title: Establishment, Implementation, and Consolidation of Clinical Pharmacy Services in Community Pharmacies: Perceptions of a Group of Pharmacists.
abstract: When pharmacists incorporate clinical practice into their routine, barriers and facilitators influence the implementation of patient care services. Three focus groups were conducted with 11 pharmacists who were working for the Farmácia Popular do Brasil program on the establishment, implementation, and consolidation of clinical pharmacy services. The perception of the pharmacists in Brazil about the program was that it facilitated access to health care and medication. The distance between neighboring cities made it difficult for patients to return for services. Lack of staff training created a lack of communication skills and knowledge. The pharmacists wanted to have increased technical support, skill development opportunities, and monitoring of researchers who assessed progress of the service. Pharmacists overcame many of their insecurities and felt more proactive and committed to quality service. Positive experiences in service implementations have shown that it is possible to develop a model of clinical services in community pharmacies.
authors.affiliation: 1 Federal University of Sergipe, São Cristóvão, Brazil.
authors.forename: Aline S
authors.initials: AS
authors.lastname: Dosea
authors.affiliation: 1 Federal University of Sergipe, São Cristóvão, Brazil.|2 Federal University of Sergipe, Lagarto, Brazil.
authors.forename: Giselle C
authors.initials: GC
authors.lastname: Brito
authors.affiliation: 1 Federal University of Sergipe, São Cristóvão, Brazil.
authors.forename: Lincoln M C
authors.initials: LMC
authors.lastname: Santos
authors.affiliation: 1 Federal University of Sergipe, São Cristóvão, Brazil.
authors.forename: Tatiane C
authors.initials: TC
authors.lastname: Marques
authors.affiliation: 3 Faculty of Guanambi, Guanambi, Brazil.
authors.forename: Blície
authors.initials: B
authors.lastname: Balisa-Rocha
authors.affiliation: 1 Federal University of Sergipe, São Cristóvão, Brazil.
authors.forename: Deborah
authors.initials: D
authors.lastname: Pimentel
authors.affiliation: 4 Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
authors.forename: Denise
authors.initials: D
authors.lastname: Bueno
authors.affiliation: 1 Federal University of Sergipe, São Cristóvão, Brazil.
authors.forename: Divaldo P
authors.initials: DP
authors.lastname: Lyra
mesh_terms: D001291:Attitude of Health Personnel; D001938:Brazil; D003157:Community Pharmacy Services / Q000458:organization & administration*; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility / Q000458:organization & administration; D006801:Humans; D054539:Medication Therapy Management / Q000458:organization & administration; D008991:Monitoring, Physiologic / Q000379:methods; D010465:Perception; D010595:Pharmacists / Q000523:psychology*; D024382:Professional Role; D036301:Qualitative Research; D011787:Quality of Health Care / Q000458:organization & administration; D013192:Staff Development / Q000458:organization & administration; D014186:Transportation
keywords: Brazil; clinical pharmacy service; community pharmacy; implementation of health care service; pharmacist perception; qualitative