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Understanding practice change in community pharmacy: a qualitative study in Australia
Alison S Roberts1, S I Charlie Benrimoj, Timothy F Chen
1Pharmacy Practice Research, Faculty of Pharmacy, University of Sydney, NSW 2006, Australia. alison@pharm.usyd.edu.au
Implementing cognitive pharmaceutical services (CPS) requires understanding facilitators of practice change within community pharmacies. Key factors include remuneration, teamwork, leadership, and external support for successful adoption.
Area of Science:
- Pharmacy Practice and Management
- Health Services Research
- Organizational Behavior
Background:
- Limited research has examined community pharmacies as organizational units for practice change, focusing instead on individual pharmacist behavior.
- Understanding the organizational dynamics of community pharmacies is crucial for effective implementation of new services.
Purpose of the Study:
- To investigate practice change within community pharmacies.
- To identify facilitators for implementing cognitive pharmaceutical services (CPS) and related programs.
Main Methods:
- Conducted 36 in-depth, semistructured interviews with community pharmacists and pharmacy strategists in Australia.
- Utilized an organizational theory framework to explore roles, CPS experiences, change strategies, networks, and business impacts.
- Employed thematic content analysis of transcribed interviews using NVivo software.
Main Results:
- Identified five key themes in the practice change process: change strategies, social networks, drivers of change (e.g., government policy), motivators (e.g., professional satisfaction), and facilitators.
- Facilitators of practice change included remuneration, communication, teamwork, leadership, task delegation, external support, and organizational restructuring.
Conclusions:
- An organizational perspective provides valuable insights into practice change for CPS implementation.
- Current CPS programs often overlook critical factors that facilitate change in community pharmacy settings.
- Future CPS programs and policy decisions regarding remuneration and dissemination must incorporate identified facilitators for successful implementation.
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