Factors Influencing the Implementation of a New Pharmacist Prescribing Service in Community Pharmacies

Amador-Fernández, N; Matthey-de-l’Endroit, J; Berger, J

Factors Influencing the Implementation of a New Pharmacist Prescribing Service in Community Pharmacies

Amador-Fernández, N Matthey-de-l’Endroit, J Berger, J

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Publisher:: MDPI
Publication Type:: Journal Article
Citation:: Pharmacy, 11, (6), pp. 173

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Field	Value	Language
dc.contributor.author	Amador-Fernández, N
dc.contributor.author	Matthey-de-l’Endroit, J
dc.contributor.author	Berger, J
dc.date.accessioned	2023-11-22T01:27:46Z
dc.date.available	2023-11-22T01:27:46Z
dc.identifier.citation	Pharmacy, 11, (6), pp. 173
dc.identifier.issn	2226-4787
dc.identifier.issn	2226-4787
dc.identifier.uri	http://hdl.handle.net/10453/173502
dc.description.abstract	<jats:p>The pharmacist prescribing service was legally permitted in 2019 in Switzerland to face challenges in the health system; however, there has been a lack of implementation. The aims of this study were to identify implementation factors and to evaluate pharmacy association interventions that aim to support implementation. A qualitative study with two methods was carried out: (1) twelve semi-structured interviews with community pharmacists were recorded, transcribed, and a thematic analysis was carried out using the Consolidated Framework of Implementation Research (CFIR); (2) questionnaires were submitted to the six pharmacy associations of French-speaking Switzerland. The main barriers found were non-reimbursement by health insurance companies, medications’ lack of clinical relevance, a negative perception of GPs, and a lack of time. The main facilitators were the availability of service information, pharmacies belonging to chains/groups, a reduction in the medical consultation burden, and the accessibility of pharmacies. Five associations answered, revealing different initiatives supporting implementation, but none of them had strategies at the political level nor communication strategies aimed at patients or GPs. Based on the CFIR, the most frequent implementation factors were highlighted, and this classification facilitates the transposition of the results to other contexts. The results will allow the development of targeted strategies and add the role of the pharmacy associations, which should be considered in future studies.</jats:p>
dc.language	en
dc.publisher	MDPI
dc.relation.ispartof	Pharmacy
dc.relation.isbasedon	10.3390/pharmacy11060173
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1115 Pharmacology and Pharmaceutical Sciences
dc.subject.classification	3214 Pharmacology and pharmaceutical sciences
dc.title	Factors Influencing the Implementation of a New Pharmacist Prescribing Service in Community Pharmacies
dc.type	Journal Article
utslib.citation.volume	11
utslib.for	1115 Pharmacology and Pharmaceutical Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	open_access	*
dc.date.updated	2023-11-22T01:27:45Z
pubs.issue	6
pubs.publication-status	Published online
pubs.volume	11
utslib.citation.issue	6

Abstract:

The pharmacist prescribing service was legally permitted in 2019 in Switzerland to face challenges in the health system; however, there has been a lack of implementation. The aims of this study were to identify implementation factors and to evaluate pharmacy association interventions that aim to support implementation. A qualitative study with two methods was carried out: (1) twelve semi-structured interviews with community pharmacists were recorded, transcribed, and a thematic analysis was carried out using the Consolidated Framework of Implementation Research (CFIR); (2) questionnaires were submitted to the six pharmacy associations of French-speaking Switzerland. The main barriers found were non-reimbursement by health insurance companies, medications’ lack of clinical relevance, a negative perception of GPs, and a lack of time. The main facilitators were the availability of service information, pharmacies belonging to chains/groups, a reduction in the medical consultation burden, and the accessibility of pharmacies. Five associations answered, revealing different initiatives supporting implementation, but none of them had strategies at the political level nor communication strategies aimed at patients or GPs. Based on the CFIR, the most frequent implementation factors were highlighted, and this classification facilitates the transposition of the results to other contexts. The results will allow the development of targeted strategies and add the role of the pharmacy associations, which should be considered in future studies.

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http://hdl.handle.net/10453/173502