Understanding practice change in community pharmacy: A qualitative study in Australia

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dc.contributor.author Roberts, AS
dc.contributor.author Benrimoj, SIC
dc.contributor.author Chen, TF
dc.contributor.author Williams, KA
dc.contributor.author Hopp, TR
dc.contributor.author Aslani, P
dc.date.accessioned 2012-02-10T06:09:20Z
dc.date.issued 2005-12
dc.identifier.citation Research in Social and Administrative Pharmacy, 2005, 1 (4), pp. 546 - 564
dc.identifier.issn 1551-7411
dc.identifier.other C1UNSUBMIT en_US
dc.identifier.uri http://hdl.handle.net/10453/16994
dc.description.abstract Background: Much of the research on cognitive pharmaceutical services has focused on understanding or changing community pharmacist behaviour, with few studies focusing on the pharmacy as the unit of analysis or considering the whole profession as an organisation. Objectives: To investigate practice change and identify facilitators of this process in community pharmacy, with specific focus on the implementation of cognitive pharmaceutical services (CPS) and related programs. Methods: Thirty-six in-depth, semistructured interviews were conducted with participants from 2 groups, community pharmacies and pharmacy "strategists," in Australia. The interview guide was based on a framework of organizational theory, with 5 subject areas: roles and goals of participants in relation to practice change; experiences with CPS; change strategies used; networks important to the change process; and business impacts of CPS. Interviews were transcribed verbatim and thematically content analyzed, using NVivo software for data management. Results: Five key themes relating to the change process were derived from the interviews: change strategies (process- and behaviorally oriented); social networks (within and beyond the pharmacy); drivers of change (eg, government policy); motivators (eg, professional satisfaction); and facilitators of practice change (remuneration for implementation or service delivery, communication and teamwork, leadership, task delegation, external support or assistance, and reorganization of structure and function). Conclusion: The use of an organizational perspective yielded rich data from which an understanding of the practice change process in relation to CPS implementation was gained. Current programs for the implementation and delivery of CPS have not taken into account all of the factors that have the ability to facilitate change in community pharmacy. Not only do future programs need to be underpinned by these elements, but policy makers must include them when planning remuneration and dissemination strategies. © 2005 Elsevier Inc. All rights reserved.
dc.language eng
dc.relation.isbasedon 10.1016/j.sapharm.2005.09.003
dc.title Understanding practice change in community pharmacy: A qualitative study in Australia
dc.type Journal Article
dc.description.version Published
dc.parent Research in Social and Administrative Pharmacy
dc.journal.volume 4
dc.journal.volume 1
dc.journal.number 4 en_US
dc.publocation United States en_US
dc.identifier.startpage 546 en_US
dc.identifier.endpage 564 en_US
dc.cauo.name GSH.Pharmacy en_US
dc.conference Verified OK en_US
dc.for 1115 Pharmacology and Pharmaceutical Sciences
dc.personcode 111638
dc.personcode 112663
dc.percentage 100 en_US
dc.classification.name Pharmacology and Pharmaceutical Sciences en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity en_US
dc.location.activity en_US
dc.description.keywords Australia
dc.description.keywords Change
dc.description.keywords Cognitive pharmaceutical services
dc.description.keywords Community pharmacy
dc.description.keywords Facilitator
dc.description.keywords Implementation
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Graduate School of Health
pubs.organisational-group /University of Technology Sydney/Strength - Health Services and Practice Research
utslib.copyright.status Closed Access
utslib.copyright.date 2015-04-15 12:17:09.805752+10
pubs.consider-herdc false
utslib.collection.history Closed (ID: 3)

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