Pharmacy World and Science

, Volume 27, Issue 2, pp 108–115 | Cite as

A qualitative study of health-care personnel’s experience of a satellite pharmacy at a HIV clinic

  • Björn M. H. SödergårdEmail author
  • Karmela Baretta
  • Mary P. Tully
  • Åsa M. KettisLindblad
Research Article


Objective: The aim of the study was to investigate how health-care personnel at a HIV clinic perceived conventional pharmacies in Sweden and whether the decentralization of pharmaceutical services to the HIV clinic had led to an improved collaboration between other health-care professionals and pharmacists.

Methods: Doctors and nurses who had regular contacts with HIV patients and the satellite pharmacy were interviewed. The interviews were semi-structured, using open questions and was analysed according to the phenomenographic approach.

Results: The respondents perceived the existing co-work between conventional pharmacies and other health care professionals as limited. The availability of the satellite pharmacy enabled the health care professionals to understand the pharmacys’ way of working, and to increase trust in the pharmacy staff. Collaboration was hence developed between the professions, leading to a consistent way of informing the patients about their HIV drugs, thereby avoiding contradictory information. The pharmacist also became involved in adherence promoting activities at the clinic. The perceived benefits for the patients were considered to be convenience and preservation of privacy as well as a better basis for safe and appropriate drug utilisation.

Conclusion: Conventional pharmacies were shown to have several disadvantages in serving the HIV infected population. The health care professionals found the novel approach of dispensing HIV drugs at the clinic valuable. The approach led to increased communication and trust between the health care professions, and enhanced teamwork in medication management.


Community Pharmacy practice Health care personnel HIV clinic Hospital pharmacy practice Medication management Patient adherence Qualitative research Sweden 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Murphy, EL, Collier, AC, Kalish, LA, Assmann, SF, Para, MF, Flanigan, TP,  et al. 2001Highly active antiretroviral therapy decreases mortality and morbidity in patients with advanced HIV diseaseAnn Intern Med1351726PubMedGoogle Scholar
  2. 2.
    Paterson, DL, Swindells, S, Mohr, J, Brester, M, Vergis, EN, Squier, C,  et al. 2000Adherence to protease inhibitor therapy and outcomes in patients with HIV infectionAnn Intern Med1332130PubMedGoogle Scholar
  3. 3.
    Kelly, JA, Otto-Salaj, LL, Sikkema, KJ, Pinkerton, SD, Bloom, FR. 1998Implications of HIV treatment advances for behavioral research on AIDS: protease inhibitors and new challenges in HIV secondary preventionHealth Psychol17310319CrossRefPubMedGoogle Scholar
  4. 4.
    Nykamp, D, Barnett, CW, Lago, M, Parham, DL, Fernandez, ES. 1997Cost of medication therapy in ambulatory HIV-infected patientsAnn Pharmacother31303317PubMedGoogle Scholar
  5. 5.
    Hsiao, AF, Wong, MD, Kanouse, DE, Collins, RL, Liu, H, Andersen, RM.,  et al. 2003Complementary and alternative medicine use and substitution for conventional therapy by HIV-infected patientsJ Acquir Immune Defic Syndr33157165PubMedGoogle Scholar
  6. 6.
    Foisy, MM, Tseng, A, Blaikie, N. 1996provision of continuity of care to patients with human immunodeficiency virus infectionAm J Health Syst Pharm5310131017PubMedGoogle Scholar
  7. 7.
    Jallow A, Kälvemark S, Persson PM, Hellgren U, Ericsson ö. Identification and comparison of problems in HIV infected homo- or bisexuals, former injecting drug users and Africans receiving antiretroviral therapy in Sweden. Research report. Stockholm: Apoteket AB, 2003Google Scholar
  8. 8.
    Pehrson PO, Halvarsson M. Can it be better - 85% with VL< 50 after medium treatment for 55 months? In: Proceedings of the Sixth International Congress on Drug therapy in HIV infection. Glasgow, UK, 2002Google Scholar
  9. 9.
    Ritchey, FJ, Raney, MR. 1981Medical role-task boundary maintenance: physicians’ opinions on clinical pharmacyMed Care1990103PubMedGoogle Scholar
  10. 10.
    Ritchey, FJ, Raney, MR. 1981Effect of exposure on physicians’ attitudes toward clinical pharmacistsAm J Hosp Pharm3814591463PubMedGoogle Scholar
  11. 11.
    Bailie, GR, Romeo, B. 1996New York State primary care physicians’ attitudes to community pharmacists’ clinical servicesArch Intern Med15614371441CrossRefPubMedGoogle Scholar
  12. 12.
    Spencer, JA, Edwards, C. 1992Pharmacy beyond the dispensary: general practitioners’ viewsBMJ30416701672PubMedGoogle Scholar
  13. 13.
    Adamcik, BA, Ransford, HE, Oppenheimer, PR, Brown, JF, Eagan, PA, Weissman, FG 1986New clinical roles for pharmacists: a study of role expansionSoc Sci Med2311871200CrossRefPubMedGoogle Scholar
  14. 14.
    Smith, WE, Ray, MD, Shannon, DM. 2002Physicians’ expectations of pharmacistsAm J Health Syst Pharm595057PubMedGoogle Scholar
  15. 15.
    Thompson, DF, Kaczmarek, ER, Hutchinson, RA. 1988Attitudes of pharmacists and nurses toward interprofessional relations and decentralized pharmaceutical servicesAm J Hosp Pharm45345351PubMedGoogle Scholar
  16. 16.
    Ross, MB, Ryan, ML. 1988Nurses’ attitudes toward pharmaceutical services before and after decentralizationAm J Hosp Pharm45351356PubMedGoogle Scholar
  17. 17.
    Wong, RJ, Volberding, PA. 1988Providing clinical pharmacy services in an AIDS-oncology ambulatory-care clinicAm J Hosp Pharm4523512354PubMedGoogle Scholar
  18. 18.
    Warnock AC, Rimland D.(1994) The provision of pharmaceutical care in a Veterans’ Affairs Medical Center outpatient HIV clinic. Hosp Pharm 29(2): 114-6, 119-20Google Scholar
  19. 19.
    Colombo J. Establishing pharmaceutical care services in an HIV clinic. J Am Pharm Assoc (Wash). 1997; NS37(5): 581-92; quiz 593-4Google Scholar
  20. 20.
    Geletko, SM, Poulakos, MN. 2002Pharmaceutical services in an HIV clinicAm J Health Syst Pharm5970913PubMedGoogle Scholar
  21. 21.
    Dahlgren, LO, Fallsberg, M. 1991Phenomenography as a qualitative approach in social pharmacy researchJ Soc Admin Pharm8150156Google Scholar
  22. 22.
    Harding, G, Taylor, KM. 1990Professional relationships between general practitioners and pharmacists in health centresBr J Gen Pract40464466PubMedGoogle Scholar
  23. 23.
    Edmunds, J, Calnan, MW. 2001The reprofessionalisation of community pharmacy? An exploration of attitudes to extended roles for community pharmacists amongst pharmacists and General Practioners in the United KingdomSoc Sci Med53943955CrossRefPubMedGoogle Scholar
  24. 24.
    Ruth, D, Hodge, MM, Murphy, B. 1994Patient drug educationImproving the working relationship between general practitioners and pharmacists. Aust Fam Physician2315361541Google Scholar
  25. 25.
    McCallin, A. 2001Interdisciplinary practice - a matter of teamwork: an integrated literature reviewJ Clin Nurs10419428CrossRefPubMedGoogle Scholar
  26. 26.
    Claxton, AJ, Cramer, J, Pierce, C. 2001A systematic review of the associations between dose regimens and medication complianceClin Ther2312961310CrossRefPubMedGoogle Scholar
  27. 27.
    Sprangers, MA, Schwartz, CE. 1999Integrating response shift into health-related quality of life research: a theoretical modelSoc Sci Med4815071515CrossRefPubMedGoogle Scholar
  28. 28.
    Baretta K. Sjukvårdspersonalens attityd till Apoteket AB [Health care personnels’ attitudes toward Apoteket AB]. Research report. Uppsala: Department of Pharmaceutical Biosciences, Uppsala University, Sweden, 2002.Google Scholar

Copyright information

© Springer 2005

Authors and Affiliations

  • Björn M. H. Södergård
    • 1
    Email author
  • Karmela Baretta
    • 2
  • Mary P. Tully
    • 1
  • Åsa M. KettisLindblad
    • 3
  1. 1.Department of PharmacyUppsala University, Sweden / Hospital Pharmacy, Huddinge University HospitalStockholmSweden
  2. 2.Department of Pharmaceutical BiosciencesUppsala UniversitySweden
  3. 3.Department of PharmacyUppsala UniversitySweden

Personalised recommendations