Establishment, Implementation, and Consolidation of Clinical Pharmacy Services in Community Pharmacies: Perceptions of a Group of Pharmacists

Qual Health Res. 2017 Feb;27(3):363-373. doi: 10.1177/1049732315614294. Epub 2016 Jul 10.

Abstract

When pharmacists incorporate clinical practice into their routine, barriers and facilitators influence the implementation of patient care services. Three focus groups were conducted with 11 pharmacists who were working for the Farmácia Popular do Brasil program on the establishment, implementation, and consolidation of clinical pharmacy services. The perception of the pharmacists in Brazil about the program was that it facilitated access to health care and medication. The distance between neighboring cities made it difficult for patients to return for services. Lack of staff training created a lack of communication skills and knowledge. The pharmacists wanted to have increased technical support, skill development opportunities, and monitoring of researchers who assessed progress of the service. Pharmacists overcame many of their insecurities and felt more proactive and committed to quality service. Positive experiences in service implementations have shown that it is possible to develop a model of clinical services in community pharmacies.

Keywords: Brazil; clinical pharmacy service; community pharmacy; implementation of health care service; pharmacist perception; qualitative.

MeSH terms

  • Attitude of Health Personnel
  • Brazil
  • Community Pharmacy Services / organization & administration*
  • Focus Groups
  • Health Knowledge, Attitudes, Practice
  • Health Services Accessibility / organization & administration
  • Humans
  • Medication Therapy Management / organization & administration
  • Monitoring, Physiologic / methods
  • Perception*
  • Pharmacists / psychology*
  • Professional Role*
  • Qualitative Research
  • Quality of Health Care / organization & administration
  • Staff Development / organization & administration
  • Transportation