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Lectures

Implementation Science

Prof. Dr. Michel Wensing, Germany               

Implementation science has been defined as ‘the scientific study of methods to promote the systematic uptake of research findings and other evidence-based practices into routine practice, and, hence, to improve the quality and effectiveness of health services. ‘ It offers a scientific approach to concrete problems in healthcare practice, in particular the poor uptake of innovations. Implementation science has become an established field of health science in the recent decade, albeit its maturation has been variable across the world.

In modern healthcare systems, effective implementation of innovations is often dependent on the functioning of a team or network of healthcare professionals. For instance, the revision of professional roles or the addition of new disciplines to a team can improve the quality and outcomes of patient care. This lecture will provide an introduction to implementation science in healthcare, and then focus on the role of teams and networks of healthcare professionals. It will use examples of studies from various countries and healthcare settings to demonstrate the issues. Finally, it will elaborate on various ways to use implementation science to improve healthcare practice.

Michel Wensing, Ph.D, is a scientific researcher and professor of health services research and implementation science at Heidelberg University, Germany. Since 2015, he is based in Heidelberg University Hospital, deputy head of the Department of General Practice and Health Services Research, and head of a Master of Science program for health services research.  After graduation in sociology, he focused on health services research within the medical sciences. He has an affiliation with Radboud University Medical Centre, Nijmegen, Netherlands, and is Co-Editor-in-Chief of the journal Implementation Science. 

Implementation in pharmacy practice

Prof. Dr. Timothy Chen, Australia

Over the past two to three decades, health services research in the practice of pharmacy has grown rapidly. Accordingly, there has been significant curricula change in pharmacy programmes across the globe and a focus on the implementation of pharmaceutical care services by credentialed pharmacists (practice change), often in multidisciplinary teams and in a range of health care settings.

This presentation will discuss specific examples of the enablers and frameworks required for sustained professional pharmacy services implementation in primary and secondary care, pharmacy curriculum change in mental health, and interprofessional health curriculum change (eg Health Collaboration Challenge). Generating scientific evidence for the value of these services and curricula change is but one of many factors required for sustained implementation, which will be discussed in this presentation.  

Timothy F Chen is the Professor of Medication Management, School of Pharmacy, The University of Sydney, where he is Head of Pharmacy Practice and Health Services Research. Tim is internationally renowned for his research in Home Medicines Review and strategies to reduce medication-related harm. Tim has completed supervision of 19 PhDs, published >180 papers (Google Scholar H-Index 50) and 3 books, and given >70 invited presentations in 30 countries. He is President, Social and Administrative Pharmacy Section of FIP and co-chair for the next International Social Pharmacy Workshop (2022). In 2020 he was appointed to the Australian Pharmacy Council Accreditation Committee.

Click for slides of this presentation 

Danish network for community pharmacy practice in research

Dr Rikke Hansen, Denmark

Denmark has a long tradition for research in community pharmacy practice. For decades, a variety of community pharmacy projects have been run at both national and local levels. To facilitate knowledge sharing and support research in pharmacy practice, the Danish Network for Community Pharmacy Practice Research and Development was established in September 2016 as a network for Danish community pharmacies that are interested in research and development. The purpose of the network is to strengthen pharmacy practice and pharmacy practice research in Denmark by providing a forum where researchers and community pharmacies meet to share knowledge and support evidence-based practice.

In her lecture, Rikke Nørgaard Hansen will share experiences from the Danish Network for Community Pharmacy Practice Research and Development, including the description and organisation of the network and opportunities for community pharmacists and researchers and for research and development of community pharmacy practice.

Rikke Nørgaard Hansen is Head of Research and Development at Pharmakon, the Danish College of Pharmacy Practice. She is a pharmacist with a master’s degree in clinical pharmacy. Since 2017, she has been responsible for research projects and developing services in community pharmacy practice at Pharmakon. Before that, Rikke Nørgaard Hansen worked at a community pharmacy and at a hospital pharmacy, where she was a clinical pharmacist before becoming part of the pharmacy management and responsible for the development of pharmaceutical services.

Click for slides of this presentation 

Blended care: the future of pharmaceutical services

Dr Claudia Rijken, the Netherlands

Artificial Intelligence (AI) is increasingly infusing and most often enhancing primary workprocesses, in healthcare in general but also pharmacy. AI needs to be fed adequate data, in order to gain intelligence. In our pharmaceutical environment, our patients deliver these data in a growing amount. Personal health application data, digital biomarker data (from for example wearables, health apps and digital therepeutics) and connected data from the surrounding ecosystem that say something about the wellbeing of the patient. The convergence of these data into smart systems like decision tools, chatbots and virtual assistants, lead to new digital services that pharmacists can use to give personalized advice to patients. That enhanced care we call blended care: digital where possible, human where needed. Blended care, the future of pharmacy... but only then used with the right ethical, compliance and educational framework.

She was lead-author of the book "Pharmaceutical Care in Digital Revolution" (Elsevier, 2019). Claudia is currently lecturer on Digital Pharmaceutical Care at the University of Utrecht and founder/CEO of Pharmi, a start-up focused on developing a digital human pharmacist to enhance the future of blended care.

Workshops

Renowned researchers offer 11 hours of workshops during the conference. Various working methods are applied including presentations, discussing evidence from literature, exchanges in small groups and the plenary, and preparatory reading work prior to the workshop. All insights will be summarized, and participants will report on the urgency, barriers, facilitators, preconditions, and recommendations for implementation of pharmaceutical care and in daily pharmacy practice.

In the registration form, you will be asked to choose your first and second choice for the workshop. Participants will be allocated on a "first come, first served" basis. We will let you know as soon as possible whether you have been allocated to your forst or second choice workshop.

Participants can choose one of the workshops on the following topics: 

◊ WS1. Communication skills with patients & Motivational Interviewing (Associate Prof. Susanne Kaae, Dr. Noortje Vriends)

The goal of the workshop is to present and train central issues when communicating as a pharmacist with patients, including the technique of Motivational Interviewing, and further to discuss how these central communication aspects can be translated into daily practice and research.

Workshop Report

◊ WS2. Adherence questionnaire for pharmacy practice (Dr. Christiane Eickhoff, Dr. Isabelle Arnet)

Medication non-adherence is a global problem and subject of thousands of publications. For practicality reasons, questionnaires are widely used to assess (non)-adherence but every available instrument has shortcomings. During a workshop at the PCNE conference 2020, we extracted items from published questionnaires to describe non-adherence in different domains. It was agreed that we need a new tool to identify (non-)adherence problems in ambulatory patients. Based on the 2020 results, we set up a DELPHI that was disseminated in summer 2020 to the workshop participants and experts worldwide.

The aim of our workshop in 2021 will be to move forward developing this new tool. We will discuss the results of the first round of the DELPHI taking into account the current state of research and our own expertise. Join us and become part of this exciting process!

Workshop Report

◊ WS3. Implementation of pharmaceutical services (Prof. Timothy Chen, Dr. Joanna Moullin, Ms. Ema Paulino)

Rapid roll-out of a vaccination programme by community pharmacy during a pandemic: an implementation science case study

Implementation science is a research discipline which investigates the influences and processes required to introduce and integrate new innovations into practice. This workshop will use the principles of implementation science to inform a model for the rapid roll-out of a (scalable) community pharmacy vaccination programme, a potential solution for when a COVID-19 vaccine(s) becomes available. It will build on the expanding scope of practice for pharmacists in providing vaccination services. Barriers and facilitators to service implementation from different stakeholder perspectives will be considered at macro, meso and micro levels. This workshop will draw on the collective experience of participants to develop the model. The workshop will involve a combination of brainstorming activities, short formal presentations, focussed team-based activities and discussion, amongst other techniques.  A consensus method such as nominal group technique will be used to synthesise discussion and findings. Participants will have access to a shared toolbox of selected online resources. There is a plan to write a scientific manuscript based on the findings of this workshop. 

Learning Objectives: 

• At the conclusion of this workshop participants will: 
• Understand and describe implementation science principles
• Understand barriers and facilitators to the implementation of a vaccination service in community pharmacy practice, from different stakeholder perspectives and at different levels
• Gain experience in the use of a consensus methodology 

Workshop Report

◊ WS4. Professional feedback to PhDs (Prof. Mitja Kos, Dr. Nejc Horvat)

The aim of this workshop is to get a qualified and peer-reviewed feedback on your own pharmaceutical care research project in order to advance the quality of reserach design. Participants will present their research designs of current and/or past research projects. In-depth discussion will be stimulated in order to get relevant feedback from the group as well as workshop leaders. Experiences from the past research involvements will be used to understand the advantages and disadvantages as well as the feasibility of possible methodological approaches. Based on the qualified and peer-reviewed feedback, participants will aim to advance their research project designs.

Workshop Report

◊ WS5. Digital health and Pharmaceutical care (Dr. Jamie Wilkinson, Dr. Jacqueline Hugtenburg)

Digital health, which includes digital care programs, is the convergence of digital technologies with health,  healthcare, healthy lifestyles, and within the broader society. With the rise of digital health technologies come opportunities to enhance the efficiency of healthcare delivery by making medicine more personalized and precise. The discipline involves the use of information and communications technologies (ICT) to support addressing health problems and the challenges faced by people undergoing treatment. This includes telemedicineweb-based analysis, email, mobile devices and applications, text messages, wearable devices and clinic or remote monitoring sensors. Digital health systems can also be used to aid healthcare professionals and their patients to manage illnesses and health risks, as well as promote health and wellbeing. Furthermore, digital health technologies have increasingly become important in the daily practice of providing pharmaceutical care. COVID-19, and in particular social distancing, have accelerated the implementation of digital health across Europe and globally.

During the workshop, participants will be asked to reflect on how the recent increased use and reliance on digital technologies has impacted on pharmaceutical care across Europe. For example, how has the recent increased use of digital health technologies facilitated improvements in pharmaceutical care? How have they hindered them? What barriers to the use of digital technologies for pharmaceutical care have been overcome due to the changes triggered by COVID? What further changes are needed to fully realize the potential of digitized pharmaceutical care in practice? We will update recommendations for the use of digital health technologies in pharmaceutical care. Community as well as hospital pharmacists, researchers, policy makers, and those involved in the provision of pharmaceutical care services are invited to participate in this workshop. We will build upon previous work performed at PCNE working conferences.

Aims and learning objectives

• Get acquainted with definitions and forms of digital health and its (current and potential) use in pharmaceutical care.
• Discuss impact on patients, healthcare providers and society.
• Discuss issues related to privacy regarding digital health.
• Discuss the barriers and success factors, including the effects of COVID-19, and preconditions for implementation of digital health in pharmaceutical care.
• Update the guideline/policy document to guide PCNE in digital health in the pharmacy.

Workshop Report

Short Report

Dowload a paper version of the program here

Programme Wednesday 3rd February 2021

 Programme Thursday 4th February 2021

Programme Friday 5th February 2021

Programme Saturday 6th February 2021

List of accepted abstracts (click on the title to see the abstract)

Venue

The PCNE Conference will take place fully online.

You will receive links to events after registration.

Contact 

For all information, please contact the PCNE office at info@pcne.org.