J Am Pharm Assoc (2003). 2019 Jul-Aug;59(4S):S25-S31. doi: 10.1016/j.japh.2019.04.006. Epub 2019 May 9.
To garner experience with the early implementation of pharmacist-provided comprehensive medication management at a regional supermarket pharmacy during the initial launch of a statewide community pharmacy enhanced services network payer contract.
A series of key informant interviews were conducted with pharmacists at Giant Eagle Pharmacy locations in Pennsylvania. To be eligible to participate, pharmacists must have been trained by the Pennsylvania Pharmacists Care Network to deliver contracted comprehensive medication management services and willing to participate in audio recorded, telephonic interviews every 2 weeks. Interviews concluded when each pharmacist completed a total of 6 interviews or when the project period ended. A semistructured interview guide was developed by the investigators to elicit the pharmacists' experience providing contracted services. Interviews were transcribed and coded by 2 independent investigators. Coding discrepancies were resolved. The final coded transcripts were presented back to the project team to identify and finalize major themes. Illustrative quotes were selected to represent each theme.
Interviews from 10 pharmacists were included in the analysis. Five themes emerged as keys of successful early implementation: (1) promote commitment of the pharmacy team, (2) use effective whole-team patient engagement strategies, (3) personalize patient encounters by providing patient-centered care and practicing interpersonal skills, (4) make workflow and staffing resources easily accessible, and (5) make clinical patient care tools readily available.
These results highlight thematic trends for how pharmacists can successfully engage their patients in contracted comprehensive medication management services. Understanding the success of early implementation at a regional supermarket pharmacy can serve as a framework for other participants in community pharmacy enhanced services networks to replicate and scale contracted patient care services.
在宾夕法尼亚州社区药房增强服务网络支付者合同 statewide初始启动期间，在区域超市药房获得药剂师提供综合药物管理的早期实施经验。
对宾夕法尼亚州 Giant Eagle 药房的药剂师进行了一系列重点 informant 访谈。有资格参与的药剂师必须接受宾夕法尼亚药剂师护理网络的培训，以提供合同规定的综合药物管理服务，并愿意参与每 2 周进行的音频记录电话访谈。当每个药剂师完成总共 6 次访谈或项目期结束时，访谈结束。调查人员制定了半结构化访谈指南，以引出药剂师提供合同服务的经验。访谈由 2 名独立调查员进行转录和编码。解决了编码差异。最终编码的转录本提交给项目团队，以确定和最终确定主要主题。选择有代表性的报价来代表每个主题。
对 10 名药剂师的访谈进行了分析。出现了五个主题，这些主题是成功早期实施的关键：（1）促进药房团队的承诺，（2）使用有效的全团队患者参与策略，（3）通过提供以患者为中心的护理和实践人际交往技巧来个性化患者的接触，（4）使工作流程和人员配备资源易于获取，（5）使临床患者护理工具易于获得。
这些结果突出了药剂师如何成功参与合同综合药物管理服务的主题趋势。了解区域超市药房早期实施的成功经验可以为社区药房增强服务网络的其他参与者提供复制和扩展合同患者护理服务的框架。
