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Diabetes and Cardiovascular Diseases Risk Assessment in Community Pharmacies: An Implementation Study

par Rondeaux, Sarah ;Braeckman, Tessa;Beckwé, Mieke;Biset, Natacha ;Maesschalck, Joris;Duquet, Nathalie;De Wulf, Isabelle;Devroey, Dirk;De Vriese, Carine
Référence International journal of environmental research and public Health, 19, 14
Publication Publié, 2022-07

Article révisé par les pairs

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Résumé :

The implementation of a new service is often challenging when translating research findings into routine clinical practices. This paper presents the results of the implementation study of a pilot project for a diabetes and cardiovascular diseases risk-assessment service in Belgian community pharmacies. To evaluate the implementation of the service, a mixed method was used that follows the RE-AIM framework. During the testing stage, 37 pharmacies participated, including five that dropped out due to a lack of time or COVID-19-related temporary obligations. Overall, 502 patients participated, of which 376 (74.9%) were eligible for according-to-protocol analysis. Of these, 80 patients (21.3%) were identified as being at high risk for the targeted diseases, and 100 (26.6%) were referred to general practice for further investigation. We presented the limited effectiveness and the key elements influencing optimal implementation. Additional strategies, such as interprofessional workshops, a data-sharing platform, and communication campaigns, should be considered to spread awareness of the new role of pharmacists. Such strategies could also promote collaboration with general practitioners to ensure the follow-up of patients at high risk. Overall, this service was considered easy to perform and feasible in practice but would require financial and external support to ensure its effectiveness, sustainability, and larger-scale implementation.