• Jennifer L Bacci, Stephanie Harriman McGrath, Janice L Pringle, Michelle A Maguire, and Melissa Somma McGivney.
• J Am Pharm Assoc (2003). 2014 Nov 1; 54 (6): 584-93.

ObjectiveTo identify facilitators and barriers to implementing targeted medication adherence interventions in community chain pharmacies, and describe adaptations of the targeted intervention and organizational structure within each individual pharmacy practice.DesignQualitative study.SettingCentral and western Pennsylvania from February to April 2012.ParticipantsRite Aid pharmacists staffed at the 118 Pennsylvania Project intervention sites.Main Outcome MeasuresQualitative analysis of pharmacists' perceptions of facilitators and barriers experienced, targeted intervention and organizational structure adaptations implemented, and training and preparation prior to implementation.ResultsA total of 15 key informant interviews were conducted from February to April 2012. Ten pharmacists from "early adopter" practices and five pharmacists from "traditionalist" practices were interviewed. Five themes emerged regarding the implementation of targeted interventions, including all pharmacists' need to understand the relationship of patient care programs to their corporation's vision; providing individualized, continual support and mentoring to pharmacists; anticipating barriers before implementation of patient care programs; encouraging active patient engagement; and establishing best practices regarding implementation of patient care services.ConclusionThis qualitative analysis revealed that there are a series of key steps that can be taken before the execution of targeted interventions that may promote successful implementation of medication therapy management in community chain pharmacies.

27 keywords...

hide…