I find the following barriers in providing ECPS | Median (IQR score) | |
---|---|---|
Attitudinal factors | My level of understanding of ECPS | 1 (1–2) |
Other pharmacists’ attitudes towards ECPS | 1 (1–2) | |
Fear of change among pharmacists | 2 (1–2) | |
Lack of motivation among pharmacists | 2 (1–3) | |
Lack of confidence among pharmacists | 2 (2–3) | |
Lack of incentive for employee pharmacists | 3 (2–3) | |
Skill-set factors (lack of advanced practice Skills) | Lack of therapeutics knowledge among pharmacists | 2 (1–3) |
Lack of clinical problem-solving skills | 1 (1–2) | |
Lack of communication skills | 1 (1–2) | |
Lack of specific training | 2 (1–3) | |
Lack of documentation (processes/software) | 3 (2–3) | |
Lack of drug information resources (processes/access) | 2 (1–3) | |
Resource-related constraints | Insufficient time | 3 (2–3) |
Insufficient finances | 2 (1–3) | |
Appropriate physical space | 2 (1–3) | |
Motivated personnel (e.g., pharmacists, technicians) | 3 (2–3) | |
Appropriate management systems (e.g., workflow) | 2 (2–3) | |
System-related constraints | Lack of reimbursement system | 3 (2–3) |
Lack of patient demand | 3 (2–3) | |
Doctor/nurse resistance | 2 (1–3) | |
Lack of access to patient medical records | 2 (1–3) | |
Lack of data on value of ECPS | 1 (1–2) | |
Patient related | Patients are not willing | 2 (1–3) |
Patients are usually busy | 1 (1–2) | |
Non-willingness for payment | 2 (1–2) | |
Lack of private consultation room | 2 (1–2) |