Mathialagan Amuthaganesh, Nagalinggam Preesha, Mathialagan Saravanabavan, Kirby Brian P
Department of Clinical Pharmacology, School of Medicine, Perdana University-Royal College of Surgeons in Ireland, Serdang, Selangor, Malaysia.
School of Pharmacy, Masterskill University College of Health Sciences, Cheras, Selangor, Malaysia.
Int J Pharm Pract. 2015 Oct;23(5):320-6. doi: 10.1111/ijpp.12170. Epub 2015 Jan 13.
The objective of this study was to examine the relationship between performance barriers and competency, and implementation of an expanded public health role for community pharmacists.
A validated questionnaire was utilised for this study whereby three variables of the study (performance barriers, competency and public health role) were measured using a 5-point Likert scale. Three hundred questionnaires were distributed to target respondents of registered community pharmacies in five states (Johor, Negeri Sembilan, Selangor, Perak and Penang) in Malaysia. The data were analysed utilising the principles of structural equation modelling.
There were 191 completed and usable responses received, which represented a 66.7% response rate. This study showed perceived competency had a direct relationship with delivering a general public health role. A perceived lack of competency was shown to be a barrier to fulfilling a public health role. However, other factors, such as design of premises, IT infrastructure and pay, were not viewed as barriers to carrying out a public health role.
Perceived competency is an obstacle for community pharmacists to undertake a public health role in Malaysia. Adequate training programmes in pharmaceutical public health have to be put in place to address this concern and this should therefore be a priority.
本研究的目的是探讨绩效障碍与能力之间的关系，以及社区药剂师扩大公共卫生角色的实施情况。
本研究使用了一份经过验证的问卷，通过5点李克特量表对研究的三个变量（绩效障碍、能力和公共卫生角色）进行测量。向马来西亚五个州（柔佛州、森美兰州、雪兰莪州、霹雳州和槟城）注册社区药房的目标受访者发放了300份问卷。利用结构方程建模原理对数据进行分析。
共收到191份完整且可用的回复，回复率为66.7%。本研究表明，感知到的能力与履行一般公共卫生角色有直接关系。感知到的能力不足被证明是履行公共卫生角色的障碍。然而，其他因素，如场所设计、信息技术基础设施和薪酬，并未被视为开展公共卫生角色的障碍。
在马来西亚，感知到的能力是社区药剂师承担公共卫生角色的障碍。必须制定适当的药学公共卫生培训计划来解决这一问题，因此这应成为优先事项。
