It is the future. Clinical pharmaceutical care simply has to be a matter of course: community pharmacy clinical service providers' and service developers' views on complex implementation factors.

Weidmann, Anita E.; Hoppel, Magdalena; Deibl, Stefan

Abstract

While there is a lot of documented evidence about the clinical and cost effectiveness of pharmacists' role extensions there is an inherent gap between service development and implementation. This study aims to better understand the complex factors that influence the implementation of clinical pharmacy services from both the perspective of the community pharmacy service providers and service developers. A prospective qualitative interview study using purposive sampling of twelve service developers and twelve community pharmacy service providers from across all nine Federal States of Austria. The validated and piloted interview guide contained questions and prompts on role perceptions, attitudes, experience, implementation barriers, training needs and measures identified to strengthen clinical pharmacy provision in community pharmacy. Verbatim quotes were independently mapped to the Framework for the Implementation of Services in Pharmacy (FISpH) by two researchers. 24 Interviews were carried out. Data saturation was achieved. There is a great deal of enthusiasm to develop the remit of clinical pharmacy services. It is seen as important to ensure the future survival of the profession. Service developers are more positive and confident in the implementation success and pharmacists' skills than providers. Clear mandates for politics, academia and individual pharmacists have been discussed to affect change. Austrian pharmacists are facing the same well documented challenges as many other healthcare systems only with more urgency. The development of a clinical pharmacy service framework; education accreditation standard and a well-supported continuous professional development system are considered key to bring about the necessary culture shift.

Citation

WEIDMANN, A.E., HOPPEL, M. and DEIBL, S. 2022. It is the future. Clinical pharmaceutical care simply has to be a matter of course: community pharmacy clinical service providers' and service developers' views on complex implementation factors. Research in social and administrative pharmacy [online], 18(12), pages 4112-4123. Available from: https://doi.org/10.1016/j.sapharm.2022.08.002

• Journal Article Type: Article
• Acceptance Date: Aug 5, 2022
• Online Publication Date: Aug 12, 2022
• Publication Date: Dec 31, 2022
• Deposit Date: Oct 4, 2022
• Publicly Available Date: Oct 4, 2022
• Journal: Research in social and administrative pharmacy
• Print ISSN: 1551-7411
• Electronic ISSN: 1934-8150
• Publisher: Elsevier
• Peer Reviewed: Peer Reviewed
• Volume: 18
• Issue: 12
• Pages: 4112-4123
• DOI: https://doi.org/10.1016/j.sapharm.2022.08.002
• Keywords: Community pharmacy services; Framework for implementation of services in pharmacy; Stakeholder; Clinical; Qualitative research; Implementation science
• Public URL: https://rgu-repository.worktribe.com/output/1755583