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The implementation of pharmaceutical services in public hospitals in Mexico: an analysis of the legal framework and organizational practice
BACKGROUND: The implementation of pharmaceutical services in hospitals contributes to the appropriate use of medicines and patient safety. However, the relationship of implementation with the legal framework and organizational practice has not been studied in depth. The objective of this research is...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8101239/ https://www.ncbi.nlm.nih.gov/pubmed/33952350 http://dx.doi.org/10.1186/s40545-021-00318-7 |
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author | Vargas López, Laura C. Viso Gurovich, Fela Dreser Mansilla, Anahí Wirtz, Veronika J. Reich, Michael R. |
author_facet | Vargas López, Laura C. Viso Gurovich, Fela Dreser Mansilla, Anahí Wirtz, Veronika J. Reich, Michael R. |
author_sort | Vargas López, Laura C. |
collection | PubMed |
description | BACKGROUND: The implementation of pharmaceutical services in hospitals contributes to the appropriate use of medicines and patient safety. However, the relationship of implementation with the legal framework and organizational practice has not been studied in depth. The objective of this research is to determine the role of these two factors (the legal framework and organizational practice) in the implementation of pharmaceutical services in public hospitals of the Ministry of Health of Mexico. METHODS: Semi-structured interviews were conducted with four groups of actors involved. The analysis focused on the legal framework, defined as the rules, laws and regulations, and on organizational practice, defined as the implementation of the legal framework by related individuals, that is, how they put it into practice. RESULTS: The main problems identified were the lack of alignment between the rules and the incentives for compliance. Decision-makers identified the lack of managerial capacity in hospitals as the main implementation barrier, while hospital pharmacists pointed to poor regulation and the lack of clarity of the legal framework as the problems to consider. CONCLUSIONS: Although the legal framework related to hospital pharmaceutical services in Mexico is inadequate, organizational factors (such as adequate skills of professional pharmacists and the support of the hospital director) have facilitated gradual implementation. To improve implementation, priority should be given to evaluation and modification of the current legislation along with the development of an official minimum standard for activities and services in hospital pharmacies. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40545-021-00318-7. |
format | Online Article Text |
id | pubmed-8101239 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-81012392021-05-06 The implementation of pharmaceutical services in public hospitals in Mexico: an analysis of the legal framework and organizational practice Vargas López, Laura C. Viso Gurovich, Fela Dreser Mansilla, Anahí Wirtz, Veronika J. Reich, Michael R. J Pharm Policy Pract Research BACKGROUND: The implementation of pharmaceutical services in hospitals contributes to the appropriate use of medicines and patient safety. However, the relationship of implementation with the legal framework and organizational practice has not been studied in depth. The objective of this research is to determine the role of these two factors (the legal framework and organizational practice) in the implementation of pharmaceutical services in public hospitals of the Ministry of Health of Mexico. METHODS: Semi-structured interviews were conducted with four groups of actors involved. The analysis focused on the legal framework, defined as the rules, laws and regulations, and on organizational practice, defined as the implementation of the legal framework by related individuals, that is, how they put it into practice. RESULTS: The main problems identified were the lack of alignment between the rules and the incentives for compliance. Decision-makers identified the lack of managerial capacity in hospitals as the main implementation barrier, while hospital pharmacists pointed to poor regulation and the lack of clarity of the legal framework as the problems to consider. CONCLUSIONS: Although the legal framework related to hospital pharmaceutical services in Mexico is inadequate, organizational factors (such as adequate skills of professional pharmacists and the support of the hospital director) have facilitated gradual implementation. To improve implementation, priority should be given to evaluation and modification of the current legislation along with the development of an official minimum standard for activities and services in hospital pharmacies. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40545-021-00318-7. BioMed Central 2021-05-05 /pmc/articles/PMC8101239/ /pubmed/33952350 http://dx.doi.org/10.1186/s40545-021-00318-7 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/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/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://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 Vargas López, Laura C. Viso Gurovich, Fela Dreser Mansilla, Anahí Wirtz, Veronika J. Reich, Michael R. The implementation of pharmaceutical services in public hospitals in Mexico: an analysis of the legal framework and organizational practice |
title | The implementation of pharmaceutical services in public hospitals in Mexico: an analysis of the legal framework and organizational practice |
title_full | The implementation of pharmaceutical services in public hospitals in Mexico: an analysis of the legal framework and organizational practice |
title_fullStr | The implementation of pharmaceutical services in public hospitals in Mexico: an analysis of the legal framework and organizational practice |
title_full_unstemmed | The implementation of pharmaceutical services in public hospitals in Mexico: an analysis of the legal framework and organizational practice |
title_short | The implementation of pharmaceutical services in public hospitals in Mexico: an analysis of the legal framework and organizational practice |
title_sort | implementation of pharmaceutical services in public hospitals in mexico: an analysis of the legal framework and organizational practice |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8101239/ https://www.ncbi.nlm.nih.gov/pubmed/33952350 http://dx.doi.org/10.1186/s40545-021-00318-7 |
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