Montgomery Anna T, Kälvemark-Sporrong Sofia, Henning Mari, Tully Mary P, Kettis-Lindblad Asa
Department of Pharmacy, Uppsala University, Uppsala, Sweden.
Pharm World Sci. 2007 Dec;29(6):593-602. doi: 10.1007/s11096-006-9072-0. Epub 2007 Aug 14.
To identify prescriptionists', pharmacists' and doctors' perceptions and experiences of a pharmaceutical care service supported by patient medication records (PMRs).
Qualitative study employing focus group interviews with 16 prescriptionists and five pharmacists, and semi structured telephone interviews with 11 doctors.
Prescriptionists', pharmacists' and doctors' views, experiences and perceptions of a pharmaceutical care service on Swedish community pharmacies.
The provision of pharmaceutical care aided by PMRs had a positive influence on the prescriptionists' and pharmacists' daily work, and on their view of their professional role. They assumed greater professional responsibility, and described greater use of their pharmaceutical knowledge, greater confidence in practice and an increased awareness of their counselling role. They appreciated that the pharmaceutical care service provided an over-all picture of patients' drug use, allowed for follow-up on counselling and made the prescriptionists' and pharmacists' competence tangible for patients. Perceived problems with the pharmaceutical care service included being time-consuming, record keeping being difficult, difficulty in getting understanding/support from colleagues and managers, and difficulty involving doctors. The majority of the doctors reported that they had not taken an active interest in the project, and their opinions of the pharmaceutical care service varied.
When prescriptionists and pharmacists apply the pharmaceutical care concept and work with PMRs, the patients are more likely to meet confident professionals that are more aware of the individual behind the drug therapy. This will hopefully contribute to informed, motivated medicine users that feel secure in their interactions with their pharmacy and receive, not only drugs, but treatment support. For such a service to be effective, however, it is vital to ensure that the doctors are fully co-operative.
确定处方医师、药剂师和医生对于由患者用药记录（PMR）支持的药学服务的看法和体验。
采用定性研究方法，对16名处方医师和5名药剂师进行焦点小组访谈，并对11名医生进行半结构化电话访谈。
处方医师、药剂师和医生对瑞典社区药房药学服务的看法、体验和认知。
由PMR辅助提供药学服务对处方医师和药剂师的日常工作及其职业角色观念产生了积极影响。他们承担了更大的职业责任，描述了更多地运用药学知识、对实践更有信心以及对其咨询角色的认识有所提高。他们认识到药学服务提供了患者用药的总体情况，便于对咨询进行跟进，并使处方医师和药剂师的能力对于患者而言变得切实可见。药学服务存在的问题包括耗时、记录保存困难、难以获得同事和管理人员的理解/支持以及难以让医生参与进来。大多数医生表示他们对该项目未表现出积极兴趣，他们对药学服务的看法各不相同。
当处方医师和药剂师应用药学服务理念并使用PMR开展工作时，患者更有可能遇到自信的专业人员，这些专业人员更了解药物治疗背后的个体情况。这有望促使患者成为明智、积极的用药者，在与药房的互动中感到安心，并不仅能获得药物，还能得到治疗支持。然而，要使这样的服务有效，确保医生充分合作至关重要。
