Saramunee Kritsanee, Krska Janet, Mackridge Adam, Richards Jacqueline, Suttajit Siritree, Phillips-Howard Penelope
Pharmacy Practice Research Group, School of Pharmacy and Biomolecular Sciences, Liverpool John Moores University, Liverpool L3 3AF, UK; Social Pharmacy Research Group, Faculty of Pharmacy, Mahasarakham University, Maha Sarakham 44150, Thailand.
Pharmacy Practice Research Group, School of Pharmacy and Biomolecular Sciences, Liverpool John Moores University, Liverpool L3 3AF, UK.
Res Social Adm Pharm. 2014 Mar-Apr;10(2):272-84. doi: 10.1016/j.sapharm.2012.05.006. Epub 2012 Oct 23.
Community pharmacists (PHs) in England are increasingly providing a range of public health services. However, the general public view pharmacists as drug experts and not experts in health, and therefore, services may be underutilized.
To explore experiences and views of 4 groups of participants, the general public, PHs, general practitioners (GPs), and other stakeholders (STs) on pharmacy-based public health services, and identify potential factors affecting service use.
The study was undertaken in a locality of North West England. Three focus groups were conducted with the general public (n=16), grouped by socioeconomic status. Fourteen semistructured interviews were undertaken with PHs (n=9), GPs (n=2), and STs (n=3). Discussions/interviews were audio recorded, transcribed verbatim, and analyzed thematically.
All 4 groups of participants agreed that community pharmacies are a good source of advice on medicines and minor ailments but were less supportive of public health services. Six factors were identified affecting utilization of pharmacy services: community pharmacy environment, pharmacist and support staff, service publicity, general public, GP services, and health care system and policies. Crucial obstacles that could inhibit service utilization are perceptions of both the general public and other health providers toward pharmacists' competencies, privacy and confidentiality in pharmacies, high dispensing workload, and inadequate financial support. Networking between local health professionals could enhance confidence in service delivery, general awareness, and thus utilization.
Community pharmacy has the potential to deliver public health services, although the impact on public health may be limited. Addressing the factors identified could help to increase utilization and impact of pharmacy public health services.
英国的社区药剂师越来越多地提供一系列公共卫生服务。然而，公众将药剂师视为药物专家而非健康专家，因此这些服务可能未得到充分利用。
探讨普通公众、社区药剂师、全科医生以及其他利益相关者这四类参与者对基于药房的公共卫生服务的体验和看法，并确定影响服务使用的潜在因素。
该研究在英格兰西北部的一个地区进行。针对普通公众（n = 16）按社会经济地位分组进行了三个焦点小组讨论。对社区药剂师（n = 9）、全科医生（n = 2）和其他利益相关者（n = 3）进行了14次半结构化访谈。讨论/访谈进行了录音，逐字转录，并进行了主题分析。
所有四类参与者都认为社区药房是获取药品和小病治疗建议的良好来源，但对公共卫生服务的支持度较低。确定了影响药房服务利用的六个因素：社区药房环境、药剂师及辅助人员、服务宣传、普通公众、全科医生服务以及医疗保健系统和政策。可能阻碍服务利用的关键障碍包括普通公众和其他医疗服务提供者对药剂师能力的看法、药房的隐私和保密性、配药工作量大以及财政支持不足。当地卫生专业人员之间的网络联系可以增强对服务提供的信心、提高公众意识，从而提高服务利用率。
社区药房有提供公共卫生服务的潜力，尽管对公共卫生的影响可能有限。解决所确定的因素有助于提高药房公共卫生服务的利用率和影响力。
