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Clinical Pharmacy Practice Patterns Among North Carolina Rural Hospitals
Cameron Lanier1,2, Jason Moss1,2, Robert Tunney1,3
1233484Campbell University College of Pharmacy & Health Sciences, Buies Creek, NC, USA.
Rural hospital pharmacies in North Carolina offer varied clinical services. Pharmacy directors want to expand clinical roles to improve patient care but face significant barriers like funding and staffing.
Area of Science:
- Health Services Research
- Pharmacy Practice
- Rural Health
Background:
- Rural hospitals face unique challenges, including limited funding and isolation, impacting their ability to offer comprehensive clinical services compared to larger health systems.
- Understanding the current landscape of clinical pharmacy services in these settings is crucial for identifying opportunities for improvement and support.
Purpose of the Study:
- To determine the types of clinical pharmacy services currently available in rural North Carolina hospitals.
- To identify the clinical pharmacy services that rural hospitals desire to offer or expand.
- To explore the perspectives of pharmacy directors regarding the growth and sustainability of clinical pharmacy services in their institutions.
Main Methods:
- A prospective, cross-sectional survey was administered to pharmacy directors and managers at rural hospitals across North Carolina.
- Data collected included hospital and pharmacy characteristics, director information, current clinical services, and perceptions of growth barriers.
- Survey responses were analyzed using descriptive statistics, with qualitative free-response data coded for recurring themes.
Main Results:
- Seventeen rural hospital pharmacy directors/managers (32.6% response rate) completed the survey, reporting varied clinical activities and hospital/staff characteristics.
- The primary driver for expanding clinical pharmacy services was the desire to improve patient care (46.7%).
- Pharmacy directors view expanding clinical activities as a long-term objective but identified regulations, staffing, and financial constraints as key barriers.
Conclusions:
- Clinical pharmacy services are not uniform across rural hospitals in North Carolina, reflecting diverse operational capacities and needs.
- Pharmacy directors express a strong willingness and desire to increase their clinical responsibilities and involvement in patient care.
- Significant barriers, including regulatory, staffing, and financial issues, hinder the expansion of clinical pharmacy services in rural hospital settings.
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