Evaluation of the implementation process and outcomes of a professional pharmacy service in a community pharmacy setting. A case report

Garcia-Cardenas, V; Benrimoj, SI; Ocampo, CC; Goyenechea, E; Martinez-Martinez, F; Gastelurrutia, MA

Evaluation of the implementation process and outcomes of a professional pharmacy service in a community pharmacy setting. A case report

Garcia-Cardenas, V

Benrimoj, SI

Ocampo, CC Goyenechea, E Martinez-Martinez, F Gastelurrutia, MA

Permalink

Publication Type:: Journal Article
Citation:: Research in Social and Administrative Pharmacy, 2017, 13 (3), pp. 614 - 627
Issue Date:: 2017-05-01

Open Access

Copyright Clearance Process

Recently Added
In Progress
Open Access

This item is open access.

Adobe PDF

Download Accepted Manuscript VersionAdobe PDF (890.79 kB)

View on publisher's site

View statistics

Full metadata record

Field	Value	Language
dc.contributor.author	Garcia-Cardenas, V https://orcid.org/0000-0003-3770-4557	en_US
dc.contributor.author	Benrimoj, SI https://orcid.org/0000-0001-9768-7838	en_US
dc.contributor.author	Ocampo, CC	en_US
dc.contributor.author	Goyenechea, E	en_US
dc.contributor.author	Martinez-Martinez, F	en_US
dc.contributor.author	Gastelurrutia, MA	en_US
dc.date.available	2020-05-25T19:16:42Z
dc.date.issued	2017-05-01	en_US
dc.identifier.citation	Research in Social and Administrative Pharmacy, 2017, 13 (3), pp. 614 - 627	en_US
dc.identifier.issn	1551-7411	en_US
dc.identifier.uri	http://hdl.handle.net/10453/46494
dc.description.abstract	© 2016 Elsevier Inc. Pharmacist-led medication review services are recognized as a key to medicines management. This case study describes the implementation process of a medication review with follow-up service in a community pharmacy setting and evaluates its initial outcomes. An implementation-effectiveness hybrid study was undertaken in a community pharmacy setting. The implementation process was divided into four different phases: Exploration and adoption, program installation, initial implementation, and full operation. A core set of implementation outcomes was measured, including penetration, implementation costs, feasibility, fidelity, acceptability, appropriateness and efficiency. The penetration rate of the service was nearly 62.5%, and the implementation costs were 57,359.67€. There was a high retention-participation rate of patients. For every month of service provision, there was a 1.27 increase in the number of patients requesting the service, compared to the number of patients being offered the service. The time spent on service provision was 171.7 min per patient. Average patient satisfaction with the service was 4.82 (SD: 0.39, scale 1–5), and the acceptance rate of care plans by patients and general medical practitioners were 96.99% and 96.46%, respectively. There were 408 negative outcomes associated with the use of medications were identified during the study (3.09 per patient), of which 96.3% were resolved. The average time per patient spent on service provision significantly decreased along the 18 months of service provision. This case report can assist individual pharmacists and professional organizations interested in implementing evidence-based services by offering an example on how to approach the implementation process in a systematic way.	en_US
dc.relation.ispartof	Research in Social and Administrative Pharmacy	en_US
dc.relation.isbasedon	10.1016/j.sapharm.2016.05.048	en_US
dc.subject.classification	Pharmacology & Pharmacy	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Program Evaluation	en_US
dc.subject.mesh	Professional Role	en_US
dc.subject.mesh	Time Factors	en_US
dc.subject.mesh	Pharmacists	en_US
dc.subject.mesh	Community Pharmacy Services	en_US
dc.subject.mesh	Program Development	en_US
dc.subject.mesh	Patient Satisfaction	en_US
dc.subject.mesh	Medication Therapy Management	en_US
dc.title	Evaluation of the implementation process and outcomes of a professional pharmacy service in a community pharmacy setting. A case report	en_US
dc.type	Journal Article
utslib.citation.volume	3	en_US
utslib.citation.volume	13	en_US
utslib.for	1115 Pharmacology and Pharmaceutical Sciences	en_US
utslib.for	1117 Public Health and Health Services	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Graduate School of Health
utslib.copyright.status	open_access
pubs.issue	3	en_US
pubs.publication-status	Published	en_US
pubs.volume	13	en_US

Abstract:

© 2016 Elsevier Inc. Pharmacist-led medication review services are recognized as a key to medicines management. This case study describes the implementation process of a medication review with follow-up service in a community pharmacy setting and evaluates its initial outcomes. An implementation-effectiveness hybrid study was undertaken in a community pharmacy setting. The implementation process was divided into four different phases: Exploration and adoption, program installation, initial implementation, and full operation. A core set of implementation outcomes was measured, including penetration, implementation costs, feasibility, fidelity, acceptability, appropriateness and efficiency. The penetration rate of the service was nearly 62.5%, and the implementation costs were 57,359.67€. There was a high retention-participation rate of patients. For every month of service provision, there was a 1.27 increase in the number of patients requesting the service, compared to the number of patients being offered the service. The time spent on service provision was 171.7 min per patient. Average patient satisfaction with the service was 4.82 (SD: 0.39, scale 1–5), and the acceptance rate of care plans by patients and general medical practitioners were 96.99% and 96.46%, respectively. There were 408 negative outcomes associated with the use of medications were identified during the study (3.09 per patient), of which 96.3% were resolved. The average time per patient spent on service provision significantly decreased along the 18 months of service provision. This case report can assist individual pharmacists and professional organizations interested in implementing evidence-based services by offering an example on how to approach the implementation process in a systematic way.

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

http://hdl.handle.net/10453/46494