Horsfield Emma, Sheridan Janie, Anderson Claire
The School of Pharmacy, The University of Auckland, Auckland, New Zealand.
Int J Pharm Pract. 2011 Jun;19(3):192-200. doi: 10.1111/j.2042-7174.2011.00112.x. Epub 2011 Apr 28.
Problem drinking is an increasing concern to many governments worldwide including those of England and New Zealand. Screening and brief intervention (SBI) is effective at reducing alcohol consumption and preventing escalation of hazardous drinking patterns into harmful drinking or dependence. Community pharmacy has been suggested as a potential site from which to provide readily accessible SBI services. This paper explores the views of 40 pharmacists on the prospect of providing SBI for alcohol health promotion purposes, focusing particularly upon potential barriers and incentives to provision of these services. The aim was to explore the views of community pharmacists toward the development of SBI for risky drinkers through semi-structured interviews.
Qualitative, tape-recorded interviews conducted with 22 English pharmacists and 18 New Zealand pharmacists. Data collection continued until theme saturation occurred. Transcribed interviews were thematically analysed.
Pharmacists considered there was a place for alcohol health promotion in community pharmacy. However, not all participants were positive about this potential new role and some expressed apprehension about implementing SBI services due to concerns about offending or alienating customers. Other barriers included lack of experience and confidence, problems faced with other health promotion initiatives, time, privacy and remuneration. Other pharmacists were more positive, seeing potential in terms of remaining competitive. Facilitators included a public health campaign to raise awareness of problem drinking, having appropriate screening tools available and training for pharmacists.
There appears to be potential for alcohol SBI services in community pharmacy, and interventions designed to reduce barriers and enhance incentivisation need to be implemented and evaluated.
问题饮酒日益受到包括英国和新西兰在内的世界许多国家政府的关注。筛查与简短干预（SBI）在减少酒精消费以及防止危险饮酒模式升级为有害饮酒或成瘾方面是有效的。社区药房已被视为提供便捷SBI服务的潜在场所。本文探讨了40名药剂师对于为促进酒精健康而提供SBI的前景的看法，特别关注提供这些服务的潜在障碍和激励因素。目的是通过半结构化访谈探讨社区药剂师对为高危饮酒者开展SBI的看法。
对22名英国药剂师和18名新西兰药剂师进行了定性的录音访谈。数据收集持续到主题饱和。对转录的访谈进行了主题分析。
药剂师认为社区药房在促进酒精健康方面有一席之地。然而，并非所有参与者都对这一潜在的新角色持积极态度，一些人因担心冒犯或疏远顾客而对实施SBI服务表示担忧。其他障碍包括缺乏经验和信心、其他健康促进举措面临的问题、时间、隐私和报酬。其他药剂师则更为积极，从保持竞争力的角度看到了潜力。促进因素包括提高对问题饮酒认识的公共卫生运动、有合适的筛查工具以及为药剂师提供培训。
社区药房开展酒精SBI服务似乎具有潜力，需要实施并评估旨在减少障碍和增强激励措施的干预措施。
