Pharmacist and physician perspectives on diabetes service delivery within community pharmacies in I ndonesia: a qualitative study

Objective To explore perspectives of physicians and pharmacists on diabetes service delivery within community pharmacies in I ndonesia. Methods In depth interviews were conducted with 10 physicians and 10 community pharmacists in Surabaya, I ndonesia, using a semi‐structured interview guide. N vivo version 9 was used to facilitate thematic content analysis to identify barriers/facilitators for community pharmacists to provide diabetes services. Key findings The identified themes indicating barriers/facilitators for diabetes service delivery within Indonesian community pharmacies included: (1) pharmacist factors − i.e. positive views (facilitator) and perceived lack of competence (barrier); (2) pharmacist–physician relationships – i.e. physicians' lack of support and accessibility (barriers); (3) pharmacist–patient relationships – i.e. perceived patients' lack of support and accessibility (barriers); (4) pharmacy environment − i.e. business orientation (barrier), lack of staff and poor pharmacist availability (barriers), and availability of supporting resources, such as counselling areas/rooms, procedures/protocols and IT systems for labelling and patient records (facilitators); and (5) external environment − i.e. a health system to support pharmacist roles, remuneration, marketing and professional assistance (facilitators). Conclusion Issues related to the pharmacist–physician–patient relationships, pharmacy environment and external environment need to be addressed before I ndonesian community pharmacists can provide additional pharmacy services for type 2 diabetes patients. Collaboration between the G overnment, I katan   A poteker   I ndonesia ( I ndonesian P harmacists A ssociation) and I katan   D okter   I ndonesia ( I ndonesian M edical A ssociation) is required to improve the pharmacy professional environment and facilities.