Just a 'romantic idea'? A theory-based interview study on medication review implementation with pharmacy owners.

Michel, Dorothee E.; Tonna, Antonella P.; Dartsch, Dorothee C.; Weidmann, Anita E.

Abstract

Recent legal changes in Germany entitle patients on multiple medications to receive a medication review (MR). However, the provision of MRs is not mandatory and pharmacy owners decide whether to implement this service in their pharmacies. The aim of this study was to determine pharmacy owners' attitudes towards MRs, explore their experiences with MR implementation and examine their perceptions of barriers and facilitators towards implementation of MRs in community pharmacies. Pharmacy owners were invited to participate in semi-structured interviews. Purposive sampling was used with selection criteria being MR-implementation stage, and geographical location of the pharmacy. The topic guide was based on a systematic review and the Framework for Implementation of Services in Pharmacy (FISpH). Interviews were recorded, transcribed verbatim and coded directly against the FISpH. Twenty-one pharmacy owners were interviewed. Despite participants' consistent positive attitude towards MRs, most believed that providing MRs on an economically viable basis would be challenging. Several practical suggestions emerged which would enable community pharmacies a smoother implementation of MRs. Suggestions included employing ‘change facilitators', who visit and support implementing pharmacies; national awareness campaigns targeting patients and health professionals; reducing bureaucracy; continuing professional development; involving technicians in some MR-tasks; and offering an additional incentive to lower the initial implementation threshold. This research identified numerous factors that are likely to increase owners' and managers' support to the idea of MRs. This may be of interest to any country planning implementation of MRs.

Citation

MICHEL, D.E., TONNA, A.P., DARTSCH, D.C. and WEIDMANN, A.E. 2023. Just a 'romantic idea'? A theory-based interview study on medication review implementation with pharmacy owners. International journal of clinical pharmacy [online], 45(2), pages 451-460. Available from: https://doi.org/10.1007/s11096-022-01524-2

• Journal Article Type: Article
• Acceptance Date: Nov 18, 2022
• Online Publication Date: Jan 13, 2023
• Publication Date: Apr 30, 2023
• Deposit Date: Jan 23, 2023
• Publicly Available Date: Jan 23, 2023
• Journal: International journal of clinical pharmacy
• Print ISSN: 2210-7703
• Electronic ISSN: 2210-7711
• Publisher: Springer
• Peer Reviewed: Peer Reviewed
• Volume: 45
• Issue: 2
• Pages: 451-460
• DOI: https://doi.org/10.1007/s11096-022-01524-2
• Keywords: Community pharmacy; Framework for implementation of services in pharmacy (FISpH); Implementation; Medication review; Pharmacy owners
• Public URL: https://rgu-repository.worktribe.com/output/1862505
• Additional Information: This article has been published with separate supporting information. This supporting information has been incorporated into a single file on this repository and can be found at the end of the file associated with this output.; A publisher correction to was published on 15.03.2023, available from; https://doi.org/10.1007/s11096-023-01546-4. Antonella Tonna's affiliation had been incorrectly added, this has now been corrected on the original file, available from: https://doi.org/10.1007/s11096-022-01524-2.