Mygind Anna, Nørgaard Lotte Stig, Traulsen Janine M, El-Souri Mira, Kristiansen Maria
1 Section for Social and Clinical Pharmacy, Department of Pharmacy, School of Pharmacy, University of Copenhagen, Denmark.
2 Pharmakon, Danish College for Pharmacy Practice, Denmark.
Scand J Public Health. 2017 May;45(3):238-243. doi: 10.1177/1403494816683454. Epub 2016 Dec 25.
To present and discuss implementation experiences regarding the involvement of community pharmacists with ethnic minority backgrounds in a medication review intervention for ethnic minority poly-pharmacy patients in Denmark.
Data sources include 1) reflection notes from an introductory seminar with pharmacists and the cross-disciplinary research team and 2) five individual interviews and one focus group interview with pharmacists. Data were thematically coded and synthesised to identify underlying rationales and challenges encountered when involving professionals with ethnic minority backgrounds in interventions for ethnic minorities.
Informants perceived the need for interventions targeted at ethnic minority poly-pharmacy patients, and highlighted the potential of involving professionals with diverse ethnic backgrounds in such interventions. However, implementation created challenges, because the professional identity of the pharmacists reduced their options for serving as peers with the same ethnic background. Furthermore, issues related to organisational difficulties and overcoming language barriers in the intervention impacted on the potential of involving professionals with ethnic minority backgrounds.
Involving healthcare professionals with ethnic minority backgrounds in encounters with ethnic minorities holds potential for the adaptation of services to ethnically diverse populations, thus improving access to and quality of care. However, it is important to ensure sufficient personal and organisational support and to acknowledge the delicate balance between simultaneously serving as a peer and as a professional.
介绍并讨论丹麦社区药剂师（具有少数族裔背景）参与针对少数族裔多重用药患者的药物审查干预措施的实施经验。
数据来源包括：1）药剂师与跨学科研究团队参加的一场入门研讨会的反思笔记；2）对药剂师进行的五次个人访谈和一次焦点小组访谈。对数据进行主题编码和综合分析，以确定在让具有少数族裔背景的专业人员参与针对少数族裔的干预措施时所遇到的潜在基本原理和挑战。
受访者认为有必要针对少数族裔多重用药患者开展干预措施，并强调让具有不同族裔背景的专业人员参与此类干预措施的潜力。然而，实施过程带来了挑战，因为药剂师的专业身份限制了他们作为同种族背景同伴提供服务的选择。此外，干预措施中与组织困难和克服语言障碍相关的问题影响了让具有少数族裔背景的专业人员参与的可能性。
让具有少数族裔背景的医疗保健专业人员与少数族裔接触，对于使服务适应不同种族人群具有潜力，从而改善医疗服务的可及性和质量。然而，确保提供足够的个人和组织支持，并认识到在同时充当同伴和专业人员之间保持微妙平衡非常重要。
