Griffith Health Institute, Griffith University, Australia.
Res Social Adm Pharm. 2013 Nov-Dec;9(6):863-75. doi: 10.1016/j.sapharm.2012.11.003. Epub 2012 Dec 5.
Rates of chronic illness are rising in Australia and as medications are frequently used in the management of a range of chronic conditions, community pharmacists are in an ideal position to better assist these consumers. There is currently limited information as to how pharmacy can do this from the perspective of consumer health organizations, health advocates and professional support organizations.
To explore new roles, opportunities and any associated barriers for community pharmacy to better assist consumers with chronic illnesses.
Representatives of non-government consumer health organizations (n = 10) were interviewed from the key health priority areas emphasized by the Australian government. Health advocates (n = 3), innovative health care professionals (n = 4) and representatives of health care professional organizations (n = 4) from pharmacy and medicine also participated. Interviews were analyzed via thematic analysis.
Twenty-one in-depth interviews were conducted. The core finding was the potential for community pharmacies to become a health hub destination, whereby pharmacy staff assist consumers with chronic conditions to: navigate the health system (e.g., provide information on support services), manage their medications, and provide health advocacy. Participants expressed their concern that consumers may not be aware of the breadth of the pharmacist's expertise and that further collaboration is needed with non-government consumer health organizations and other health providers. Emphasis was placed on the improvement of the pharmacist's current role, particularly in the area of medication advice and accessibility, with the current pharmacy remuneration model identified as a barrier to becoming a health hub destination.
The eventual progression toward a health hub destination was seen to be important to better assist consumers with chronic conditions. This focuses on a more proactive approach to care encompassing simple advice, referrals to consumer health organizations and ultimately, health advocacy. However, further research is required into how community pharmacy can become a health hub given that this is a new concept and there are existing professional barriers.
在澳大利亚，慢性病的发病率正在上升，由于药物经常用于治疗各种慢性疾病，社区药剂师处于帮助这些消费者的理想位置。目前，关于如何从消费者健康组织、健康倡导者和专业支持组织的角度来提高药房的服务水平，相关信息有限。
探索社区药房为更好地帮助慢性病患者提供新的角色、机会和任何相关障碍。
从澳大利亚政府强调的主要卫生重点领域中选取了 10 名非政府消费者健康组织的代表（n=10）进行了访谈。还邀请了 3 名健康倡导者、4 名创新型医疗保健专业人员以及来自药房和医学领域的 4 名医疗保健专业组织代表参与了访谈。采用主题分析方法对访谈进行了分析。
进行了 21 次深入访谈。核心发现是社区药店有可能成为健康中心的目的地，即药店工作人员可以帮助慢性病患者：（1）了解卫生系统（例如，提供支持服务信息）；（2）管理药物；（3）提供健康倡导。参与者表示，他们担心消费者可能不知道药剂师的专业知识范围，并需要与非政府消费者健康组织和其他卫生提供者进一步合作。强调了需要改进药剂师的当前角色，特别是在药物建议和可及性方面，而现行的药店薪酬模式被认为是成为健康中心目的地的障碍。
朝着健康中心目的地的最终发展被认为对更好地帮助慢性病患者非常重要。这集中于更积极主动的护理方法，包括简单的建议、向消费者健康组织转介以及最终的健康倡导。然而，鉴于这是一个新概念，而且存在现有专业障碍，还需要进一步研究社区药店如何成为健康中心。
