Abstract:
OBJECTIVES:The integration of community pharmacy services (CPSs) into primary care practice can be enhanced by assessing (and further addressing) the elements that enable (ie, facilitators) or hinder (ie, barriers) the implementation of such CPSs. These elements have been widely researched from the perspective of pharmacists but not from the perspectives of other stakeholders who can interact with and influence the implementation of CPSs. The aim of this study was to synthesise the literature on patients', general practitioners' (GPs) and nurses' perspectives of CPSs to identify barriers and facilitators to their implementation in Australia. METHODS:A meta-synthesis of qualitative studies was performed. A systematic search in PubMed, Scopus and Informit was conducted to identify studies that explored patients', GPs' or nurses' views about CPSs in Australia. Thematic synthesis was performed to identify elements influencing CPS implementation, which were further classified using an ecological approach. RESULTS:Twenty-nine articles were included in the review, addressing 63 elements influencing CPS implementation. Elements were identified as a barrier, facilitator or both and were related to four ecological levels: individual patient (n=14), interpersonal (n=24), organisational (n=16) and community and healthcare system (n=9). It was found that patients, nurses and GPs identified elements reported in previous pharmacist-informed studies, such as pharmacist's training/education or financial remuneration, but also new elements, such as patients' capability to follow service's procedures, the relationships between GP and pharmacy professional bodies or the availability of multidisciplinary training/education. CONCLUSIONS:Patients, GPs and nurses can describe a large number of elements influencing CPS implementation. These elements can be combined with previous findings in pharmacists-informed studies to produce a comprehensive framework to assess barriers and facilitators to CPS implementation. This framework can be used by pharmacy service planners and policy makers to improve the analysis of the contexts in which CPSs are implemented.
journal_name
BMJ Openjournal_title
BMJ openauthors
Hossain LN,Fernandez-Llimos F,Luckett T,Moullin JC,Durks D,Franco-Trigo L,Benrimoj SI,Sabater-Hernández Ddoi
10.1136/bmjopen-2016-015471subject
Has Abstractpub_date
2017-09-05 00:00:00pages
e015471issue
9issn
2044-6055pii
bmjopen-2016-015471journal_volume
7pub_type
杂志文章,meta分析,评审相关文献
BMJ Open文献大全abstract:INTRODUCTION:Patients can develop trismus from their head and neck cancer or as a result of treatment. Trismus affects the jaw muscles and makes mouth opening difficult. To potentially combat trismus, patients could undertake proactive jaw stretching exercises prior to, during and after radiotherapy, although currently...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-021938
更新日期:2018-03-30 00:00:00
abstract:OBJECTIVES:To identify effective interventions to increase organ donor registration and improve knowledge about organ donation among ethnic minorities in North America and the UK. DESIGN:Systematic review. DATA SOURCES:MEDLINE, EMBASE, PsycINFO, CINAHL and Cochrane Central searched up to November 2012, together with ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-003453
更新日期:2013-12-20 00:00:00
abstract:INTRODUCTION:Regular toothbrushing with fluoride toothpaste is a fundamental intervention for caries prevention. Professional fluoride application (PFA) is widely considered a beneficial supplement to the routine use of fluoride toothpaste. However, some recent studies have failed to demonstrate the preventive effect o...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-037422
更新日期:2020-09-21 00:00:00
abstract:OBJECTIVE:This meta-analysis was performed to investigate the correlation between von Willebrand factor (vWF) antigen and hepatic venous pressure gradient (HVPG) and to evaluate the diagnostic performance of vWF to detect clinically significant portal hypertension (CSPH) and severe portal hypertension (SPH). DESIGN:Sy...
journal_title:BMJ open
pub_type: 杂志文章,meta分析
doi:10.1136/bmjopen-2018-025656
更新日期:2019-08-30 00:00:00
abstract:OBJECTIVES:Epidemiological studies evaluating the association between adiponectin levels and endometrial carcinoma risk have produced inconsistent results. Thus, a meta-analysis was conducted to assess the association between them. METHODS:Pertinent studies were identified by a search of PubMed and Web of Knowledge th...
journal_title:BMJ open
pub_type: 杂志文章,meta分析,评审
doi:10.1136/bmjopen-2015-008541
更新日期:2015-09-03 00:00:00
abstract:OBJECTIVE:Multimorbidity in patients with heart failure (HF) results in poor prognosis and is an increasing public health concern. We aim to examine the effect of multimorbidity focusing on type 2 diabetes mellitus (T2DM) and chronic kidney disease (CKD) on all-cause and cardiovascular disease (CVD)-specific mortality ...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2017-021291
更新日期:2018-05-20 00:00:00
abstract:INTRODUCTION:Labour induction in women with a previous caesarean delivery currently uses vaginal prostaglandin E2 (PGE2), which carries the risks of uterine hyperstimulation and scar rupture. We aim to compare the efficacy of mechanical labour induction using a transcervically applied Foley catheter balloon (FCB) with ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-028896
更新日期:2019-11-06 00:00:00
abstract:OBJECTIVE:Leadership is associated with organisational performance in healthcare, including quality, safety and clinical outcomes for patients. Leadership development programmes have proliferated in recent years. Nevertheless, very few have examined participant experiences in depth in order to understand which programm...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-035797
更新日期:2020-04-06 00:00:00
abstract:OBJECTIVES:Compared with controls, multiple sclerosis (MS) patients die, on average, 7-14 years prematurely. Previously, we reported that, 21 years after their participation in the pivotal randomised, controlled trial (RCT) of interferon β-1b, mortality was reduced by 46-47% in the two groups who received active therap...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-001972
更新日期:2012-11-30 00:00:00
abstract::Aims To study long-term sick-listed patients' self-estimated ability to return to work after experiences of healthcare encounters that made them feel either respected or wronged. Methods A cross-sectional and questionnaire-based survey was used to study a sample of long-term sick-listed patients (n=5802 respondents)....
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2011-000246
更新日期:2011-01-01 00:00:00
abstract:OBJECTIVES:We examined the patterns of total and domain-specific physical activity (PA) by sex, socioeconomic status and maternal education level in adolescents from Sao Paulo city, Brazil. DESIGN:Cross-sectional study. PARTICIPANTS:We included a representative sample of 2682 (52.2% boys) adolescents aged 14-15 years...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-037290
更新日期:2020-09-02 00:00:00
abstract:OBJECTIVES:Linkage of electronic health records (EHRs) to Hospital Episode Statistics (HES)-Office for National Statistics (ONS) mortality data has provided compelling evidence for lower life expectancy in people with severe mental illness. However, linkage error may underestimate these estimates. Using a clinical samp...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-035884
更新日期:2020-07-07 00:00:00
abstract:OBJECTIVES:Novel therapeutics are an important part of ophthalmologists' armamentarium, and the risks and benefits of these therapies must be carefully evaluated. We sought to quantify the characteristics of the pivotal clinical trials supporting the regulatory approval of new ophthalmic drugs and medical devices. DES...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-007987
更新日期:2015-06-04 00:00:00
abstract:OBJECTIVES:To assess the communication potential of three-dimensional (3D) patient-specific models of congenital heart defects and their acceptability in clinical practice for cardiology consultations. DESIGN:This was a questionnaire-based study in which participants were randomised into two groups: the 'model group' ...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2014-007165
更新日期:2015-04-30 00:00:00
abstract:OBJECTIVE:The COVID-19 pandemic is a global public health crisis, with over 33 million cases and 999 000 deaths worldwide. Data are needed regarding the clinical course of hospitalised patients, particularly in the USA. We aimed to compare clinical characteristic of patients with COVID-19 who had in-hospital mortality ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-040736
更新日期:2020-11-27 00:00:00
abstract::OBJECTIVES: To assess the impact of lower socioeconomic status on the outcome of major torso trauma patients under the single-payer system by the National Health Insurance (NHI) in Taiwan. DESIGN: A nationwide, retrospective cohort study. SETTING: An observational study from the NHI Research Database (NHIRD), invol...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032062
更新日期:2019-11-12 00:00:00
abstract:BACKGROUND:Birth weight is a critical indicator of neonatal health and foretells people's health in adolescence and even adulthood. Some researchers have warned against the adverse effects on babies' birth weight of exposure to pollutants in interior decoration or oil paint by odour intake. This study evaluated the eff...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-013700
更新日期:2017-08-21 00:00:00
abstract:OBJECTIVES:To explore the extent to which doctor-rating websites are known and used among a sample of respondents from London. To understand the main predictors of what makes people willing to use doctor-rating websites. DESIGN:A cross-sectional study. SETTING:The Borough of Hammersmith and Fulham, London, England. ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-001493
更新日期:2012-11-12 00:00:00
abstract:OBJECTIVE:The 2010 healthcare reform in England introduced primary care-led commissioning in the National Health Service (NHS) by establishing clinical commissioning groups (CCGs). A key factor for the success of the reform is the provision of excellent commissioning support services to CCGs. The Government's aim is to...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-005970
更新日期:2014-10-15 00:00:00
abstract:OBJECTIVE:The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement has been developed as a guideline for reporting systematic reviews and meta-analyses. Despite the prevalent use of the PRISMA statement in medicine and nursing, no studies have examined authors' perception of it. The pur...
journal_title:BMJ open
pub_type: 杂志文章,meta分析
doi:10.1136/bmjopen-2018-026271
更新日期:2019-04-20 00:00:00
abstract:OBJECTIVES:To assess the quality of sleep of employees in the German offshore wind industry and to explore factors associated with poor sleep quality. DESIGN:Web-based cross-sectional survey. SETTING:Offshore companies operating in wind farms within the German exclusive economic zone. PARTICIPANTS:Workers with regul...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-024006
更新日期:2018-11-18 00:00:00
abstract:INTRODUCTION:Return to work (RTW) after breast cancer (BC) is still a new field of research. The factors determining shorter sick leave duration of patients with BC have not been clearly identified. The aim of this study was to describe work during BC treatment and to identify factors associated with sick leave duratio...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2017-020276
更新日期:2018-05-18 00:00:00
abstract:OBJECTIVES:National guidelines recommend mobilisation in bed as early as possible after acute stroke. Little is known about the influence of upright positioning on real-time cerebral flow variables in patients with stroke. We aimed to assess whether cerebral blood flow velocity (CBFV) changes significantly after uprigh...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-002960
更新日期:2013-08-14 00:00:00
abstract:OBJECTIVE:The Chief Nurse National Health Service Wales initiated a national survey of acute and community hospital patients in Wales to identify the prevalence of pressure ulcers and incontinence-associated dermatitis. METHODS:Teams of two nurses working independently assessed the skin of each inpatient who consented...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2016-015616
更新日期:2017-08-21 00:00:00
abstract:OBJECTIVES:To examine if the estimated glomerular filtration rate (eGFR) slope over a 5-year period is related to incident cardiovascular (CV) events in the following 5 years. DESIGN:Retrospective cohort study. SETTING:Primary care. PARTICIPANTS:All patients aged ≥50 years with at least four eGFR measurements betwee...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-023594
更新日期:2018-11-12 00:00:00
abstract:INTRODUCTION:Haemophilia is a rare, inherited disorder in which blood does not clot normally, resulting in bleeding into joints and muscles. Long-term consequence is disabling joint pain, stiffness, muscle weakness, atrophy and reduced mobility. The purpose of this proposed feasibility of a randomised controlled trial ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-029474
更新日期:2019-08-01 00:00:00
abstract::Objective A randomised controlled study performed from 2007 to 2008 showed beneficial effects of a composite clinical pharmacist service as regards a simple health status instrument. The present study aimed to evaluate if the intervention was cost-effective when evaluated in a decision-theoretic model. Design A piggy...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2011-000329
更新日期:2012-01-05 00:00:00
abstract:INTRODUCTION:One in five men is likely to receive a diagnosis of prostate cancer (PCa) by the age of 85 years. Men diagnosed with low-risk PCa may be eligible for active surveillance (AS) to monitor their cancer to ensure that any changes are discovered and responded to in a timely way. Communication of risk in this co...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-017372
更新日期:2017-10-05 00:00:00
abstract:OBJECTIVES:To investigate the relationship between low-density lipoprotein cholesterol (LDL-C) and all-cause mortality among middle-aged and elderly Chinese population. DESIGN:Prospective cohort study. SETTING:This study used data from the China Health and Retirement Longitudinal Study. PARTICIPANTS:Middle-aged and ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-036976
更新日期:2020-08-16 00:00:00
abstract:OBJECTIVE:This paper explores what aspects of a multicomponent intervention were deemed strengths and weaknesses by teenagers and the local council when promoting physical activity to young people. DESIGN:Qualitative findings at 12 months from a mixed method randomised control trial. METHODS:Active Children Through I...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2018-025618
更新日期:2019-05-10 00:00:00