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Adherence to the components of the Fleetwood model: self-reported process measures in the Fleetwood Phase III study
Kate L Lapane1, Carmel M Hughes
1Medical Science, Department of Community Health, Brown University, Providence, Rhode Island 02912, USA. kate_lapane@brown.edu
Objective:
To compare the pharmacist-reported adherence to Fleetwood model process components in intervention with control groups in the Fleetwood Phase III study.
Design:
Demonstration project.
Setting:
Kinston, North Carolina (intervention site) and Mooresville, North Carolina (control site).
Participants:
Twelve dispensing and 15 consultant pharmacists employed by a single pharmacy provider.
Interventions:
Fleetwood model or usual practice by dispensing and consultant pharmacists.
Main Outcome Measure(S):
Pharmacist adherence to elements of the Fleetwood model most or all of the time.
Results:
More dispensing and consultant pharmacists in the intervention group performed all elements of the Fleetwood model most or all of the time compared with individuals in the control group. The greatest change occurred in the activities of the dispensing pharmacists in the intervention group.
Conclusion:
Dispensing and consultant pharmacists can integrate elements of the Fleetwood model (prospective review, pharmaceutical care planning, direct communications with physicians) into their practices.
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