Renfro Chelsea, Coulter Davis, Ly Lan, Fisher Cindy, Cardosi Lindsay, Wasson Mike, Hohmeier Kenneth C
Department of Clinical Pharmacy and Translational Science, University of Tennessee Health Science Center College of Pharmacy, Memphis, TN 38163, USA.
Kroger Pharmacy, Memphis, TN 38103, USA.
Pharmacy (Basel). 2020 Mar 3;8(1):28. doi: 10.3390/pharmacy8010028.
The objective of this study was to qualitatively explore the role of pharmacy technicians in the implementation of an appointment-based model (ABM) medication synchronization program. The purposeful sampling of technicians working within six different locations of a supermarket chain pharmacy in Mississippi and Tennessee was carried out, and the technicians were interviewed between January and April 2018. A semi-structured interview guide was developed based on the Consolidated Framework for Implementation Research (CFIR). Questions gathered information around pharmacy technician demographics and CFIR domains (process, inner setting, outer setting and intervention characteristics). Interviews were audiotaped and transcribed. Two members of the research team performed thematic content analysis. Six full-time, certified pharmacy technicians with 8.3 ± 2.7 years of experience were interviewed. Findings suggest that including hands-on experience with program software is needed during training to successfully implement ABM. A barrier to implementation was the time needed to complete ABM tasks as compared to other tasks. Although some barriers exist regarding implementation, technicians believe that overall, this program has positive benefits for patients. Results from this study signify that ABM implementation can be challenging. Better ABM portal integration with the pharmacy patient profile and appropriate workforce budgeting are key to continued success.
本研究的目的是定性探索药剂师技术员在实施基于预约模式（ABM）的药物同步计划中的作用。对在密西西比州和田纳西州一家连锁超市药店六个不同地点工作的技术员进行了目的抽样，并于2018年1月至4月期间对这些技术员进行了访谈。基于实施研究综合框架（CFIR）制定了半结构化访谈指南。问题收集了有关药剂师技术员人口统计学和CFIR领域（过程、内部环境、外部环境和干预特征）的信息。访谈进行了录音和转录。研究团队的两名成员进行了主题内容分析。采访了六名拥有8.3±2.7年经验的全职认证药剂师技术员。研究结果表明，培训期间需要包括程序软件的实践经验，以成功实施ABM。与其他任务相比，完成ABM任务所需的时间是实施的一个障碍。尽管在实施方面存在一些障碍，但技术员认为总体而言，该计划对患者有积极益处。本研究结果表明，ABM的实施可能具有挑战性。更好地将ABM门户与药房患者档案集成以及适当的劳动力预算是持续成功的关键。
