title: [Barriers for the implementation of cognitive services in Spanish community pharmacies].
abstract: OBJECTIVE
  To identify and assess barriers for dissemination, implementation, and sustainability of different cognitive services in Spanish community pharmacies.
  
  
  METHODS
  Qualitative study through semi-structured interviews followed by a descriptive analysis.
  
  
  METHODS
  Two groups of experts related to Spanish community pharmacy were chosen. One with 15 community pharmacists with a relevant professional activity, while the other group (n=18) was related to pharmacy strategists.
  
  
  RESULTS
  The lack of university clinical oriented learning, lack of pharmacists' attitude towards change and some uncertainty over their professional future were identified as barriers at the pharmacists' level. In relation to pharmacy as an organization the lack of clear messages by their leaders and the small volume of Spanish pharmacies were identified as barriers. In the category of pharmacy profession, the current reimbursement system, the lack of university clinical education, and the lack of leadership by current representative organizations were the barriers found. The lack of real involvement by health authorities, the lack of knowledge about the objectives of pharmacy cognitive services, and the lack of demand of these services by patients where also identified as barriers.
  
  
  CONCLUSIONS
  Finally, 12 barriers were identified and grouped into 6 categories. These barriers fit in with the barriers identified in other countries.
authors.affiliation: Grupo de Investigación en Atención Farmacéutica, Universidad de Granada, Spain. magastelu@medynet.com
authors.forename: Miguel Angel
authors.initials: MA
authors.lastname: Gastelurrutia
authors.forename: Fernando
authors.initials: F
authors.lastname: Fernández-Llimos
authors.forename: Shalom I
authors.initials: SI
authors.lastname: Benrimoj
authors.forename: Carla Cristina
authors.initials: CC
authors.lastname: Castrillon
authors.forename: María José
authors.initials: MJ
authors.lastname: Faus
mesh_terms: D003157:Community Pharmacy Services / Q000600:supply & distribution*; D007407:Interviews as Topic; D013030:Spain