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Facilitators and strategies to implement clinical pharmacy services in a metropolis in Northeast Brazil: a qualitative approach

Overview of attention for article published in BMC Health Services Research, August 2018
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Title
Facilitators and strategies to implement clinical pharmacy services in a metropolis in Northeast Brazil: a qualitative approach
Published in
BMC Health Services Research, August 2018
DOI 10.1186/s12913-018-3403-4
Pubmed ID
Authors

Sheila Feitosa Ramos, Genival Araujo dos Santos Júnior, André Mascarenhas Pereira, Aline Santana Dosea, Kérilin Stancine Santos Rocha, Déborah Mônica Machado Pimentel, Divaldo Pereira de Lyra-Jr

Abstract

Clinical Pharmacy Services (CPS) are a reality in many health systems around the world. However, there are few studies that discuss the facilitators and the strategies to implement CPS in healthcare systems. In this way, the objective of this study was to identify the facilitators and strategies involved in the CPS implementation process in some public health units in a metropolis in the Northeast Brazil. A qualitative study was carried out with health-system pharmacists and managers who experienced the implementation of CPS. Therefore, focus groups were conducted with pharmacists, and the interviews with the managers. The discussions were carried out through semi-structured scripts and were recorded in audio and videos, after the signature of the consent form. The recordings were transcribed and analyzed independently through content analysis, followed by consensus meetings between researchers. Two focus groups were conducted, with an average of seven pharmacists per group, and five interviews with local health managers. Participants reported 39 facilitators who were related to the categories: local healthcare network, healthcare team, pharmacists and implementation process of the CPS. And 21 strategies attributed to the following categories: local healthcare network, pharmacists and implementation process of the CPS. This study identified facilitators and strategies of the implementation of CPS. Most of the positive experiences were related to the clinical skills and proactive attitudes of pharmacists. These findings may support pharmacists and health managers to implement CPS in health systems.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 84 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 84 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 12 14%
Student > Bachelor 12 14%
Student > Ph. D. Student 7 8%
Student > Postgraduate 4 5%
Lecturer 3 4%
Other 12 14%
Unknown 34 40%
Readers by discipline Count As %
Pharmacology, Toxicology and Pharmaceutical Science 21 25%
Medicine and Dentistry 9 11%
Nursing and Health Professions 8 10%
Agricultural and Biological Sciences 3 4%
Unspecified 2 2%
Other 7 8%
Unknown 34 40%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 15 August 2018.
All research outputs
#18,531,643
of 23,798,792 outputs
Outputs from BMC Health Services Research
#6,576
of 7,915 outputs
Outputs of similar age
#240,194
of 331,982 outputs
Outputs of similar age from BMC Health Services Research
#175
of 189 outputs
Altmetric has tracked 23,798,792 research outputs across all sources so far. This one is in the 19th percentile – i.e., 19% of other outputs scored the same or lower than it.
So far Altmetric has tracked 7,915 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.0. This one is in the 14th percentile – i.e., 14% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 331,982 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 22nd percentile – i.e., 22% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 189 others from the same source and published within six weeks on either side of this one. This one is in the 5th percentile – i.e., 5% of its contemporaries scored the same or lower than it.