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The Swiss federal government promoted the evaluation of an inter-professional patient support model, including regular motivational interviews patient-pharmacist , medication adherence and patient-reported outcomes monitoring and interactions with physicians.
The aim of this month study was to evaluate the implementation process of a programme tailored to patients with type 2 diabetes, taking at least one oral antidiabetic treatment. This is a prospective, multi-centric, observational, cohort study using a hybrid implementation-effectiveness design and the Framework for the Implementation of Services in Pharmacy FISpH [1]. Outcomes were assessed at each stage of the implementation process using both quantitative and qualitative methods. A set of implementation measures reported on the process number of pharmacies going through the stages , outcomes e.
Two-hundred-twelve patients were included to benefit from the support programme in 27 pharmacies. The mean inclusion rate per pharmacy was 8 patients SD 6, range: We observed a step-by-step implementation process: 1 internal organisation: teaching and coaching of the pharmacy team, identification of eligible patients, 2 preparation of inter-professional collaboration: information and local networking with physicians; and 3 relationship building with patients.
This evaluation provided evidence regarding the implementation capacity and acceptability of the programme by pharmacy teams, patients with diabetes and physicians: a promising start for inter-professional chronic care services. Model for the evaluation of implementation programs and professional pharmacy services. Res Social Adm Pharm. Translating evidence into complex health systems is an ongoing challenge.
