Strategic interventions and a novel model for the integration of community pharmacy and primary care in Spain: qualitative insights

Piquer-Martinez, C; Urionaguna, A; Benrimoj, SI; Calvo, B; Garcia-Cardenas, V; Amador-Fernandez, N; Gastelurrutia, MA; Martinez, FM

Strategic interventions and a novel model for the integration of community pharmacy and primary care in Spain: qualitative insights

Piquer-Martinez, C Urionaguna, A Benrimoj, SI Calvo, B Garcia-Cardenas, V Amador-Fernandez, N Gastelurrutia, MA Martinez, FM

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Publisher:: BMJ PUBLISHING GROUP
Publication Type:: Journal Article
Citation:: BMJ OPEN, 2024, 14, (12)
Issue Date:: 2024-12-27

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Field	Value	Language
dc.contributor.author	Piquer-Martinez, C
dc.contributor.author	Urionaguna, A
dc.contributor.author	Benrimoj, SI
dc.contributor.author	Calvo, B
dc.contributor.author	Garcia-Cardenas, V
dc.contributor.author	Amador-Fernandez, N
dc.contributor.author	Gastelurrutia, MA
dc.contributor.author	Martinez, FM
dc.date.accessioned	2025-01-06T01:39:14Z
dc.date.available	2024-11-27
dc.date.available	2025-01-06T01:39:14Z
dc.date.issued	2024-12-27
dc.identifier.citation	BMJ OPEN, 2024, 14, (12)
dc.identifier.issn	2044-6055
dc.identifier.issn	2044-6055
dc.identifier.uri	http://hdl.handle.net/10453/182997
dc.description.abstract	<jats:sec><jats:title>Objectives</jats:title><jats:p>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.</jats:p></jats:sec><jats:sec><jats:title>Design</jats:title><jats:p>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.</jats:p></jats:sec><jats:sec><jats:title>Setting</jats:title><jats:p>Valencian Autonomous Community (Spain).</jats:p></jats:sec><jats:sec><jats:title>Participants</jats:title><jats:p>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.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>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.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>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.</jats:p></jats:sec>
dc.language	English
dc.publisher	BMJ PUBLISHING GROUP
dc.relation.ispartof	BMJ OPEN
dc.relation.isbasedon	10.1136/bmjopen-2024-086285
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1103 Clinical Sciences, 1117 Public Health and Health Services, 1199 Other Medical and Health Sciences
dc.subject.classification	32 Biomedical and clinical sciences
dc.subject.classification	42 Health sciences
dc.subject.classification	52 Psychology
dc.title	Strategic interventions and a novel model for the integration of community pharmacy and primary care in Spain: qualitative insights
dc.type	Journal Article
utslib.citation.volume	14
utslib.for	1103 Clinical Sciences
utslib.for	1117 Public Health and Health Services
utslib.for	1199 Other Medical and Health Sciences
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
utslib.copyright.status	open_access	*
dc.rights.license	This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0). To view a copy of this license, visit https://creativecommons.org/licenses/by-nc/4.0/
dc.date.updated	2025-01-06T01:39:13Z
pubs.issue	12
pubs.publication-status	Published
pubs.volume	14
utslib.citation.issue	12

Abstract:

ObjectivesTo 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.DesignQualitative, 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.SettingValencian Autonomous Community (Spain).ParticipantsFG 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.ResultsFive 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.ConclusionsRecognising 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.

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http://hdl.handle.net/10453/182997