Work System and Process Designs for Community Pharmacy-Medical Clinic Partnerships to Improve Retention in Care, Antiretroviral Adherence, and Viral Suppression in Persons with HIV
The objective of this project was to collect and analyze information about work systems and processes that community pharmacy-medical clinic partnerships used for implementing the Patient-Centered HIV Care Model (PCHCM). Paired collaborations of 10 Walgreens community pharmacies and 10 medical clini...
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| Format: | Article |
| Language: | English |
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MDPI AG
2020-07-01
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| Series: | Pharmacy |
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| Online Access: | https://www.mdpi.com/2226-4787/8/3/125 |
| _version_ | 1797561627426422784 |
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| author | Jon C. Schommer Oscar W. Garza Michael S. Taitel Osayi E. Akinbosoye Sumihiro Suzuki Patrick G. Clay |
| author_facet | Jon C. Schommer Oscar W. Garza Michael S. Taitel Osayi E. Akinbosoye Sumihiro Suzuki Patrick G. Clay |
| author_sort | Jon C. Schommer |
| collection | DOAJ |
| description | The objective of this project was to collect and analyze information about work systems and processes that community pharmacy-medical clinic partnerships used for implementing the Patient-Centered HIV Care Model (PCHCM). Paired collaborations of 10 Walgreens community pharmacies and 10 medical clinics were formed in 10 cities located throughout the United States that had relatively high HIV prevalence rates and existing Walgreens HIV Centers of Excellence. Patient service provision data and most significant change stories were collected from key informants at each of the clinic and pharmacy sites over an 8 week period in 2016 and through in-depth phone interviews. Written notes were reviewed by two authors (J.C.S. and O.W.G.) and analyzed using the most significant change technique. The findings showed that half of the partnerships (n = 5) were unable to fully engage in service implementation due to external factors or severe staff turnover during the project period. The other half of the partnerships (n = 5) were able to engage in service implementation, with the most impactful changes being related to strong patient care systems, having a point person at the clinic who served as a connector between sites, and having pharmacists integrated fully into the health care team. |
| first_indexed | 2024-03-10T18:17:36Z |
| format | Article |
| id | doaj.art-1900889f13bb40d49144b04c991fb086 |
| institution | Directory Open Access Journal |
| issn | 2226-4787 |
| language | English |
| last_indexed | 2024-03-10T18:17:36Z |
| publishDate | 2020-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Pharmacy |
| spelling | doaj.art-1900889f13bb40d49144b04c991fb0862023-11-20T07:35:08ZengMDPI AGPharmacy2226-47872020-07-018312510.3390/pharmacy8030125Work System and Process Designs for Community Pharmacy-Medical Clinic Partnerships to Improve Retention in Care, Antiretroviral Adherence, and Viral Suppression in Persons with HIVJon C. Schommer0Oscar W. Garza1Michael S. Taitel2Osayi E. Akinbosoye3Sumihiro Suzuki4Patrick G. Clay5College of Pharmacy, University of Minnesota, 308 Harvard Street, SE, Minneapolis, MN 55455, USASchool of Clinical Sciences, College of Pharmacy, New Orleans Campus, University of Louisiana—Monroe, 478 South Johnson St, Suite 230, New Orleans, LA 70112, USAWalgreens Boots Alliance, 102 Wilmot Road, Deerfield, IL 60015, USAAstellas US, 1 Astellas Way, Northbrook, IL 60062, USADepartment of Biostatics and Epidemiology, School of Public Health and College of Pharmacy, University of North Texas Health Science Center, 3500 Camp Bowie Blvd, Fort Worth, TX 76107, USADepartment of Biostatics and Epidemiology, School of Public Health and College of Pharmacy, University of North Texas Health Science Center, 3500 Camp Bowie Blvd, Fort Worth, TX 76107, USAThe objective of this project was to collect and analyze information about work systems and processes that community pharmacy-medical clinic partnerships used for implementing the Patient-Centered HIV Care Model (PCHCM). Paired collaborations of 10 Walgreens community pharmacies and 10 medical clinics were formed in 10 cities located throughout the United States that had relatively high HIV prevalence rates and existing Walgreens HIV Centers of Excellence. Patient service provision data and most significant change stories were collected from key informants at each of the clinic and pharmacy sites over an 8 week period in 2016 and through in-depth phone interviews. Written notes were reviewed by two authors (J.C.S. and O.W.G.) and analyzed using the most significant change technique. The findings showed that half of the partnerships (n = 5) were unable to fully engage in service implementation due to external factors or severe staff turnover during the project period. The other half of the partnerships (n = 5) were able to engage in service implementation, with the most impactful changes being related to strong patient care systems, having a point person at the clinic who served as a connector between sites, and having pharmacists integrated fully into the health care team.https://www.mdpi.com/2226-4787/8/3/125HIVpharmacistimplementationPatient-Centered HIV Care Modelpharmacyviral suppression |
| spellingShingle | Jon C. Schommer Oscar W. Garza Michael S. Taitel Osayi E. Akinbosoye Sumihiro Suzuki Patrick G. Clay Work System and Process Designs for Community Pharmacy-Medical Clinic Partnerships to Improve Retention in Care, Antiretroviral Adherence, and Viral Suppression in Persons with HIV Pharmacy HIV pharmacist implementation Patient-Centered HIV Care Model pharmacy viral suppression |
| title | Work System and Process Designs for Community Pharmacy-Medical Clinic Partnerships to Improve Retention in Care, Antiretroviral Adherence, and Viral Suppression in Persons with HIV |
| title_full | Work System and Process Designs for Community Pharmacy-Medical Clinic Partnerships to Improve Retention in Care, Antiretroviral Adherence, and Viral Suppression in Persons with HIV |
| title_fullStr | Work System and Process Designs for Community Pharmacy-Medical Clinic Partnerships to Improve Retention in Care, Antiretroviral Adherence, and Viral Suppression in Persons with HIV |
| title_full_unstemmed | Work System and Process Designs for Community Pharmacy-Medical Clinic Partnerships to Improve Retention in Care, Antiretroviral Adherence, and Viral Suppression in Persons with HIV |
| title_short | Work System and Process Designs for Community Pharmacy-Medical Clinic Partnerships to Improve Retention in Care, Antiretroviral Adherence, and Viral Suppression in Persons with HIV |
| title_sort | work system and process designs for community pharmacy medical clinic partnerships to improve retention in care antiretroviral adherence and viral suppression in persons with hiv |
| topic | HIV pharmacist implementation Patient-Centered HIV Care Model pharmacy viral suppression |
| url | https://www.mdpi.com/2226-4787/8/3/125 |
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