Puspitasari Hanni Prihhastuti, Aslani Parisa, Krass Ines
Faculty of Pharmacy, The University of Sydney, Sydney, Australia.
Pharm World Sci. 2009 Jun;31(3):394-405. doi: 10.1007/s11096-009-9289-9. Epub 2009 Mar 4.
To investigate and compare counselling provided by community pharmacists in Australian metropolitan and rural pharmacies.
Mail surveys to 650 randomly selected New South Wales (NSW) community pharmacies [385 (59%) metropolitan, 265 (41%)] rural were conducted.
The rates of verbal and written prescription medicine information and type of information given both for new and regular medicines were determined. The rates of verbal information were also explored by assessing how likely pharmacists were to counsel based on hypothetical cases for new prescription medicines.
A response-rate of 42% was obtained from 116/378 (31%) metropolitan and 156/262 (60%) rural pharmacies. A higher proportion of metropolitan than rural pharmacists reported providing verbal information for more than 50% of new prescriptions (P < 0.001) and for more than 50% of regular prescriptions (P < 0.001). In contrast, a higher proportion of rural than metropolitan pharmacists reported giving out Consumer Medicine Information leaflets (CMIs) for more than 50% of new prescriptions (P = 0.007). After controlling for any identified confounders, metropolitan pharmacists were 4.6 times more likely to verbally counsel on new prescriptions and 3.1 times more likely to counsel on regular prescriptions, while rural pharmacists were 2.4 times more likely to give out CMIs for new prescriptions. Information on medicine administration was provided more frequently than information on the safety aspects of medicine, with both types of information being more frequently given for new than regular prescription medicines. There was variability in responses to hypothetical cases and not all respondents were highly likely to counsel on all new prescriptions.
Metropolitan pharmacists tended to provide verbal information, while rural pharmacists tended to give out written information. The respondents prioritised counselling on medicine administration for new prescription medicines. Not all respondents, however, were highly likely to counsel on all new prescriptions.
调查并比较澳大利亚城市和农村药房中药剂师提供的咨询服务。
对随机抽取的650家新南威尔士州（NSW）社区药房进行邮寄调查[385家（59%）城市药房，265家（41%）农村药房]。
确定新处方和常用处方的口头及书面处方药信息的提供率以及所提供信息的类型。还通过评估药剂师根据新处方药的假设病例进行咨询的可能性来探究口头信息的提供率。
城市药房116/378（31%）和农村药房156/262（60%）的回复率为42%。报告为超过50%的新处方提供口头信息的城市药剂师比例高于农村药剂师（P<0.001），为超过50%的常用处方提供口头信息的城市药剂师比例也高于农村药剂师（P<0.001）。相比之下，报告为超过50%的新处方发放《消费者用药信息》传单（CMIs）的农村药剂师比例高于城市药剂师（P=0.007）。在控制任何已识别的混杂因素后，城市药剂师对新处方进行口头咨询的可能性高4.6倍，对常用处方进行咨询的可能性高3.1倍，而农村药剂师为新处方发放CMIs的可能性高2.4倍。关于用药方法的信息比关于药物安全方面的信息提供得更频繁，两种类型的信息在新处方中比在常用处方中提供得更频繁。对假设病例的回答存在差异，并非所有受访者都极有可能对所有新处方进行咨询。
城市药剂师倾向于提供口头信息，而农村药剂师倾向于发放书面信息。受访者优先考虑对新处方药的用药方法进行咨询。然而，并非所有受访者都极有可能对所有新处方进行咨询。
