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BMC Health Services Research
Published in: BMC Health Services Research 1/2018

Open Access 01-12-2018 | Research article

Facilitators and strategies to implement clinical pharmacy services in a metropolis in Northeast Brazil: a qualitative approach

Authors: Sheila Feitosa Ramos, Genival Araujo dos Santos Júnior, André Mascarenhas Pereira, Aline Santana Dosea, Kérilin Stancine Santos Rocha, Déborah Mônica Machado Pimentel, Divaldo Pereira de Lyra-Jr

Published in: BMC Health Services Research | Issue 1/2018

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Abstract

Background

Clinical Pharmacy Services (CPS) are a reality in many health systems around the world. However, there are few studies that discuss the facilitators and the strategies to implement CPS in healthcare systems. In this way, the objective of this study was to identify the facilitators and strategies involved in the CPS implementation process in some public health units in a metropolis in the Northeast Brazil.

Methods

A qualitative study was carried out with health-system pharmacists and managers who experienced the implementation of CPS. Therefore, focus groups were conducted with pharmacists, and the interviews with the managers. The discussions were carried out through semi-structured scripts and were recorded in audio and videos, after the signature of the consent form. The recordings were transcribed and analyzed independently through content analysis, followed by consensus meetings between researchers.

Results

Two focus groups were conducted, with an average of seven pharmacists per group, and five interviews with local health managers. Participants reported 39 facilitators who were related to the categories: local healthcare network, healthcare team, pharmacists and implementation process of the CPS. And 21 strategies attributed to the following categories: local healthcare network, pharmacists and implementation process of the CPS.

Conclusions

This study identified facilitators and strategies of the implementation of CPS. Most of the positive experiences were related to the clinical skills and proactive attitudes of pharmacists. These findings may support pharmacists and health managers to implement CPS in health systems.
Appendix
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Metadata
Title
Facilitators and strategies to implement clinical pharmacy services in a metropolis in Northeast Brazil: a qualitative approach
Authors
Sheila Feitosa Ramos
Genival Araujo dos Santos Júnior
André Mascarenhas Pereira
Aline Santana Dosea
Kérilin Stancine Santos Rocha
Déborah Mônica Machado Pimentel
Divaldo Pereira de Lyra-Jr
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2018
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-018-3403-4

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