Swain Lindy, Griffits Claire, Pont Lisa, Barclay Lesley
University Centre for Rural Health, School of Public Health, University of Sydney, 55-61 Uralba Street, Lismore, NSW, 2480, Australia,
Int J Clin Pharm. 2014 Dec;36(6):1260-7. doi: 10.1007/s11096-014-0030-y. Epub 2014 Oct 17.
Home Medicines Reviews could improve the quality use of medicines and medicines adherence among Aboriginal people. Despite high level of chronic disease very few Home Medicines Review are currently being conducted for Aboriginal and Torres Strait Islander people.
The aim of this research was to explore the barriers and facilitators from the pharmacists' perspective for the provision of Home Medicines Review to Aboriginal people attending Aboriginal Health Services.
A cross sectional survey was used to gather demographic, qualitative and quantitative data from 945 Australian pharmacists accredited to undertake Home Medicines Review.
The survey consisted of 39 items which included both closed, open ended and Likert scale questions. Data was extracted from the online survey tool and analysed. Descriptive statistics were used to explore the quantitative data while qualitative data was thematically analysed and coded for emergent themes.
Number of Home Medicines Review conducted for Aboriginal and Torres Strait Islander patients.
A total of 187 accredited pharmacists responded to the survey. They reported that barriers to Home Medicines Review to Aboriginal patients may include lack of understanding of cultural issues by pharmacists; lack of awareness of Home Medicines Review program by Aboriginal Health Service staff; difficulties in implementation of Home Medicine Review processes; burdensome program rules; the lack of patient-pharmacist relationship, and the lack of pharmacist-Aboriginal Health Service relationship.
Changes to the medication review processes and rules are needed to improve the accessibility of the Home Medicine Review program for Aboriginal and Torres Strait Islander people. Improved relationships between pharmacists and Aboriginal health service staff, would increase the likelihood of more Home Medicines Reviews being conducted with Aboriginal and Torres Strait Islander patients.
家庭药物评估可改善原住民对药物的合理使用及用药依从性。尽管慢性病发病率很高，但目前针对原住民和托雷斯海峡岛民进行的家庭药物评估却很少。
本研究旨在从药剂师的角度探讨为就诊于原住民健康服务机构的原住民提供家庭药物评估的障碍和促进因素。
采用横断面调查从945名获得家庭药物评估资质的澳大利亚药剂师中收集人口统计学、定性和定量数据。
该调查包括39个项目，其中既有封闭式、开放式问题，也有李克特量表问题。数据从在线调查工具中提取并进行分析。描述性统计用于探索定量数据，而定性数据则进行主题分析并编码以找出新出现的主题。
为原住民和托雷斯海峡岛民患者进行的家庭药物评估数量。
共有187名获得资质的药剂师回复了调查。他们报告称，对原住民患者进行家庭药物评估的障碍可能包括药剂师对文化问题缺乏了解；原住民健康服务机构工作人员对家庭药物评估项目缺乏认识；家庭药物评估流程实施困难；项目规则繁琐；缺乏患者与药剂师的关系以及药剂师与原住民健康服务机构的关系。
需要对药物评估流程和规则进行调整，以提高家庭药物评估项目对原住民和托雷斯海峡岛民的可及性。改善药剂师与原住民健康服务机构工作人员之间的关系，将增加对原住民和托雷斯海峡岛民患者进行更多家庭药物评估的可能性。
