Schommer Jon C, Pedersen Craig A, Worley Marcia M, Brown Lawrence M, Hadsall Ronald S, Ranelli Paul L, Stratton Timothy P, Uden Donald L, Chewning Betty A
University of Minnesota-Twin Cities, MN 55455, USA.
Res Social Adm Pharm. 2006 Dec;2(4):458-78. doi: 10.1016/j.sapharm.2006.02.001.
There exists a need to conceptualize and understand the roles that pharmacists serve to help convince others such as patients, prescribers, and payers to value their contributions and to plan for the roles they could serve in the future within the health care system.
The purpose of this study was to (1) describe and track differences in pharmacists' and patients' views about the pharmacist's and physician's role in medication risk management and risk assessment in 1995, 1998, 2001, and 2004, and (2) describe associations between selected demographic variables and reported opinions about the pharmacist's role using data from 2004.
Brushwood's Risk Management/Risk Assessment Framework was used as a conceptual guide for developing 2 risk management and 2 risk assessment scenarios. For each scenario, study participants were asked to select the level of responsibility shared by physicians and pharmacists in addressing the drug therapy problem. Data were collected in 1995, 1998, 2001, and 2004 using random samples of pharmacists and patients as study subjects. Descriptive statistics and logistic regression analysis were used for analyzing the data.
The results showed that pharmacists view their role as providing risk management information to patients and may view this role as adding value to patient care above and beyond a level that can be provided by a physician alone. In 2004, pharmacists started to view the risk assessment scenarios as being more their responsibility as well. Patients, on the other hand, consistently viewed their physician as having primary responsibility for their health care in all of the scenarios we studied.
Pharmacists view their role as one that adds unique value to a patient's health through their provision of medication risk management and some types of risk assessment. However, patients do not yet view the pharmacist as the primary provider of either medication risk management or risk assessment information.
需要对药剂师所扮演的角色进行概念化并加以理解，以帮助说服患者、开处方者和付款人等其他各方重视药剂师的贡献，并规划他们未来在医疗保健系统中可能发挥的作用。
本研究的目的是：（1）描述并追踪药剂师和患者在1995年、1998年、2001年和2004年对药剂师和医生在药物风险管理及风险评估中角色的看法差异；（2）利用2004年的数据描述选定的人口统计学变量与所报告的关于药剂师角色的观点之间的关联。
Brushwood的风险管理/风险评估框架被用作制定2个风险管理和2个风险评估情景的概念指南。对于每个情景，要求研究参与者选择医生和药剂师在解决药物治疗问题时分担的责任水平。在1995年、1998年、2001年和2004年，使用药剂师和患者的随机样本作为研究对象收集数据。使用描述性统计和逻辑回归分析对数据进行分析。
结果表明，药剂师认为他们的角色是向患者提供风险管理信息，并且可能认为这一角色为患者护理增加了超出医生单独所能提供水平的价值。在2004年，药剂师也开始认为风险评估情景更多地是他们的责任。另一方面，在我们研究的所有情景中，患者一直认为他们的医生对其医疗保健负有主要责任。
药剂师认为他们的角色是通过提供药物风险管理和某些类型的风险评估为患者健康增加独特价值。然而，患者尚未将药剂师视为药物风险管理或风险评估信息的主要提供者。
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