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Understanding perceptions of involving community pharmacy within an integrated care model: a qualitative study
BACKGROUND: Over the past several years, there has been more emphasis on integration within health care. Community pharmacy is often under-represented within integrated care models. This study explored stakeholder perceptions and enablers of including community pharmacy within an integrated care mod...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7212674/ https://www.ncbi.nlm.nih.gov/pubmed/32393239 http://dx.doi.org/10.1186/s12913-020-05237-y |
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author | Lake, Jennifer D. Rosenberg-Yunger, Zahava R. S. Dainty, Katie N. Rolf von den Baumen, Teagan Everall, Amanda C. Guilcher, Sara J. T. |
author_facet | Lake, Jennifer D. Rosenberg-Yunger, Zahava R. S. Dainty, Katie N. Rolf von den Baumen, Teagan Everall, Amanda C. Guilcher, Sara J. T. |
author_sort | Lake, Jennifer D. |
collection | PubMed |
description | BACKGROUND: Over the past several years, there has been more emphasis on integration within health care. Community pharmacy is often under-represented within integrated care models. This study explored stakeholder perceptions and enablers of including community pharmacy within an integrated care model. METHODS: A qualitative study was undertaken. Participants were recruited through professional networks and social media, as well as snowball recruitment from other participants. They included community pharmacists, clinicians, and decision-makers working in Ontario, Canada. Data were collected using telephone interviews completed with a semi-structured interview guide based on Consolidated Framework for Implementation Research from June to September 2018. Data were analysed inductively and deductively following the Qualitative Analysis Guide of Leuven. An additional theoretical framework (Rainbow Model of Integrated Care) was used to categorize enablers. RESULTS: Twenty-two participants were interviewed including nine pharmacists, seven clinicians, and six decision-makers. Three key themes were identified: 1) Positive value of including pharmacy in integrated care models; 2) One model does not fit all; and 3) Conflict of interest. Four key enablers were identified reflecting functional and normative factors: functional - 1) remuneration, 2) technology; normative - 3) engagement, and 4) relationships. While both functional and normative factors were discussed, the latter seemed to be more important to facilitate the inclusion of community pharmacy. Many participants characterized community pharmacists’ lack of skills or confidence to provide patient care. CONCLUSIONS: This study confirms previously known views about concerns with community pharmacy’s conflict of interest. However, discordant perceptions of conflict of interest and negative perceptions about capabilities of community pharmacy need to be addressed for successful integration. Normative enablers, such as culture, are likely important for organizational integration and require additional inquiry. |
format | Online Article Text |
id | pubmed-7212674 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-72126742020-05-18 Understanding perceptions of involving community pharmacy within an integrated care model: a qualitative study Lake, Jennifer D. Rosenberg-Yunger, Zahava R. S. Dainty, Katie N. Rolf von den Baumen, Teagan Everall, Amanda C. Guilcher, Sara J. T. BMC Health Serv Res Research Article BACKGROUND: Over the past several years, there has been more emphasis on integration within health care. Community pharmacy is often under-represented within integrated care models. This study explored stakeholder perceptions and enablers of including community pharmacy within an integrated care model. METHODS: A qualitative study was undertaken. Participants were recruited through professional networks and social media, as well as snowball recruitment from other participants. They included community pharmacists, clinicians, and decision-makers working in Ontario, Canada. Data were collected using telephone interviews completed with a semi-structured interview guide based on Consolidated Framework for Implementation Research from June to September 2018. Data were analysed inductively and deductively following the Qualitative Analysis Guide of Leuven. An additional theoretical framework (Rainbow Model of Integrated Care) was used to categorize enablers. RESULTS: Twenty-two participants were interviewed including nine pharmacists, seven clinicians, and six decision-makers. Three key themes were identified: 1) Positive value of including pharmacy in integrated care models; 2) One model does not fit all; and 3) Conflict of interest. Four key enablers were identified reflecting functional and normative factors: functional - 1) remuneration, 2) technology; normative - 3) engagement, and 4) relationships. While both functional and normative factors were discussed, the latter seemed to be more important to facilitate the inclusion of community pharmacy. Many participants characterized community pharmacists’ lack of skills or confidence to provide patient care. CONCLUSIONS: This study confirms previously known views about concerns with community pharmacy’s conflict of interest. However, discordant perceptions of conflict of interest and negative perceptions about capabilities of community pharmacy need to be addressed for successful integration. Normative enablers, such as culture, are likely important for organizational integration and require additional inquiry. BioMed Central 2020-05-11 /pmc/articles/PMC7212674/ /pubmed/32393239 http://dx.doi.org/10.1186/s12913-020-05237-y Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Lake, Jennifer D. Rosenberg-Yunger, Zahava R. S. Dainty, Katie N. Rolf von den Baumen, Teagan Everall, Amanda C. Guilcher, Sara J. T. Understanding perceptions of involving community pharmacy within an integrated care model: a qualitative study |
title | Understanding perceptions of involving community pharmacy within an integrated care model: a qualitative study |
title_full | Understanding perceptions of involving community pharmacy within an integrated care model: a qualitative study |
title_fullStr | Understanding perceptions of involving community pharmacy within an integrated care model: a qualitative study |
title_full_unstemmed | Understanding perceptions of involving community pharmacy within an integrated care model: a qualitative study |
title_short | Understanding perceptions of involving community pharmacy within an integrated care model: a qualitative study |
title_sort | understanding perceptions of involving community pharmacy within an integrated care model: a qualitative study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7212674/ https://www.ncbi.nlm.nih.gov/pubmed/32393239 http://dx.doi.org/10.1186/s12913-020-05237-y |
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