COMPREHENSIVE MEDICATION MANAGEMENT SERVICES IN A BRAZILIAN SPECIALTY PHARMACY: A QUALITATIVE ASSESSMENT

Authors

  • Kirla Barbosa Detoni 1Centro de Estudos em Atenção Farmacêutica (Center for Pharmaceutical Care Studies), Department of Social Pharmacy, College of Pharmacy, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil,
  • Mariana Martins Gonzaga Do Nascimento 1Centro de Estudos em Atenção Farmacêutica (Center for Pharmaceutical Care Studies), Department of Social Pharmacy, College of Pharmacy, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil,
  • Isabela Viana Oliveira 1Centro de Estudos em Atenção Farmacêutica (Center for Pharmaceutical Care Studies), Department of Social Pharmacy, College of Pharmacy, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil,
  • Mateus Rodrigues Alves 1Centro de Estudos em Atenção Farmacêutica (Center for Pharmaceutical Care Studies), Department of Social Pharmacy, College of Pharmacy, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil,
  • Manoel Machuca GonzÁles Universidad de Sevilla, Spain
  • Djenane Ramalho-de- Oliveira 1Centro de Estudos em Atenção Farmacêutica (Center for Pharmaceutical Care Studies), Department of Social Pharmacy, College of Pharmacy, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil,

DOI:

https://doi.org/10.22159/ijpps.2017v9i3.16398

Keywords:

Pharmaceutical care, Medication therapy management, Comprehensive medication management services, Health services implementation, Qualitative research, Ethnography

Abstract

Objective: To understand and describe the implementation process of a comprehensive medication management (CMM) service in a public specialty pharmacy in Brazil.

Methods: Ethnographic study conducted over 17 mo (September 2014 to February 2016) in a public specialty pharmacy. Semi-structured interviews were conducted with twelve participants. Notes on field journals, resulting from participant observation conducted by the two pharmacists directly responsible for the service implementation, were also used as a source of data.

Results: Ten important conditions to improve the success of CMM service implementation were identified: manager support; evaluation of physical and material resources; evaluation of human resources practitioners' characteristics and knowledge about the theoretical framework of CMM services; time dedicated to CMM services; redefining the work process; defining patient eligibility criteria to CMM service; defining patient flow to CMM service; communication with healthcare team; integration with the staff; and marketing the service internally.

Conclusion: The results unveiled by this article can be used by pharmacists and managers as a tool to optimize the implementation of CMM services in different healthcare settings. These conditions do not consist the only aspects necessary to ensure the success of the service; however, they can contribute to optimize the implementation process of the practice.

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Published

01-03-2017

How to Cite

Detoni, K. B., M. M. G. D. Nascimento, I. V. Oliveira, M. R. Alves, M. M. GonzÁles, and D. R.- de-. Oliveira. “COMPREHENSIVE MEDICATION MANAGEMENT SERVICES IN A BRAZILIAN SPECIALTY PHARMACY: A QUALITATIVE ASSESSMENT”. International Journal of Pharmacy and Pharmaceutical Sciences, vol. 9, no. 3, Mar. 2017, pp. 227-32, doi:10.22159/ijpps.2017v9i3.16398.

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Section

Original Article(s)