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. 2018 Apr 18;18(2):4. doi: 10.5334/ijic.3293

Table 4.

TICD implementation factors.

TICD Domain Barrier Facilitator

Guideline factors Lack of guidelines, training and resources.
Uncertain project timelines.
Data collection spreadsheet design.
Individual health professional factors Individual general practitioners resistant to service.
Individual pharmacist characteristics- lack of confidence and/or competence.
Pharmacist perceived as a threat to the general practitioner’s professional territory.
General practitioners willing to collaborate.
Positive professional relationship between pharmacist and general practitioner.
Warm handover.
Pharmacist proactive and clinically competent.
Good communication between pharmacist and general practitioner.
Patient Factors Patient resistance to service. Improvement in patient outcomes due to ongoing follow up and review.
Improved communication due to real time synchronous discussion.
Doctor recommendation and introduction of the pharmacist reduced patient resistance
Professional Interactions Lack of an established relationship between pharmacist and general practitioner and/or practice staff.
Lack of general practitioner co-operation.
Uncertainty regarding the role of the practice pharmacist.
Resistance from community pharmacy.
Pharmacist unable to establish rapport with other team members.
Team support.
Incentives and resources Costs relating to the intervention.
Lack of pharmacist remuneration and government funding for the service.
Limited availability of the clinical pharmacist.
Allocation of sufficient funding.
Increased pharmacist contact hours.