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Pharmacists' barriers and facilitators on implementing a post-discharge home visit
Hendrik T Ensing1, Ellen S Koster2, Timothy A A Sontoredjo2
1Utrecht University of Applied Sciences, Research Group Process Innovations in Pharmaceutical Care, Utrecht, The Netherlands; Utrecht Institute for Pharmaceutical Sciences (UIPS), Department of Pharmacoepidemiology & Clinical Pharmacology, Utrecht University, Utrecht, The Netherlands; Zorggroep Almere, Outpatient Pharmacy "de Brug 24/7", Almere, The Netherlands.
Implementing post-discharge pharmacist home visits requires addressing time constraints and ensuring adequate reimbursement. Pharmacists identified these as key barriers to integrating this care into daily practice for better patient outcomes.
Area of Science:
- Pharmacy Practice
- Health Services Research
- Implementation Science
Background:
- Post-discharge pharmacist home visits can enhance care continuity and prevent medication-related issues.
- Implementing these visits faces challenges, necessitating an understanding of influencing factors for successful integration.
Purpose of the Study:
- To identify barriers and facilitators affecting community pharmacists' adoption of post-discharge home visits.
Main Methods:
- A mixed-methods study involving community pharmacists who participated in a prior effectiveness study.
- Focus groups explored barriers and facilitators, followed by a survey to rank their relevance and feasibility.
Main Results:
- Most pharmacists found proposed barriers and facilitators relevant and feasible.
- Key implementation barriers included the need for dedicated time, integrating visits into routines, and adequate reimbursement.
Conclusions:
- Successful implementation hinges on facilitating changes in daily routines and providing adequate reimbursement.
- Reimbursement is a significant incentive, but reprioritizing daily tasks is also crucial for adoption.
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