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Understanding the dissemination of appointment-based synchronization models using the CFIR framework.

Julie Patterson1, David Holdford2

  • 1Virginia Commonwealth University, School of Pharmacy, Richmond, VA, USA.

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|June 10, 2017
PubMed
Summary
This summary is machine-generated.

The appointment-based model (ABM) improves medication adherence through scheduled pharmacy visits. Research using the CFIR framework identifies key factors for successful ABM implementation in community pharmacies.

Keywords:
Appointment-based modelImplementation researchMedication synchronizationPharmacy practice

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Area of Science:

  • Pharmacy Practice Research
  • Implementation Science

Background:

  • The appointment-based model (ABM) integrates medication synchronization with scheduled monthly appointments.
  • ABM aims to enhance patient medication adherence and convenience.
  • This model is increasingly adopted in pharmacies nationwide.

Purpose of the Study:

  • To analyze barriers and facilitators of ABM implementation in community pharmacies.
  • To utilize the Consolidated Framework for Implementation Research (CFIR) for analysis.
  • To identify priorities for future implementation research.

Main Methods:

  • A review of existing evidence on ABM was conducted.
  • The CFIR taxonomy's five domains were applied to assess ABM.
  • Interactions between CFIR domains and subdomains were examined.

Main Results:

  • The CFIR framework effectively evaluates ABM implementation.
  • Key constructs and relationships influencing ABM adoption were identified.
  • The framework highlights areas for future research to support ABM standardization.

Conclusions:

  • Enhanced evidence on clinical and economic impact is needed for ABM adoption.
  • Standardization of ABM protocols is crucial.
  • Integrating ABM into existing pharmacy workflows will facilitate its widespread use.