Iyer Priya, McFarland Reanna, La Caze Adam
School of Pharmacy, University of Queensland, St Lucia, QLD, Australia.
Int J Pharm Pract. 2017 Aug;25(4):292-300. doi: 10.1111/ijpp.12315. Epub 2016 Sep 16.
Most sales of complementary medicines within pharmacies are conducted by pharmacy support staff. The absence of rigorous evidence for the effectiveness of many complementary medicines raises a number of ethical questions regarding the sale of complementary medicines in pharmacies.
Explore (1) what consumers expect from pharmacists/pharmacies with regard to the sale of complementary medicines, and (2) how pharmacy support staff perceive their responsibilities when selling complementary medicines.
One-on-one semi-structured interviews were conducted with a convenience sample of pharmacy support staff and consumers in pharmacies in Brisbane. Consumers were asked to describe their expectations when purchasing complementary medicines. Pharmacy support staff were asked to describe their responsibilities when selling complementary medicines. Interviews were conducted and analysed using the techniques developed within Grounded Theory.
Thirty-three consumers were recruited from three pharmacies. Consumers described complementary medicine use as a personal health choice. Consumer expectations on the pharmacist included: select the right product for the right person, expert product knowledge and maintaining a wide range of good quality stock. Twenty pharmacy support staff were recruited from four pharmacies. Pharmacy support staff employed processes to ensure consumers receive the right product for the right person. Pharmacy support staff expressed a commitment to aiding consumers, but few evaluated the reliability of effectiveness claims regarding complementary medicines.
Pharmacists need to respect the personal health choices of consumers while also putting procedures in place to ensure safe and appropriate use of complementary medicines. This includes providing appropriate support to pharmacy support staff.
药店内大多数补充药物的销售由药房辅助人员进行。许多补充药物缺乏有效性的确凿证据，这引发了一些关于在药店销售补充药物的伦理问题。
探究（1）消费者在补充药物销售方面对药剂师/药店的期望，以及（2）药房辅助人员在销售补充药物时如何看待自己的职责。
对布里斯班药店的药房辅助人员和消费者进行了便利抽样的一对一访谈。询问消费者在购买补充药物时的期望。询问药房辅助人员在销售补充药物时的职责。访谈采用扎根理论中发展出的技术进行，并进行分析。
从三家药店招募了33名消费者。消费者将补充药物的使用描述为个人健康选择。消费者对药剂师的期望包括：为合适的人选择合适的产品、具备专业的产品知识以及保持种类广泛的优质库存。从四家药店招募了20名药房辅助人员。药房辅助人员采用流程以确保消费者获得适合其自身的正确产品。药房辅助人员表示致力于帮助消费者，但很少评估补充药物有效性声明的可靠性。
药剂师需要尊重消费者的个人健康选择，同时制定程序以确保补充药物的安全和恰当使用。这包括为药房辅助人员提供适当支持。
