Factors influencing the implementation of the CombiConsultation in Dutch clinical practice: a mixed-methods study.

IF 1.5 Q3 PHARMACOLOGY & PHARMACY International Journal of Pharmacy Practice Pub Date : 2024-09-03 DOI:10.1093/ijpp/riae032
Valérie A M Meijvis, Mette Heringa, Henk-Frans Kwint, Niek J de Wit, Marcel L Bouvy
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Abstract

Objective: The CombiConsultation is an innovative concise clinical pharmacy service by the community pharmacist for patients with a chronic condition. We aimed to identify relevant factors influencing the implementation of the CombiConsultation in Dutch clinical practice.

Methods: A mixed-methods study involving interviews and a questionnaire. Content analysis topics within TDF domains were derived from the interview data and were related to the COM-B-model (capability-opportunity-motivation-Behaviour). The relevance of the resulting topics was explored using a questionnaire with 19 statements administered to all 27 pharmacists who performed CombiConsultations.

Key findings: Eighteen topics emerged from the interviews. The questionnaire was completed by 23 of the 27 pharmacists. In the domain 'capability', a small number of participants indicated that they need more expertise in pharmacotherapy (13%) and training in consultation skills (35%). In the domain 'opportunity', all participants indicated that an existing good collaboration with the general practitioner/practice nurse and access to all relevant medical data were necessary to implement the CombiConsultation. In terms of motivation, job satisfaction was most important to all participants, followed by adequate reimbursement (83%) and improving collaboration with other healthcare providers and the relationship with patients (78%).

Conclusions: Capability, opportunity, and motivation were all considered relevant for the implementation of the CombiConsultation. There were crucial factors on the level of the individual pharmacist, on the level of the local collaboration and organization, and on the health system level.

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在荷兰临床实践中实施 CombiConsultation 的影响因素:一项混合方法研究。
目的:CombiConsultation 是社区药剂师为慢性病患者提供的一种创新型简明临床药学服务。我们旨在确定影响荷兰临床实践中实施 CombiConsultation 的相关因素:方法:这是一项混合方法研究,包括访谈和问卷调查。从访谈数据中得出了 TDF 领域内的内容分析主题,这些主题与 COM-B 模型(能力-机会-动机-行为)相关。通过向所有 27 名进行 CombiConsultations 的药剂师发放包含 19 项陈述的调查问卷,探讨了所得出的主题的相关性:访谈中产生了 18 个主题。27 位药剂师中有 23 位完成了问卷调查。在 "能力 "方面,少数参与者表示他们需要更多的药物治疗专业知识(13%)和咨询技能培训(35%)。在 "机会 "方面,所有参与者都表示,要实施 "组合咨询",就必须与全科医生/执业护士建立良好的合作关系,并获得所有相关的医疗数据。在动机方面,工作满意度对所有参与者来说都是最重要的,其次是适当的报销(83%)和改善与其他医疗服务提供者的合作以及与患者的关系(78%):结论:能力、机会和动机都被认为与实施 CombiConsultation 有关。在药剂师个人层面、地方合作和组织层面以及医疗系统层面都存在关键因素。
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来源期刊
CiteScore
2.90
自引率
5.60%
发文量
146
期刊介绍: The International Journal of Pharmacy Practice (IJPP) is a Medline-indexed, peer reviewed, international journal. It is one of the leading journals publishing health services research in the context of pharmacy, pharmaceutical care, medicines and medicines management. Regular sections in the journal include, editorials, literature reviews, original research, personal opinion and short communications. Topics covered include: medicines utilisation, medicine management, medicines distribution, supply and administration, pharmaceutical services, professional and patient/lay perspectives, public health (including, e.g. health promotion, needs assessment, health protection) evidence based practice, pharmacy education. Methods include both evaluative and exploratory work including, randomised controlled trials, surveys, epidemiological approaches, case studies, observational studies, and qualitative methods such as interviews and focus groups. Application of methods drawn from other disciplines e.g. psychology, health economics, morbidity are especially welcome as are developments of new methodologies.
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