O'Loughlin J, Masson P, Déry V, Fagnan D
Department of Public Health, Montreal General Hospital, 4835, rue Christophe Colomb, Montréal, Québec, H2J 3G8, Canada.
Prev Med. 1999 Mar;28(3):324-31. doi: 10.1006/pmed.1998.0436.
Recently there has been increased interest in broadening the role of community pharmacists to include more health education and disease prevention activities such as patient counseling for risk management and interventions to improve compliance. However, to date, there is little information on interest in prevention among community pharmacists or on their current prevention practices.
Data on current health education and disease prevention practices, as well as interest in expanding their role in prevention, were collected in a cross-sectional mail survey of a random representative sample of community pharmacists currently practicing in the province of Quebec.
Among 597 eligible subjects, 455 (76.2%) completed the questionnaire. Few pharmacists practice prevention routinely. Independent correlates of engaging in prevention included working in a smaller pharmacy (odds ratio (OR) 3. 2 (95% confidence interval 2.0-5.3)), owning the pharmacy (OR 1.9 (1. 2-3.0)), moderate/high job satisfaction (OR 2.1 (1.4-4.3)), and history of prevention activities in the pharmacy (OR 2.2 (1.4-3.6)). Over 90% of respondents reported that integrating prevention into their practices was important. Independent correlates of high perceived importance included working as a salaried pharmacist (OR 2. 3 (1.4-3.8)), high job satisfaction (OR 4.1 (1.7-9.7)), and currently practicing prevention (OR 2.0 (1.2-3.2)). The most important perceived barriers to integrating prevention included lack of time and lack of skills/instrumentation for practicing prevention.
There is considerable interest among community pharmacists in expanding their role to include more prevention, but there are many barriers to actualizing this role. Further work should focus on ways to overcome these barriers because pharmacists are particularly well-situated to make an important contribution to prevention.
最近，人们越来越关注扩大社区药剂师的作用，使其包括更多的健康教育和疾病预防活动，如针对风险管理的患者咨询以及提高依从性的干预措施。然而，迄今为止，关于社区药剂师对预防的兴趣或其当前预防实践的信息很少。
通过对魁北克省目前从业的社区药剂师进行随机抽样的横断面邮寄调查，收集了有关当前健康教育和疾病预防实践的数据，以及他们对扩大预防作用的兴趣。
在597名符合条件的受试者中，455名（76.2%）完成了问卷。很少有药剂师常规开展预防工作。参与预防工作的独立相关因素包括在较小的药房工作（比值比（OR）3.2（95%置信区间2.0 - 5.3））、拥有药房（OR 1.9（1.2 - 3.0））、中度/高度工作满意度（OR 2.1（1.4 - 4.3））以及药房有预防活动的历史（OR 2.2（1.4 - 3.6））。超过90%的受访者表示将预防纳入其工作很重要。认为重要性高的独立相关因素包括受雇药剂师（OR 2.3（1.4 - 3.8））、高工作满意度（OR 4.1（1.7 - 9.7））以及目前开展预防工作（OR 2.0（1.2 - 3.2））。将预防纳入工作的最重要的感知障碍包括缺乏时间以及缺乏预防实践的技能/仪器。
社区药剂师对扩大其作用以包括更多预防工作有相当大的兴趣，但实现这一作用存在许多障碍。应进一步开展工作，重点关注克服这些障碍的方法，因为药剂师在预防方面具有独特优势，能够做出重要贡献。
