Patients' and doctors' experiences with medication reviews: a literature review using the CFIR.

Michel, Dorothee; Tonna, Antonella; Dartsch, Dorothee; Weidmann, Anita

Abstract

Medication reviews (MRs) aim at optimising medicines use and improving health outcomes. Despite encouraging literature reports, their implementation differs between countries. Ultimately, the only interventions that will succeed are those that are accepted by all involved stakeholders. Identifying stakeholders' experiences with and attitudes towards MRs can inform further implementation of MRs in community pharmacies. The aim of this study was to critically appraise, synthesize and present the evidence on patients' and doctors' experiences with and attitudes towards MRs in community pharmacies, using the Consolidated Framework for Implementation Research (CFIR). This literature review is part of a larger systematic review of four databases (MEDLINE, Scopus, CINAHL, IPA), which was conducted with key search terms related to: implementation, pharmacy, medication reviews, facilitators and barriers. The search included primary research items published in English, Spanish or German and dating from 2004 onward. Mappy against the CFIR was carried out by two independent researchers and the synthesis of the findings was presented according to the CFIR constructs. The study found that CFIR provided a clear structure for experiences, barriers and facilitators to MR-implementation. Despite general appreciation of MRs and the perceived patient benefit, issues persist with encouraging the positive engagement of both patients and doctors. Further research is needed to explore the reasons for this and to develop strategies for overcoming these barriers.

Citation

MICHEL, D., TONNA, A., DARTSCH, D. and WEIDMANN, A. 2021. Patients' and doctors' experiences with medication reviews: a literature review using the CFIR. Presented at 12th Pharmaceutical Care Network Europe (PCNE) working conference 2021: partnering for better patient outcomes: challenges and opportunities, 3-6 February 2021, [virtual conference].

• Presentation Conference Type: Poster
• Conference Name: 12th Pharmaceutical Care Network Europe (PCNE) working confernce 2021: partnering for better patient outcomes: challenges and opportunities
• Conference Location: [virtual conference]
• Start Date: Feb 3, 2021
• End Date: Feb 6, 2021
• Deposit Date: Jul 13, 2021
• Publicly Available Date: Mar 26, 2024
• Keywords: Medication reviews; Literature reports; Implementation; Attitudes; Community pharmacies
• Public URL: https://rgu-repository.worktribe.com/output/1380414
• Additional Information: Abstract published as: MICHEL, D., WEIDMANN, A., TONNA, A. and DARTSCH, D. 2021. Literature review: patients' and doctors' experiences with medication reviews in community pharmacies: an application of the Consolidated Framework for Implementation Research (CFIR). International journal of clinical pharmacy [online], 43(3), page 774. Available from: https://doi.org/10.1007/s11096-021-01269-4