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Just a 'romantic idea'? A theory-based interview study on medication review implementation with pharmacy owners
Dorothee E Michel1, Antonella P Tonna1, Dorothee C Dartsch2
1School of Pharmacy and Life Sciences, Robert Gordon University, Aberdeen, AB10 7GJ, Scotland.
International Journal of Clinical Pharmacy
|January 13, 2023
Summary
Pharmacy owners are positive about medication reviews (MRs) but face economic challenges. Suggestions for smoother implementation include support staff, awareness campaigns, and reduced bureaucracy for better patient care.
Area of Science:
- Pharmaceutical care
- Health services research
Background:
- German legal changes enable medication reviews (MRs) for polypharmacy patients.
- MR provision is optional, with pharmacy owners deciding on implementation.
Approach:
- Semi-structured interviews with 21 pharmacy owners were conducted.
- Purposive sampling focused on MR implementation stage and location.
- Interviews utilized a topic guide based on a systematic review and the FISpH framework.
Key Points:
- Owners generally hold positive attitudes towards MRs.
- Economic viability is perceived as a significant challenge.
- Practical suggestions for smoother implementation include 'change facilitators', national awareness campaigns, reduced bureaucracy, continuing professional development, technician involvement, and financial incentives.
Conclusions:
- Numerous factors can enhance support for MRs among pharmacy owners and managers.
- Findings offer insights for countries planning MR implementation.
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