INNOVATIONS in pharmacy

Practice Change in Community Pharmacy: A Case Study of Multiple Stakeholders' Perspectives

Shara Elrod

Margie E. Snyder

Deanne Hall

Melissa A. Somma McGivney

Randall B. Smith

DOI: https://doi.org/10.24926/iip.v3i3.265

Keywords: community pharmacy, medication therapy management, practice change, qualitative research

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Abstract

Objective: To obtain a multi-stakeholder perspective of community pharmacy practice change.

Design: Qualitative study.

Setting: Community pharmacy in rural Mississippi.

Participants: Fourteen key stakeholders of the patient care practice including pharmacists (n=4), support staff (n=2), collaborating providers (n=4), patients (n=3), and a payer (n=1).

Intervention: Semi-structured interviews and participant-observation techniques were used.

Main outcome measures: Description of the community pharmacy's practice and business model and identification of practice change facilitators.

Results: Change facilitators for this practice included: a positive reputation in the community, forming solid relationships with providers, and convenience of patient services. Communication in and outside of the practice, adequate reimbursement, and resource allocation were identified as challenges.

Conclusions: This case study is a multi-stakeholder examination of community pharmacy practice change and readers are provided with a real-world example of a community pharmacy's successful establishment of a patient care practice.

 

Type: Case Study