Bacci Jennifer L, McGrath Stephanie Harriman, Pringle Janice L, Maguire Michelle A, McGivney Melissa Somma
J Am Pharm Assoc (2003). 2014 Nov-Dec;54(6):584-93. doi: 10.1331/JAPhA.2014.14034.
To 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.
Qualitative study.
Central and western Pennsylvania from February to April 2012.
Rite Aid pharmacists staffed at the 118 Pennsylvania Project intervention sites.
Qualitative analysis of pharmacists' perceptions of facilitators and barriers experienced, targeted intervention and organizational structure adaptations implemented, and training and preparation prior to implementation.
A 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.
This 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.
确定在社区连锁药店实施针对性药物依从性干预措施的促进因素和障碍，并描述每个独立药房实践中针对性干预措施及组织结构的调整情况。
定性研究。
2012年2月至4月在宾夕法尼亚州中西部地区。
在宾夕法尼亚州118个项目干预点工作的 rite aid 药剂师。
对药剂师所经历的促进因素和障碍、实施的针对性干预措施及组织结构调整，以及实施前的培训和准备情况进行定性分析。
2012年2月至4月共进行了15次关键信息人访谈。采访了来自“早期采用者”实践的10名药剂师和来自“传统主义者”实践的5名药剂师。关于针对性干预措施的实施出现了五个主题，包括所有药剂师都需要了解患者护理项目与其公司愿景的关系；为药剂师提供个性化、持续的支持和指导；在实施患者护理项目前预测障碍；鼓励患者积极参与；以及建立患者护理服务实施的最佳实践。
这项定性分析表明，在实施针对性干预措施之前可以采取一系列关键步骤，这可能会促进社区连锁药店药物治疗管理的成功实施。
