利益相关者对尼日利亚药剂师处方权授予的看法:一项定性研究。

Stakeholders' views on granting prescribing authority to pharmacists in Nigeria: a qualitative study.

作者信息

Auta Asa, Strickland-Hodge Barry, Maz Julia

机构信息

School of Pharmacy and Biomedical Sciences, University of Central Lancashire, Preston, PR1 2HE, UK.

School of Healthcare, Faculty of Medicine and Health, University of Leeds, Leeds, LS2 9JT, UK.

出版信息

Int J Clin Pharm. 2016 Aug;38(4):960-7. doi: 10.1007/s11096-016-0321-6. Epub 2016 May 18.

Abstract

Background In Nigeria, only medical doctors, dentists and some nurses in primary care facilities have the legal right to prescribe medicines to patients. Patients' access to prescription medicines can be seriously affected by the shortage of prescribers leading to longer waiting times in hospitals. Objective This research was carried out to investigate stakeholders' views on granting prescribing authority to pharmacists in Nigeria. Setting The study was conducted in Nigeria. Methods Qualitative, semi-structured interviews were conducted with 43 Nigerian stakeholders including policymakers, pharmacists, doctors and patient group representatives. Transcribed interviews were entered into the QSR NVivo 10 software and analysed using a thematic approach. Main outcome measure Stakeholders' perception on the granting of prescribing authority to pharmacists in Nigeria. Results Three major themes emerged from the interviews: (1) prescribing as a logical role for pharmacists, (2) pharmacist prescribing- an opportunity or a threat and (3) the potential barriers to pharmacist prescribing. Many non-medical stakeholders including pharmacists and patient group representatives supported an extended role for pharmacists in prescribing while the majority of medical doctors including those in policy making were reluctant to do so. Generally, all stakeholders perceived that pharmacist prescribing represents an opportunity to increase patients' access to medicines, reduce doctors' workload and promote the utilisation of pharmacists' skills. However, many stakeholders including pharmacists and doctors commonly identified pharmacists' inadequate skills in diagnosis, medical resistance and shortage of pharmacists as potential barriers to the introduction of pharmacist prescribing in Nigeria. Conclusion The present study showed a split of opinion between participants who were medical doctors and those who were non-doctors in their support for pharmacist prescribing. However, all stakeholders acknowledged the potential of pharmacist prescribing to increase patients' access to medicines in Nigeria.

摘要

背景 在尼日利亚,只有初级保健机构的医生、牙医和一些护士拥有为患者开药的合法权利。开处方者的短缺会严重影响患者获得处方药的机会,导致医院候诊时间延长。目的 开展本研究以调查尼日利亚利益相关者对赋予药剂师处方权的看法。地点 该研究在尼日利亚进行。方法 对43名尼日利亚利益相关者进行了定性的半结构式访谈,这些利益相关者包括政策制定者、药剂师、医生和患者群体代表。访谈记录被录入QSR NVivo 10软件,并采用主题分析法进行分析。主要结局指标 利益相关者对在尼日利亚赋予药剂师处方权的看法。结果 访谈中出现了三个主要主题:(1)处方是药剂师的合理职责,(2)药剂师开处方——机遇还是威胁,(3)药剂师开处方的潜在障碍。许多非医学利益相关者,包括药剂师和患者群体代表,支持药剂师在开处方方面发挥更大作用,而大多数医生,包括参与政策制定的医生,都不愿意这样做。总体而言,所有利益相关者都认为药剂师开处方是增加患者获得药品的机会、减轻医生工作量以及提升药剂师技能利用的一个契机。然而,许多利益相关者,包括药剂师和医生,普遍认为药剂师在诊断方面技能不足、存在医学上的抵触以及药剂师短缺是在尼日利亚引入药剂师开处方的潜在障碍。结论 本研究表明,支持药剂师开处方的参与者中,医生和非医生存在意见分歧。然而,所有利益相关者都承认药剂师开处方在增加尼日利亚患者获得药品机会方面的潜力。

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