Hale Andrew, Coombes Ian, Stokes Julie, Aitken Stuart, Clark Fiona, Nissen Lisa
Princess Alexandra Hospital, Woolloongabba, Brisbane, Qld, Australia.
Royal Brisbane and Womens Hospital, Brisbane, Qld, Australia.
Health Expect. 2016 Feb;19(1):49-61. doi: 10.1111/hex.12329. Epub 2015 Jan 23.
Pharmacist prescribing has been introduced in several countries and is a possible future role for pharmacy in Australia.
To assess whether patient satisfaction with the pharmacist as a prescriber, and patient experiences in two settings of collaborative doctor-pharmacist prescribing may be barriers to implementation of pharmacist prescribing.
Surveys containing closed questions, and Likert scale responses, were completed in both settings to investigate patient satisfaction after each consultation. A further survey investigating attitudes towards pharmacist prescribing, after multiple consultations, was completed in the sexual health clinic.
A surgical pre-admission clinic (PAC) in a tertiary hospital and an outpatient sexual health clinic at a university hospital. Two hundred patients scheduled for elective surgery, and 17 patients diagnosed with HIV infection, respectively, recruited to the pharmacist prescribing arm of two collaborative doctor-pharmacist prescribing studies.
Consultation satisfaction response rates in PAC and the sexual health clinic were 182/200 (91%) and 29/34 (85%), respectively. In the sexual health clinic, the attitudes towards pharmacist prescribing survey response rate were 14/17 (82%). Consultation satisfaction was high in both studies, most patients (98% and 97%, respectively) agreed they were satisfied with the consultation. In the sexual health clinic, all patients (14/14) agreed that they trusted the pharmacist's ability to prescribe, care was as good as usual care, and they would recommend seeing a pharmacist prescriber to friends.
Most of the patients had a high satisfaction with pharmacist prescriber consultations, and a positive outlook on the collaborative model of care in the sexual health clinic.
药剂师开处方已在多个国家推行,且这可能是澳大利亚药学未来的一个角色。
评估患者对药剂师作为开处方者的满意度,以及在医生 - 药剂师联合开处方的两种场景下患者的体验是否可能成为药剂师开处方实施的障碍。
在两种场景下均完成了包含封闭式问题和李克特量表回答的调查问卷,以调查每次咨询后患者的满意度。在性健康诊所还完成了一项进一步的调查,以研究多次咨询后对药剂师开处方的态度。
一家三级医院的外科术前评估诊所(PAC)和一所大学医院的门诊性健康诊所。分别招募了计划进行择期手术的200名患者和被诊断感染艾滋病毒的17名患者,参与两项医生 - 药剂师联合开处方研究的药剂师开处方组。
PAC和性健康诊所的咨询满意度回复率分别为182/200(91%)和29/34(85%)。在性健康诊所,对药剂师开处方调查的回复率为14/17(82%)。两项研究中的咨询满意度都很高,大多数患者(分别为98%和97%)表示对咨询满意。在性健康诊所,所有患者(14/14)都同意他们信任药剂师的开处方能力,护理与常规护理一样好,并且他们会向朋友推荐看药剂师开处方者。
大多数患者对药剂师开处方者的咨询满意度很高,并且对性健康诊所的联合护理模式持积极态度。