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Implementation, barriers, solving strategies and future perspectives of reimbursed community pharmacy services - a nationwide survey for community pharmacies in Germany

Authors: Ann-Christin Kroenert; Thilo Bertsche;

Implementation, barriers, solving strategies and future perspectives of reimbursed community pharmacy services - a nationwide survey for community pharmacies in Germany

Abstract

Abstract Background Since June 2022, the legal framework has been created for German community pharmacies to offer their patients five reimbursed community pharmacy services that go beyond the current operating regulations. However, little is known about barriers that hinder their implementation. We therefore aimed to investigate the implementation of reimbursed community pharmacy services (i), barriers to the implementation (ii), solving strategies to overcome the barriers (iii), and future perspectives (iv). The objective of this study is to find out how the implementation of community pharmacy services can be facilitated for community pharmacies so that more services can be offered. Methods In July 2023, we created an online survey and sent it to pharmacists in community pharmacies, including those who offered reimbursed community pharmacy services and those who did not. Results Overall, 218 pharmacists from 218 different community pharmacies participated. (i) Of those, 176 (81%) already offered at least one reimbursed community pharmacy service. (ii) For hypertension service, 33% of the offering pharmacists reported barriers in “Communicating with patients,” and 41% reported “Too little patient demand.” For polymedication service, 53% of the offering pharmacists indicated “Barriers in communication with physicians,” and 44% mentioned “Fear of competing with physicians.” (iii) The most frequently reported solving strategies of pharmacists in offering pharmacies were taking advanced training (median of all five services 42%) and developing standardized procedures (median of all five services 34%). In contrast, pharmacists in non-offering pharmacies had not developed any solving strategies (median of all five services 40%). (iv) 64% of the pharmacists in non-offering pharmacies could imagine being able to offer reimbursed community pharmacy services in the future. Conclusions Many German pharmacies already offer reimbursed community pharmacy services. However, there are still barriers to widespread implementation. Therefore, customized support regarding the needs of the pharmacies should be provided since most pharmacists who do not yet offer these services today can imagine offering them in the future.

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Keywords

Male, Adult, Research, Surveys and Questionnaires [MeSH] ; Female [MeSH] ; Community Pharmacy services ; Adult [MeSH] ; Humans [MeSH] ; Community Pharmacy Services [MeSH] ; Germany ; Middle Aged [MeSH] ; Pharmacists ; Pharmacists/psychology [MeSH] ; Community pharmacists ; Reimbursement Mechanisms [MeSH] ; Male [MeSH] ; Research ; Germany [MeSH] ; Community pharmacies ; Survey, Community Pharmacy Services, Middle Aged, Community Pharmacy services, Pharmacists, Reimbursement Mechanisms, Community pharmacists, Germany, Surveys and Questionnaires, Humans, Female, Community pharmacies, Public aspects of medicine, RA1-1270, Survey

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
1
Average
Average
Average
Green
gold