Audit report on Iowa State University of Science and Technology as of and for the year ended June 30, 2008

Audit report on Iowa State University of Science and Technology as of and for the year ended June 30, 2008

Audit report on Adams County, Iowa for the year ended June 30, 2008

Audit report on Adams County, Iowa for the year ended June 30, 2008

Audit report on Lee County, Iowa for the year ended June 30, 2008

Audit report on Lee County, Iowa for the year ended June 30, 2008

Audit report on Grundy County, Iowa for the year ended June 30, 2008

Audit report on Grundy County, Iowa for the year ended June 30, 2008

Audit report on Palo Alto County, Iowa for the year ended June 30, 2008

Audit report on Palo Alto County, Iowa for the year ended June 30, 2008

Audit report on Butler County, Iowa for the year ended June 30, 2008

Audit report on Butler County, Iowa for the year ended June 30, 2008

Audit report on Dickinson County, Iowa for the year ended June 30, 2008

Audit report on Dickinson County, Iowa for the year ended June 30, 2008

Audit report on the Fremont County Landfill Commission for the year ended June 30, 2008

Audit report on the Fremont County Landfill Commission for the year ended June 30, 2008

Audit report for the State University of Iowa for the year ended June 30, 2008

Audit report for the State University of Iowa for the year ended June 30, 2008

Exploring the implementation of a medication adherence programme by community pharmacists : a qualitative study

Background Medication adherence has been identified as an important factor for clinical success. Twenty-four Swiss community pharmacists participated in the implementation of an adherence support programme for patients with hypertension, diabetes mellitus and/or dyslipidemia. The programme combined tailored consultations with patients about medication taking (expected at an average of one intervention per month) and the delivery of each drug in an electronic monitoring system (MEMS6?). Objective To explore pharmacists' perceptions and experiences with implementation of the medication adherence programme and to clarify why only seven patients were enrolled in total. Setting Community pharmacies in French-speaking Switzerland. Method Individual in-depth interviews were audio-recorded, with 20 of the pharmacists who participated in the adherence programme. These were transcribed verbatim, coded and thematically analysed. Process quality was ensured by using an audit trail detailing the development of codes and themes; furthermore, each step in the coding and analysis was verified by a second, experienced qualitative researcher. Main outcome measure Community pharmacists' experiences and perceptions of the determining factors influencing the implementation of the adherence programme. Results Four major barriers were identified: (1) poor communication with patients resulting in insufficient promotion of the programme; (2) insufficient collaboration with physicians; (3) difficulty in integrating the programme into pharmacy organisation; and (4) insufficient pharmacist motivation. This was related to the remuneration perceived as insufficient and to the absence of clear strategic thinking about the pharmacist position in the health care system. One major facilitator of the programme's implementation was pre-existing collaboration with physicians. Conclusion A wide range of barriers was identified. The implementation of medication adherence programmes in Swiss community pharmacies would benefit from an extended training aimed at developing communication and change management skills. Individualised onsite support addressing relevant barriers would also be necessary throughout the implementation process.

Audit report on Boone County, Iowa for the year ended June 30, 2008

Audit report on Boone County, Iowa for the year ended June 30, 2008

Audit report on Clinton County, Iowa for the year ended June 30, 2008

Audit report on Clinton County, Iowa for the year ended June 30, 2008

Audit report on Fremont County, Iowa for the year ended June 30, 2008

Audit report on Fremont County, Iowa for the year ended June 30, 2008

Audit report on the City of Clarinda, Iowa for the year ended June 30, 2008

Audit report on the City of Clarinda, Iowa for the year ended June 30, 2008