Which factors may influence the implementation of drug dispensing in community pharmacies? A qualitative study
Rationale, Aims and Objectives 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 stud...
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| Veröffentlicht in: | Journal of evaluation in clinical practice 2023-02, Vol.29 (1), p.83-93 |
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| creator | Cerqueira‐Santos, Sabrina Rocha, Kérilin S. S. Araújo, Dyego C. S. A. Santos Júnior, Genival A. Menezes, Pedro W. S. Sanchez, Júlia M. Mesquita, Alessandra R. Lyra Júnior, Divaldo P. |
| description | Rationale, Aims and Objectives
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.
Method
This qualitative study was based on semistructured, 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 (15) domains, followed by attitudinal (13) and political (5) domains.
Conclusion(s)
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. |
| doi_str_mv | 10.1111/jep.13731 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2685032575</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2765222524</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3181-fb7410b4f0487dde1ae8b34eb6bfc028472f6b28e0ed684e36a5d12cb5691a6e3</originalsourceid><addsrcrecordid>eNp1kU1v1DAQhi1U1I-lB_5AZamXckjrj9jOnqqqKgVUCQ4gjpbjjLtexU5qx63y78myhQMSc5k5PPNoNC9C7ym5pEtdbWG8pFxx-gYdUy5FxZTgB7tZyIqydX2ETnLeEkI5EeoQHXGhmjVR9BjFnxtvN9gZOw0p42Bm7KPrC0QLeNoA9mHsIUCczOSHiAeHu1QecefzCDH7-Ljw2A4hlOinGY8bk4KxHvI1vsFPxfR-t_kMOE-lm9-ht870GU5f-wr9-Hj3_fZT9fD1_vPtzUNlOW1o5VpVU9LWjtSN6jqgBpqW19DK1lnCmloxJ1vWAIFONjVwaURHmW2FXFMjga_Qxd47puGpQJ508NlC35sIQ8mayUYQzsTypxU6_wfdDiXF5TrNlBSMMcHqhfqwp2wack7g9Jh8MGnWlOhdCHoJQf8OYWHPXo2lDdD9Jf98fQGu9sCL72H-v0l_ufu2V_4CR0OR8g</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2765222524</pqid></control><display><type>article</type><title>Which factors may influence the implementation of drug dispensing in community pharmacies? A qualitative study</title><source>Wiley Online Library - AutoHoldings Journals</source><source>MEDLINE</source><creator>Cerqueira‐Santos, Sabrina ; Rocha, Kérilin S. S. ; Araújo, Dyego C. S. A. ; Santos Júnior, Genival A. ; Menezes, Pedro W. S. ; Sanchez, Júlia M. ; Mesquita, Alessandra R. ; Lyra Júnior, Divaldo P.</creator><creatorcontrib>Cerqueira‐Santos, Sabrina ; Rocha, Kérilin S. S. ; Araújo, Dyego C. S. A. ; Santos Júnior, Genival A. ; Menezes, Pedro W. S. ; Sanchez, Júlia M. ; Mesquita, Alessandra R. ; Lyra Júnior, Divaldo P.</creatorcontrib><description>Rationale, Aims and Objectives
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.
Method
This qualitative study was based on semistructured, 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 (15) domains, followed by attitudinal (13) and political (5) domains.
Conclusion(s)
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.</description><identifier>ISSN: 1356-1294</identifier><identifier>EISSN: 1365-2753</identifier><identifier>DOI: 10.1111/jep.13731</identifier><identifier>PMID: 35789071</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Community health care ; community pharmacy ; Community Pharmacy Services ; drug dispensing ; Drug stores ; Health care management ; Humans ; implementation science ; Pharmacies ; Pharmacists ; Pharmacy Service, Hospital ; qualitative ; Qualitative Research ; Teams</subject><ispartof>Journal of evaluation in clinical practice, 2023-02, Vol.29 (1), p.83-93</ispartof><rights>2022 John Wiley & Sons Ltd.</rights><rights>2023 John Wiley & Sons, Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3181-fb7410b4f0487dde1ae8b34eb6bfc028472f6b28e0ed684e36a5d12cb5691a6e3</citedby><cites>FETCH-LOGICAL-c3181-fb7410b4f0487dde1ae8b34eb6bfc028472f6b28e0ed684e36a5d12cb5691a6e3</cites><orcidid>0000-0002-0266-0702</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjep.13731$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjep.13731$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35789071$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cerqueira‐Santos, Sabrina</creatorcontrib><creatorcontrib>Rocha, Kérilin S. S.</creatorcontrib><creatorcontrib>Araújo, Dyego C. S. A.</creatorcontrib><creatorcontrib>Santos Júnior, Genival A.</creatorcontrib><creatorcontrib>Menezes, Pedro W. S.</creatorcontrib><creatorcontrib>Sanchez, Júlia M.</creatorcontrib><creatorcontrib>Mesquita, Alessandra R.</creatorcontrib><creatorcontrib>Lyra Júnior, Divaldo P.</creatorcontrib><title>Which factors may influence the implementation of drug dispensing in community pharmacies? A qualitative study</title><title>Journal of evaluation in clinical practice</title><addtitle>J Eval Clin Pract</addtitle><description>Rationale, Aims and Objectives
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.
Method
This qualitative study was based on semistructured, 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 (15) domains, followed by attitudinal (13) and political (5) domains.
Conclusion(s)
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.</description><subject>Community health care</subject><subject>community pharmacy</subject><subject>Community Pharmacy Services</subject><subject>drug dispensing</subject><subject>Drug stores</subject><subject>Health care management</subject><subject>Humans</subject><subject>implementation science</subject><subject>Pharmacies</subject><subject>Pharmacists</subject><subject>Pharmacy Service, Hospital</subject><subject>qualitative</subject><subject>Qualitative Research</subject><subject>Teams</subject><issn>1356-1294</issn><issn>1365-2753</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1v1DAQhi1U1I-lB_5AZamXckjrj9jOnqqqKgVUCQ4gjpbjjLtexU5qx63y78myhQMSc5k5PPNoNC9C7ym5pEtdbWG8pFxx-gYdUy5FxZTgB7tZyIqydX2ETnLeEkI5EeoQHXGhmjVR9BjFnxtvN9gZOw0p42Bm7KPrC0QLeNoA9mHsIUCczOSHiAeHu1QecefzCDH7-Ljw2A4hlOinGY8bk4KxHvI1vsFPxfR-t_kMOE-lm9-ht870GU5f-wr9-Hj3_fZT9fD1_vPtzUNlOW1o5VpVU9LWjtSN6jqgBpqW19DK1lnCmloxJ1vWAIFONjVwaURHmW2FXFMjga_Qxd47puGpQJ508NlC35sIQ8mayUYQzsTypxU6_wfdDiXF5TrNlBSMMcHqhfqwp2wack7g9Jh8MGnWlOhdCHoJQf8OYWHPXo2lDdD9Jf98fQGu9sCL72H-v0l_ufu2V_4CR0OR8g</recordid><startdate>202302</startdate><enddate>202302</enddate><creator>Cerqueira‐Santos, Sabrina</creator><creator>Rocha, Kérilin S. S.</creator><creator>Araújo, Dyego C. S. A.</creator><creator>Santos Júnior, Genival A.</creator><creator>Menezes, Pedro W. S.</creator><creator>Sanchez, Júlia M.</creator><creator>Mesquita, Alessandra R.</creator><creator>Lyra Júnior, Divaldo P.</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0266-0702</orcidid></search><sort><creationdate>202302</creationdate><title>Which factors may influence the implementation of drug dispensing in community pharmacies? A qualitative study</title><author>Cerqueira‐Santos, Sabrina ; Rocha, Kérilin S. S. ; Araújo, Dyego C. S. A. ; Santos Júnior, Genival A. ; Menezes, Pedro W. S. ; Sanchez, Júlia M. ; Mesquita, Alessandra R. ; Lyra Júnior, Divaldo P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3181-fb7410b4f0487dde1ae8b34eb6bfc028472f6b28e0ed684e36a5d12cb5691a6e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Community health care</topic><topic>community pharmacy</topic><topic>Community Pharmacy Services</topic><topic>drug dispensing</topic><topic>Drug stores</topic><topic>Health care management</topic><topic>Humans</topic><topic>implementation science</topic><topic>Pharmacies</topic><topic>Pharmacists</topic><topic>Pharmacy Service, Hospital</topic><topic>qualitative</topic><topic>Qualitative Research</topic><topic>Teams</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cerqueira‐Santos, Sabrina</creatorcontrib><creatorcontrib>Rocha, Kérilin S. S.</creatorcontrib><creatorcontrib>Araújo, Dyego C. S. A.</creatorcontrib><creatorcontrib>Santos Júnior, Genival A.</creatorcontrib><creatorcontrib>Menezes, Pedro W. S.</creatorcontrib><creatorcontrib>Sanchez, Júlia M.</creatorcontrib><creatorcontrib>Mesquita, Alessandra R.</creatorcontrib><creatorcontrib>Lyra Júnior, Divaldo P.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of evaluation in clinical practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cerqueira‐Santos, Sabrina</au><au>Rocha, Kérilin S. S.</au><au>Araújo, Dyego C. S. A.</au><au>Santos Júnior, Genival A.</au><au>Menezes, Pedro W. S.</au><au>Sanchez, Júlia M.</au><au>Mesquita, Alessandra R.</au><au>Lyra Júnior, Divaldo P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Which factors may influence the implementation of drug dispensing in community pharmacies? A qualitative study</atitle><jtitle>Journal of evaluation in clinical practice</jtitle><addtitle>J Eval Clin Pract</addtitle><date>2023-02</date><risdate>2023</risdate><volume>29</volume><issue>1</issue><spage>83</spage><epage>93</epage><pages>83-93</pages><issn>1356-1294</issn><eissn>1365-2753</eissn><abstract>Rationale, Aims and Objectives
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.
Method
This qualitative study was based on semistructured, 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 (15) domains, followed by attitudinal (13) and political (5) domains.
Conclusion(s)
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.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>35789071</pmid><doi>10.1111/jep.13731</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-0266-0702</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of evaluation in clinical practice, 2023-02, Vol.29 (1), p.83-93 |
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| source | Wiley Online Library - AutoHoldings Journals; MEDLINE |
| subjects | Community health care community pharmacy Community Pharmacy Services drug dispensing Drug stores Health care management Humans implementation science Pharmacies Pharmacists Pharmacy Service, Hospital qualitative Qualitative Research Teams |
| title | Which factors may influence the implementation of drug dispensing in community pharmacies? A qualitative study |
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