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Factors that Influence the Intent of Pharmacists in the Provision of Medication Therapy Management Services

Simon, Angela
http://orcid.org/0000-0001-7265-9849
http://rave.ohiolink.edu/etdc/view?acc_num=mco1525345350514247

Abstract Details

2018, Master of Science (MS), University of Toledo, Pharmaceutical Sciences (Health Outcomes and Socioeconomic Sciences).
Background: Medication therapy management (MTM) is a set of services that have proven to optimize therapeutic outcomes and be extremely beneficial to patients. However, evidence suggests that pharmacists are not providing MTM services at the rate that they could be. While studies have elucidated on the facilitators and barriers for pharmacists when providing MTM, few have offered a comprehensive explanation that encompasses both physical and psychosocial factors. The Theory of Reasoned Action can be used to assess the attitudes, self-efficacy, and intent of pharmacists in the provision of MTM services (MTMS). Methods: This is a cross-sectional, survey-based study. The survey contains five sections and 48 items that measure constructs relating to a modified Theory of Reasoned Action (TRA). The survey was administered via the web-based platform Qualtrics. From a list obtained from the Ohio State Board of Pharmacy, 12,140 registered pharmacists were emailed the electronic survey. Descriptive statistics will be used and composite scores will be calculated for the constructs in the TRA. Pearson’s correlations and binary logistic regression analyses will be done to address the third objective. Lastly, a qualitative analysis was conducted for three open-ended survey questions. Results: A total of 487 responses were retained for analysis. The majority of participants had positive attitudes (71.4%), subjective norm (60.3%), and self-efficacy (75.2%) toward the provision of MTMS. Of MTMS providers, most intended to continue providing MTMS (91.3%). A lesser percentage (40.6%), intended to provide additional MTMS to their current selection of services. Of non-MTMS, only 30.0% intended to begin providing such services. All TRA constructs were found to relate to each other among MTMS providers and a supporting supervisor (p=0.010), easy billing (p=0.032), and high confidence (p=0.21) were predictive of intention. Qualitative analyses identified that many participants consider time, access to a billing platform, training materials, and managerial support as the main facilitators for the provision of MTMS. Lack of time, inadequate staff, and lack of managerial support were identified as the main barriers. Conclusion: Managerial support and self-efficacy is vital to the successful incorporation of MTMS in pharmacy practice. To cement the value of pharmacist-provided MTM to administration, its financial value must be proven. Providers’ status is key to address this. Additionally, pharmacists must be well-equipped and trained to effectively provide MTMS when providers’ status is granted to be able to quickly transition into a more clinical role. Access to MTM-specific training materials in the pharmacy can help better equip pharmacists to provide these services.
Sharrel Pinto, PhD (Committee Chair)
Cindy Puffer, RPh (Committee Member)
Sadik Khuder, PhD (Committee Member)
Pharmacy Sciences
Medication Therapy Management; Theory of Reasoned Action

Recommended Citations

Citations

  • Simon, A. (2018). Factors that Influence the Intent of Pharmacists in the Provision of Medication Therapy Management Services [Master's thesis, University of Toledo]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=mco1525345350514247

    APA Style (7th edition)

  • Simon, Angela. Factors that Influence the Intent of Pharmacists in the Provision of Medication Therapy Management Services. 2018. University of Toledo, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=mco1525345350514247.

    MLA Style (8th edition)

  • Simon, Angela. "Factors that Influence the Intent of Pharmacists in the Provision of Medication Therapy Management Services." Master's thesis, University of Toledo, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=mco1525345350514247

    Chicago Manual of Style (17th edition)

mco1525345350514247
578
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This open access ETD is published by University of Toledo Health Science Campus and OhioLINK.