Adoption of a biometric screening service in community pharmacies: A qualitative study
| Autor: | Brent I. Fox, Kimberly Braxton-Lloyd, Achilles A. Armenakis, Salisa C. Westrick, Benjamin S. Teeter |
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| Rok vydání: | 2014 |
| Předmět: |
Pharmacology
Service (business) Organizational identity business.industry Service delivery framework Pharmacist Pharmacology (nursing) Community Pharmacy Services Pharmacy Pharmacists Diffusion of innovations Management Outsourcing Health care Alabama Humans Mass Screening Medicine Diffusion of Innovation Marketing business Delivery of Health Care Qualitative Research Qualitative research |
| Zdroj: | Journal of the American Pharmacists Association. 54:258-266 |
| ISSN: | 1544-3191 |
| DOI: | 10.1331/japha.2014.13203 |
| Popis: | Objective To explore differences in perceived attributes of biometric screening services and organization characteristics among community pharmacies that adopt, outsource, or do not adopt biometric screening services that assess patients’ blood pressure, blood glucose, serum cholesterol, and body mass index. Design Qualitative, comparative analysis. Setting Independently owned community pharmacies in Alabama. Participants 25 key informants from community pharmacies were classified as adopters, outsourced adopters, and nonadopters of biometric screening services. Pharmacies using in-house staff to conduct screenings are referred to as adopters; those using external staff are referred to as outsourced adopters. Main outcome measures Perceived attributes of the screening service and organizational characteristics identified through emergent theme analysis based on the Diffusion of Innovations Model and Model of Innovation Assimilation. Results The screening service was perceived differently by adopters, outsourced adopters, and nonadopters. Adopters saw the opportunity to increase revenue and expand the role of the pharmacist in health care by offering the service. Adopters also perceived the service to be compatible with their pharmacy layout and organizational identity; simple to implement; modifiable in terms of experimentation with models of service delivery; and visible by external constituencies (which positively affects pharmacy image). In contrast, nonadopters felt the amount of time, investment, and lack of potential patients associated with the service influenced their decision not to adopt it. Adopters and nonadopters differed in regard to their innovativeness in patient care services, their connectedness in professional networks, and how they make sense of and deal with the uncertainty of new programs. Outsourced adopters were similar to adopters but were more cautious in their decision making. Conclusion Perceived attributes of the screening service and organizational characteristics differed among adopters, outsourced adopters, and nonadopters. |
| Databáze: | OpenAIRE |
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