Identification and Characterization of Workflow Models for Medication Therapy Management in Community Pharmacies.

Innovations in Pharmacy Pub Date : 2023-10-10 eCollection Date: 2023-01-01 DOI:10.24926/iip.v14i2.5387
Rachel A Stafford, Megan G Smith
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Abstract

Community pharmacists providing medication therapy management (MTM) services report difficulty incorporating MTM services with dispensing and other pharmacy services. A variety of approaches exist due to a lack of an ideal standard for service integration. This study seeks to identify and characterize MTM workflow models in pharmacies of one geographic area of a large community pharmacy chain. Thirteen semi-structured interviews were conducted with pharmacists from thirteen different pharmacies. Interviews were audio-recorded, transcribed, and analyzed for common themes using an inductive qualitative approach. We did not find a high level of MTM task integration into the dispensing workflow in this setting. However, three main strategies used to delegate work of MTM activities were identified and defined: shared teamwork, delegated teamwork, and single delegation. Few MTM tasks were integrated into the dispensing workflow among interviewed pharmacies; most tasks were performed outside of workflow. The most common integration was performing patient interviews at pick up. There were no trends identified among high performing or low performing pharmacies. This work may provide a basis to define workflow models for further research to test implementation strategies within community pharmacies.

社区药房药物治疗管理工作流程模型的识别与表征。
提供药物治疗管理(MTM)服务的社区药剂师报告说,很难将MTM服务与调剂和其他药房服务结合起来。由于缺乏服务集成的理想标准,存在各种各样的方法。本研究旨在确定和表征一个大型社区连锁药店的一个地理区域的药房MTM工作流程模型。对13家不同药房的药剂师进行了13次半结构化访谈。访谈录音,转录,并使用归纳定性方法分析共同主题。在这种设置中,我们没有发现MTM任务集成到点胶工作流程中的高水平。然而,确定并定义了用于委派MTM活动工作的三种主要策略:共享团队合作、委派团队合作和单一委派。受访药房很少将MTM任务整合到调剂工作流程中;大多数任务都是在工作流之外执行的。最常见的整合是在接机时进行病人访谈。在高绩效或低绩效药房之间没有确定趋势。这项工作可以为定义工作流程模型提供基础,以进一步研究测试社区药房的实施策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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