Perceived barriers to the implementation of clinical pharmacy services in a metropolis in Northeast Brazil

Autor: Déborah Pimentel, Divaldo Pereira de Lyra, Elton Matos Araújo, Thelma Onozato, Sheila Feitosa Ramos, André Mascarenhas Pereira, Aline Santana Dosea, Genival Araujo dos Santos Júnior
Rok vydání: 2018
Předmět:
Health Knowledge
Attitudes
Practice
Health Care Providers
lcsh:Medicine
Pharmacists
030226 pharmacology & pharmacy
Geographical locations
0302 clinical medicine
Informed consent
Health care
Medicine and Health Sciences
Public and Occupational Health
Medical Personnel
030212 general & internal medicine
lcsh:Science
Qualitative Research
Allied Health Care Professionals
Multidisciplinary
Pharmaceutics
Focus Groups
Professions
Pharmacy Service
Hospital
Psychology
Brazil
Research Article
medicine.medical_specialty
Drug Administration
Patients
education
Interviews as Topic
03 medical and health sciences
Professional Role
Drug Therapy
Mental Health and Psychiatry
medicine
Humans
Medical education
Research ethics
business.industry
Public health
lcsh:R
South America
Focus group
Health Care
Clinical pharmacy
Health Care Facilities
Content analysis
People and Places
Population Groupings
lcsh:Q
business
Qualitative research
Zdroj: PLoS ONE, Vol 13, Iss 10, p e0206115 (2018)
PLoS ONE
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0206115
Popis: Background CLinical pharmacy services (CPS) are professional services provided by pharmacists, who use their skills and knowledge to take an active role in patient health. These services have expanded in health systems around the world. However, it is important to have a comprehensive understanding of factors that may hinder the implementation of CPS in health systems. Objective To identify pharmacists’ and managers’ perceptions of barriers regarding the implementation of CPS in some public health units in a metropolis in Northeast Brazil. Methods This is a qualitative study based on focus groups and semi-structured, face-to-face, in-depth interviews. Participants were health-system pharmacists and managers, selected based on their direct participation in the implementation process. Focus groups were carried out with the pharmacists, and interviews were carried out with managers. The audio and videos were transcribed verbatim in full, and were independently analyzed using content analysis. This study was approved by the Brazilian Committee of Ethics in Research and all participants signed informed consent forms. Findings There were two focus groups and five interviews. The discussions generated 240 minutes of recordings. The health-system pharmacists and managers expressed barriers were allocated into five categories to facilitate a comprehensive understanding of the implementation of CPS; these barriers were related to: the local healthcare networks, the healthcare team, the pharmacists, the implementation process, and the patients. Conclusions This study revealed the perceptions of barriers associated with the participants involved in the implementation of CPS in some public health units in a metropolis in Northeast Brazil. The barriers reflect the challenges to be overcome in the CPS implementation process in the health systems.
Databáze: OpenAIRE
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