IMPLEMENTATION AND SYSTEMATIZATION OF A COMPREHENSIVE MEDICATION MANAGEMENT (CMM) SERVICE DELIVERED TO WOMEN WITH BREAST CANCER


Maria Angela Ribeiro, Simone Araújo Medina Mendonça, Agnes Ribeiro Filardi, Anna Claudia Yokoyama Dos Anjos, Djenane Ramalho De Oliveira

Abstract


 

 Objective: The aim of the present study was to describe the process of implementation and systematization of a comprehensive medication management (CMM) service, from the perspective of the participants involved, in a high complexity service that cares for women with breast cancer in Brazil.

Methods: A qualitative study that utilized action research that followed the procedures proposed by Kurt Lewin and the ethical and clinical principles of pharmaceutical care practice. Data collection techniques were participant observation between August 2014 and December 2016, semi-structured interviews with eight pharmacists and pharmacy residents, field notes, and analysis of documents.

Results: Six major themes emerged in four cycles of the action research process: (1) Resistance is human; the management of conflict is necessary; (2) insecurity with being a clinician; (3) management of change supported by driving forces; (4) pharmaceutical care fostering professionals’ self-efficacy; (5) documentation as the conducting wire of the practice; and (6) the advantages of a systematized practice.

Conclusion: The study offered an understanding of the process of implementation of CMM services from the perspective of pharmacists. It produced knowledge on the experiences of pharmacists as they lived through the process of transformation of their professional practice to offer a patient-centered and systematized service. The framework of Lewin supported the introduction of a new work path for pharmacists, which could be operationalized as an innovative technology for the Brazilian health-care system: CMM services.


Keywords


Comprehensive medication management services, Medication therapy management, Pharmaceutical care, Breast cancer, Action research, Qualitative research.

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References


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About this article

Title

IMPLEMENTATION AND SYSTEMATIZATION OF A COMPREHENSIVE MEDICATION MANAGEMENT (CMM) SERVICE DELIVERED TO WOMEN WITH BREAST CANCER

Topics

Pharmacia; Pharmaceutical Care; Clinical Pharmacy.

Keywords

Comprehensive medication management services, Medication therapy management, Pharmaceutical care, Breast cancer, Action research, Qualitative research.

DOI

10.22159/ajpcr.2018.v11i1.21537

Date

01-01-2018

Additional Links

Manuscript Submission

Journal

Asian Journal of Pharmaceutical and Clinical Research
Vol 11 Issue 1 January 2018 Page: 228-235

Print ISSN

0974-2441

Online ISSN

2455-3891

Statistics

33 Views | 9 Downloads

Authors & Affiliations

Maria Angela Ribeiro
Federal University of Minas Gerais, UFMG, Belo Horizonte, MG.
Brazil

Simone Araújo Medina Mendonça
Federal University of Juiz de Fora, UFJF, campus Governador Valadares, MG.
Brazil

Agnes Ribeiro Filardi
Federal University of Minas Gerais, UFMG, Belo Horizonte, MG
Brazil

Anna Claudia Yokoyama Dos Anjos
Federal University of Uberlândia, UFU, Uberlândia, MG
Brazil

Djenane Ramalho De Oliveira
Federal University of Minas Gerais, UFMG, Belo Horizonte, MG
Brazil


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