Strategic interventions and a novel model for the integration of community pharmacy and primary care in Spain: qualitative insights
Objectives To explore the opinions and perceptions of key stakeholders on the integration between community pharmacy and primary care, within the Valencian Autonomous Community. Specific objectives include identifying strategic interventions to facilitate this integration. Additionally, the manuscri...
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BMJ Publishing Group
2024-12-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/14/12/e086285.full |
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| author | Victoria Garcia-Cardenas Miguel A Gastelurrutia Celia Piquer-Martinez Amaia Urionagüena Shalom I. Benrimoj Begoña Calvo Noelia Amador-Fernandez Fernando Martinez Martinez |
| author_facet | Victoria Garcia-Cardenas Miguel A Gastelurrutia Celia Piquer-Martinez Amaia Urionagüena Shalom I. Benrimoj Begoña Calvo Noelia Amador-Fernandez Fernando Martinez Martinez |
| author_sort | Victoria Garcia-Cardenas |
| collection | DOAJ |
| description | Objectives To explore the opinions and perceptions of key stakeholders on the integration between community pharmacy and primary care, within the Valencian Autonomous Community. Specific objectives include identifying strategic interventions to facilitate this integration. Additionally, the manuscript discusses the formulation of a novel model for the integration of community pharmacy and primary care.Design Qualitative, with data from five virtual focus groups (FG) and 12 semistructured interviews analysed thematically using NVivo and interventions prioritised through a virtual nominal group technique.Setting Valencian Autonomous Community (Spain).Participants FG involved community pharmacists (CP) and primary care stakeholders including general practitioners, primary care nurses, general practitioner pharmacists, social services managers and administrators. Interviewees were government representatives and professionals from organisations. Selection was through snowball sampling and invitations by Official Colleges of Pharmacists.Results Five themes emerged, revealing the multifaceted nature of integrating community pharmacies and primary care. ‘Integration’ was identified as an ambitious target, anchored in collaboration and communication efforts. The role of CP was particularly noted for their direct patient interaction and trust, vital in fostering medication adherence. Barriers like role ambiguity and regulatory environment were highlighted. Seven interventions were identified to enable integration, with three of them prioritised: ‘bidirectional communication’, ‘protocol standardisation’ and ‘multidisciplinary team strengthening’. These interventions, linked with prior components of health system integration, led to a pioneer integration model.Conclusions Recognising stakeholder insights is essential in shaping workable, practical and adaptable models for integration. Tailoring these temporal models to stakeholders' immediate needs and strategic priorities may serve as effective starting points for integration. Support from professional bodies and proactive stakeholders’ engagement will optimise the integration success and its acceptance across healthcare levels. |
| format | Article |
| id | doaj-art-9e85a150ea5649bd88608fe0bd979c0d |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-9e85a150ea5649bd88608fe0bd979c0d2025-01-01T06:00:09ZengBMJ Publishing GroupBMJ Open2044-60552024-12-01141210.1136/bmjopen-2024-086285Strategic interventions and a novel model for the integration of community pharmacy and primary care in Spain: qualitative insightsVictoria Garcia-Cardenas0Miguel A Gastelurrutia1Celia Piquer-Martinez2Amaia Urionagüena3Shalom I. Benrimoj4Begoña Calvo5Noelia Amador-Fernandez6Fernando Martinez Martinez7Pharmaceutical Care Research Group, University of Granada Faculty of Pharmacy, Granada, SpainPharmaceutical Care Research Group, University of Granada Faculty of Pharmacy, Granada, SpainPharmaceutical Care Research Group, University of Granada Faculty of Pharmacy, Granada, SpainPharmacy Practice Research Group, University of the Basque Country Faculty of Pharmacy, Vitoria-Gasteiz, Basque Country, SpainPharmaceutical Care Research Group, University of Granada Faculty of Pharmacy, Granada, SpainPharmacy Practice Research Group, University of the Basque Country Faculty of Pharmacy, Vitoria-Gasteiz, Basque Country, SpainUniversity of Technology Sydney Graduate School of Health, Sydney, New South Wales, AustraliaPharmaceutical Care Research Group, University of Granada Faculty of Pharmacy, Granada, SpainObjectives To explore the opinions and perceptions of key stakeholders on the integration between community pharmacy and primary care, within the Valencian Autonomous Community. Specific objectives include identifying strategic interventions to facilitate this integration. Additionally, the manuscript discusses the formulation of a novel model for the integration of community pharmacy and primary care.Design Qualitative, with data from five virtual focus groups (FG) and 12 semistructured interviews analysed thematically using NVivo and interventions prioritised through a virtual nominal group technique.Setting Valencian Autonomous Community (Spain).Participants FG involved community pharmacists (CP) and primary care stakeholders including general practitioners, primary care nurses, general practitioner pharmacists, social services managers and administrators. Interviewees were government representatives and professionals from organisations. Selection was through snowball sampling and invitations by Official Colleges of Pharmacists.Results Five themes emerged, revealing the multifaceted nature of integrating community pharmacies and primary care. ‘Integration’ was identified as an ambitious target, anchored in collaboration and communication efforts. The role of CP was particularly noted for their direct patient interaction and trust, vital in fostering medication adherence. Barriers like role ambiguity and regulatory environment were highlighted. Seven interventions were identified to enable integration, with three of them prioritised: ‘bidirectional communication’, ‘protocol standardisation’ and ‘multidisciplinary team strengthening’. These interventions, linked with prior components of health system integration, led to a pioneer integration model.Conclusions Recognising stakeholder insights is essential in shaping workable, practical and adaptable models for integration. Tailoring these temporal models to stakeholders' immediate needs and strategic priorities may serve as effective starting points for integration. Support from professional bodies and proactive stakeholders’ engagement will optimise the integration success and its acceptance across healthcare levels.https://bmjopen.bmj.com/content/14/12/e086285.full |
| spellingShingle | Victoria Garcia-Cardenas Miguel A Gastelurrutia Celia Piquer-Martinez Amaia Urionagüena Shalom I. Benrimoj Begoña Calvo Noelia Amador-Fernandez Fernando Martinez Martinez Strategic interventions and a novel model for the integration of community pharmacy and primary care in Spain: qualitative insights BMJ Open |
| title | Strategic interventions and a novel model for the integration of community pharmacy and primary care in Spain: qualitative insights |
| title_full | Strategic interventions and a novel model for the integration of community pharmacy and primary care in Spain: qualitative insights |
| title_fullStr | Strategic interventions and a novel model for the integration of community pharmacy and primary care in Spain: qualitative insights |
| title_full_unstemmed | Strategic interventions and a novel model for the integration of community pharmacy and primary care in Spain: qualitative insights |
| title_short | Strategic interventions and a novel model for the integration of community pharmacy and primary care in Spain: qualitative insights |
| title_sort | strategic interventions and a novel model for the integration of community pharmacy and primary care in spain qualitative insights |
| url | https://bmjopen.bmj.com/content/14/12/e086285.full |
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