Abstract
BackgroundClinical Pharmacy Services (CPS) are a reality in many health systems around the world. However, there are few studies that discuss the facilitators and the strategies to implement CPS in healthcare systems. In this way, the objective of this study was to identify the facilitators and strategies involved in the CPS implementation process in some public health units in a metropolis in the Northeast Brazil.MethodsA qualitative study was carried out with health-system pharmacists and managers who experienced the implementation of CPS. Therefore, focus groups were conducted with pharmacists, and the interviews with the managers. The discussions were carried out through semi-structured scripts and were recorded in audio and videos, after the signature of the consent form. The recordings were transcribed and analyzed independently through content analysis, followed by consensus meetings between researchers.ResultsTwo focus groups were conducted, with an average of seven pharmacists per group, and five interviews with local health managers. Participants reported 39 facilitators who were related to the categories: local healthcare network, healthcare team, pharmacists and implementation process of the CPS. And 21 strategies attributed to the following categories: local healthcare network, pharmacists and implementation process of the CPS.ConclusionsThis study identified facilitators and strategies of the implementation of CPS. Most of the positive experiences were related to the clinical skills and proactive attitudes of pharmacists. These findings may support pharmacists and health managers to implement CPS in health systems.
Highlights
Clinical Pharmacy Services (CPS) are a reality in many health systems around the world
We considered as facilitators, the factors listed by the pharmacists and local health managers who made the CPS implementation process easier
Participants reported 39 facilitators and 21 strategies related to CPS implementation
Summary
Clinical Pharmacy Services (CPS) are a reality in many health systems around the world. The increase of drug-related morbidity and mortality has caused losses in different health systems in countries such as Canada [1], the United States of America [2], Spain [3] and Brazil [4] For this reason, the implementation of clinical pharmacy services (CPS) in health systems has been considered a social need worldwide [5,6,7,8,9]. In Brazil, CPS have been expanding due to the legal support awarded by regulatory agencies [19, 20], Brazilian Federal Pharmacy Council [21, 22] and by initiatives of the Brazilian Government [23] These actions encourage pharmacists to assume clinical responsibilities and provide CPS within the Brazilian health system
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