Community pharmacy & primary care integration: qualitative study on stakeholders' opinions and interventions.

Urionagüena, A; Piquer-Martinez, C; Benrimoj, SI; Calvo, B; Garcia-Cardenas, V; Martinez-Martinez, F; Gastelurrutia, MA

Community pharmacy & primary care integration: qualitative study on stakeholders' opinions and interventions.

Urionagüena, A Piquer-Martinez, C Benrimoj, SI Calvo, B Garcia-Cardenas, V Martinez-Martinez, F Gastelurrutia, MA

Permalink

Publisher:: TAYLOR & FRANCIS LTD
Publication Type:: Journal Article
Citation:: J Pharm Policy Pract, 2024, 17, (1), pp. 2395551
Issue Date:: 2024

Open Access

Copyright Clearance Process

Recently Added
In Progress
Open Access

This item is open access.

Adobe PDF

Download Published versionAdobe PDF (502.74 kB)

View on publisher's site

View statistics

Full metadata record

Field	Value	Language
dc.contributor.author	Urionagüena, A
dc.contributor.author	Piquer-Martinez, C
dc.contributor.author	Benrimoj, SI
dc.contributor.author	Calvo, B
dc.contributor.author	Garcia-Cardenas, V
dc.contributor.author	Martinez-Martinez, F
dc.contributor.author	Gastelurrutia, MA
dc.date.accessioned	2024-10-09T01:15:15Z
dc.date.available	2024-10-09T01:15:15Z
dc.date.issued	2024
dc.identifier.citation	J Pharm Policy Pract, 2024, 17, (1), pp. 2395551
dc.identifier.issn	2052-3211
dc.identifier.issn	2052-3211
dc.identifier.uri	http://hdl.handle.net/10453/181296
dc.description.abstract	BACKGROUND: Health systems worldwide are under pressure. Integration seems a possible solution to improve healthcare systems efficiency. This research aims to gather stakeholders' opinions on integrating community pharmacy and the primary healthcare system and secondly to explore and prioritise interventions for an initial integration plan. METHOD: Using a constructivist qualitative research approach, a two-phase qualitative study was conducted in the Basque Country, Spain. Thematic analysis using NVivo® was undertaken on data gathered during focus groups and semi-structured interviews (phase 1). During phase 2, a nominal group prioritised potential integration interventions identified in phase 1. RESULTS: The study amalgamated findings from four focus groups and nine interviews, revealing six themes. Stakeholders had a diverse understanding of integration, associating the term mainly with collaboration, communication or cooperation. Community pharmacies were positively perceived; however, their commercial and privately owned nature was of concern. Remuneration methods for pharmacists were controversial, with a suggested shift to service-based remuneration. Information availability and barriers such as interprofessional communication gaps were highlighted. The nominal group prioritised, according to importance and feasibility, bidirectional communication development, coordination in using interprofessional protocols and community pharmacist participation in primary healthcare centre meetings as interventions for integrating community pharmacies and primary healthcare centres. CONCLUSION: Based on the opinions of stakeholders, three interventions are proposed to initiate the integration process of community pharmacy and primary care. The implementation of these interventions will need to be negotiated with the relevant authorities and evaluated.
dc.format	Electronic-eCollection
dc.language	eng
dc.publisher	TAYLOR & FRANCIS LTD
dc.relation.ispartof	J Pharm Policy Pract
dc.relation.isbasedon	10.1080/20523211.2024.2395551
dc.rights	info:eu-repo/semantics/openAccess
dc.title	Community pharmacy & primary care integration: qualitative study on stakeholders' opinions and interventions.
dc.type	Journal Article
utslib.citation.volume	17
utslib.location.activity	England
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
utslib.copyright.status	open_access	*
dc.rights.license	This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0). To view a copy of this license, visit https://creativecommons.org/licenses/by-nc/4.0/
dc.date.updated	2024-10-09T01:15:13Z
pubs.issue	1
pubs.publication-status	Published online
pubs.volume	17
utslib.citation.issue	1

Abstract:

BACKGROUND: Health systems worldwide are under pressure. Integration seems a possible solution to improve healthcare systems efficiency. This research aims to gather stakeholders' opinions on integrating community pharmacy and the primary healthcare system and secondly to explore and prioritise interventions for an initial integration plan. METHOD: Using a constructivist qualitative research approach, a two-phase qualitative study was conducted in the Basque Country, Spain. Thematic analysis using NVivo® was undertaken on data gathered during focus groups and semi-structured interviews (phase 1). During phase 2, a nominal group prioritised potential integration interventions identified in phase 1. RESULTS: The study amalgamated findings from four focus groups and nine interviews, revealing six themes. Stakeholders had a diverse understanding of integration, associating the term mainly with collaboration, communication or cooperation. Community pharmacies were positively perceived; however, their commercial and privately owned nature was of concern. Remuneration methods for pharmacists were controversial, with a suggested shift to service-based remuneration. Information availability and barriers such as interprofessional communication gaps were highlighted. The nominal group prioritised, according to importance and feasibility, bidirectional communication development, coordination in using interprofessional protocols and community pharmacist participation in primary healthcare centre meetings as interventions for integrating community pharmacies and primary healthcare centres. CONCLUSION: Based on the opinions of stakeholders, three interventions are proposed to initiate the integration process of community pharmacy and primary care. The implementation of these interventions will need to be negotiated with the relevant authorities and evaluated.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/181296