Table 4.
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. |