Dhippayom Teerapon, Krass Ines
Pharmaceutical Care Research Unit, Department of Pharmacy Practice, Faculty of Pharmaceutical Sciences, Naresuan University, Phitsanulok, Thailand.
Faculty of Pharmacy, The University of Sydney, Camperdown, NSW, Australia.
Patient Prefer Adherence. 2015 Jul 31;9:1085-92. doi: 10.2147/PPA.S88071. eCollection 2015.
Evidence supports the efficacy of pharmacy services in type 2 diabetes (T2D). However, little is known about consumer perspectives on the role of community pharmacists in diabetes care. The objectives of this study were to identify potential unmet needs and explore preferences for pharmacist-delivered support for T2D.
A qualitative study using focus groups was conducted in Sydney, Australia. Patients with T2D who were members of the Australian Diabetes Council in Sydney, Australia, were recruited through a survey on medication use in T2D. Five focus groups with a total of 32 consumers with T2D were recorded, transcribed, and thematically analyzed.
The key themes were 1) the experiences of diabetes services received, 2) the potential to deliver self-management services, and 3) the suggested role of pharmacist in supporting diabetes management. Gaps in understanding and some degree of nonadherence to self-management signaled a potential for self-management support delivered by pharmacists. However, consumers still perceive that the main role of pharmacists in diabetes care centers on drug management services, with some enhancements to support adherence and continuity of supply. Barriers to diabetes care services included time constraints and a perceived lack of interest by pharmacists.
Given the unmet needs in diabetes self-management, opportunities exist for pharmacists to be involved in diabetes care. The challenge is for pharmacists to upgrade their diabetes knowledge and skills, organize their workflow, and become proactive in delivering diabetes care support.
有证据支持药学服务在2型糖尿病(T2D)治疗中的有效性。然而,对于消费者对社区药剂师在糖尿病护理中作用的看法却知之甚少。本研究的目的是确定潜在的未满足需求,并探索药剂师提供的T2D支持的偏好。
在澳大利亚悉尼进行了一项使用焦点小组的定性研究。通过一项关于T2D药物使用的调查,招募了澳大利亚悉尼糖尿病协会成员中的T2D患者。记录、转录并对五个焦点小组进行了主题分析,这些小组共有32名T2D消费者。
关键主题包括:1)所接受的糖尿病服务的经历;2)提供自我管理服务的潜力;3)药剂师在支持糖尿病管理中的建议作用。在自我管理的理解方面存在差距以及一定程度的不依从表明药剂师提供自我管理支持具有潜力。然而,消费者仍然认为药剂师在糖尿病护理中的主要作用集中在药物管理服务上,同时在支持依从性和供应连续性方面有一些改进。糖尿病护理服务的障碍包括时间限制和药剂师缺乏兴趣。
鉴于糖尿病自我管理中存在未满足的需求,药剂师有机会参与糖尿病护理。挑战在于药剂师要提升他们的糖尿病知识和技能,组织好工作流程,并积极主动地提供糖尿病护理支持。