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Related Experiment Videos

An exploratory study of community pharmacy practice change.

W R Doucette1, Y D Koch

  • 1Division of Clinical and Administrative Pharmacy, College of Pharmacy, University of Iowa, Iowa City 52242, USA. william-doucette@uiowa.edu

Journal of the American Pharmaceutical Association (Washington, D.C. : 1996)
|June 15, 2000
PubMed
Summary

Community pharmacies that enhanced resources and engaged in proactive strategies achieved greater practice change. Experienced owners and external support were key factors in successful pharmacy practice transformation.

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Area of Science:

  • Pharmacy Practice and Management
  • Health Services Research

Background:

  • Community pharmacies are evolving, necessitating changes in practice to meet contemporary healthcare demands.
  • Understanding the drivers and barriers to pharmacy practice change is crucial for successful implementation.

Purpose of the Study:

  • To compare resources and activities in pharmacies that have changed practice versus those that have not.
  • To identify factors influencing a pharmacy's capacity to support practice change.

Main Methods:

  • A multiple-case study design involving six independent community pharmacies in Iowa.
  • Data collection through mail surveys and on-site personal interviews with pharmacy owners.
  • Assessment of 14 criteria for pharmacy practice change and 5 types of influencing factors.

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Main Results:

  • Pharmacies varied in their extent of practice change, with some making significant advancements and others minimal progress.
  • Subsequent changes often occurred incrementally after initial broad shifts.
  • Key facilitators included enhanced resources (e.g., skilled staff, demonstration project involvement), proactive owner characteristics, and external support networks.

Conclusions:

  • Facilitating pharmacy practice change requires a comprehensive approach, considering a wide range of supportive activities.
  • Further research can build upon these findings to develop robust models for pharmacy practice change.
  • Continued study aids pharmacists in integrating pharmaceutical care philosophy into daily practice.