clinical pharmacy · 2024Article
- Factors Influencing the Implementation of a New Pharmacist Prescribing Service in Community Pharmacies.Pharmacy (Basel, Switzerland) · 2023Article
- Self-reported clinical pharmacy service provision in Austria: an analysis of both the community and hospital pharmacy sector-a national study.International journal of clinical pharmacy · 2020Article
- Implementation and Effectiveness of an Interprofessional Support Program for Patients with Type 2 Diabetes in Swiss Primary Care: A Study Protocol.Pharmacy (Basel, Switzerland) · 2020Article
- Implementation of an interprofessional medication adherence program for chronic patients in community pharmacies: how much does it cost for the provider?BMC health services research · 2019Article
- Implementation study of an interprofessional medication adherence program for HIV patients in Switzerland: quantitative and qualitative implementation results.BMC health services research · 2018Observational
- Implementation of an interprofessional medication adherence program for HIV patients: description of the process using the framework for the implementation of services in pharmacy.BMC health services research · 2018Observational
- Perceived barriers to the implementation of clinical pharmacy services in a metropolis in Northeast Brazil.PloS one · 2018Article
- Tips and Traps: Lessons From Codesigning a Clinician E-Monitoring Tool for Computerized Cognitive Behavioral Therapy.JMIR mental health · 2017Article
- Ensuring rigour and trustworthiness of qualitative research in clinical pharmacy.International journal of clinical pharmacy · 2016Review
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMedication 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™).
objectiveTo explore pharmacists' perceptions and experiences with implementation of the medication adherence programme and to clarify why only seven patients were enrolled in total.
settingCommunity pharmacies in French-speaking Switzerland.
methodIndividual 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 measureCommunity pharmacists' experiences and perceptions of the determining factors influencing the implementation of the adherence programme.
resultsFour 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.
conclusionA 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.
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