Barriers and facilitators to implementing pharmacist-provided comprehensive medication management in primary care transformation.
Purpose How to effectively integrate pharmacists into team-based models of care to maximize the benefit they bring to patients and care teams, especially during times of primary care transformation (PCT), remains unknown. The objective of this study was to identify barriers and facilitators when int...
| Publicado en: | American Journal of Health-System Pharmacy Vol. 79; no. 15; pp. 1255 - 1266 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Aug2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=158141077&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 158141077 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10792082 1X3 jtl: American Journal of Health-System Pharmacy issn: 10792082 maglogo: N pubinfo: dt: Aug2022 vid: 79 iid: 15 pid: 622 pub: Oxford University Press / USA artinfo: ui: 158141077 158141077 158141077 10.1093/ajhp/zxac104 158141077 ppf: 1255 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Barriers and facilitators to implementing pharmacist-provided comprehensive medication management in primary care transformation. aug: au: Pestka, Deborah L Paterson, Nicole L Brummel, Amanda R Norman, Jeffrey A White, Katie M affil: Department of Pharmaceutical Care & Health Systems, College of Pharmacy, University of Minnesota , Minneapolis, MN , USA sug: subj: Medication Management Pharmacists Health Care Delivery, Integrated Health Services Accessibility Evaluation Attitude of Health Personnel Evaluation Program Implementation Multidisciplinary Care Team Primary Health Care Human Semi-Structured Interview Qualitative Studies Insurance Coverage Leadership Teamwork Interprofessional Relations Implementation Science ab: Purpose How to effectively integrate pharmacists into team-based models of care to maximize the benefit they bring to patients and care teams, especially during times of primary care transformation (PCT), remains unknown. The objective of this study was to identify barriers and facilitators when integrating pharmacist-provided comprehensive medication management (CMM) services into a health system's team-based PCT using the Consolidated Framework for Implementation Research (CFIR). Methods Semistructured qualitative interviews were carried out with 22 care team members regarding their perceptions of the implementation of CMM in the PCT. Transcripts were coded to identify CMM implementation barriers and facilitators, and resulting codes were mapped to corresponding CFIR domains and constructs. Results Fifteen codes emerged that were labeled as either a barrier or a facilitator to implementing CMM in the PCT. Facilitators were the perception of CMM as an invaluable resource, precharting, tailored appointment lengths, insurance coverage, increased pharmacy presence, enhanced team-based care, location of CMM, and identification of CMM advocates. Barriers included limited clinic leadership involvement, a need for additional resources, CMM pharmacists not always feeling part of the core team, understanding of and training around CMM's role in the PCT, changing mindsets to utilize resources such as CMM more frequently, underutilization of CMM, and CMM scheduling. Conclusion Clinical pharmacists providing CMM represent a valuable interdisciplinary care team member who can help improve healthcare quality and access to primary care. Identifying and addressing implementation barriers and facilitators early during PCT rollout is critical to the success of team-based services such as CMM and becoming a learning health system. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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