Kember Joanne, Hodson Karen, James Delyth H
Cardiff School of Pharmacy and Pharmaceutical Sciences, Cardiff University, Wrexham, Cardiff, UK.
Cardiff School of Health Sciences, Cardiff Metropolitan University, Cardiff, UK.
Int J Pharm Pract. 2018 Apr;26(2):120-128. doi: 10.1111/ijpp.12375. Epub 2017 May 24.
To investigate the general public's perceptions of the community pharmacist's (CP) role in Wales by exploring understanding, awareness of services provided and potential interventions for promoting the role of CPs.
Qualitative methodology using focus group (FG) discussions exploring opinions, facilitated by a moderator (pharmacist) and an assistant. Topics discussed included the following: what a CP does; reasons for visiting; from whom they seek advice on medicines or lifestyle issues; use of traditional and newer services and promotion of services. The groups, totalling 32 participants, represented non-users and users of pharmacy services, that is pupils from a local secondary school (x1 group), people from the local community (x3) and patients plus carers from a Parkinson's disease group (x1). FG discussions were recorded and transcribed verbatim, and analysis was undertaken to identify themes.
Traditional dispensing and supply of medicines roles were clearly recognised, but poor awareness of the newer services emerged, particularly in public health roles. CP's professionalism was acknowledged, but there was confusion over where they 'fit' within the National Health Service or with General Practitioners, with concerns or misconceptions raised over the impact of commercialism on professionalism.
Based on these findings, the public is accepting of the extended role of CPs and would engage with CPs for a wider range of services. However, there is a lack of awareness of what public health services are available. Considerable work is needed to increase public awareness, during the strategic development of these services in Wales.
通过探索公众对社区药剂师(CP)角色的理解、对所提供服务的认知以及促进CP角色发挥的潜在干预措施,来调查威尔士公众对社区药剂师角色的看法。
采用定性研究方法,通过焦点小组(FG)讨论来探讨观点,由一名主持人(药剂师)和一名助手协助进行。讨论的主题包括:CP的工作职责;就诊原因;在药品或生活方式问题上向谁寻求建议;传统服务和新服务的使用情况以及服务推广。这些小组共有32名参与者,代表了药房服务的非使用者和使用者,即当地一所中学的学生(1个小组)、当地社区居民(3个小组)以及帕金森病群体的患者及其护理人员(1个小组)。焦点小组讨论进行了录音并逐字转录,然后进行分析以确定主题。
传统的药品调配和供应角色得到了明确认可,但对新服务的认知度较低,尤其是在公共卫生角色方面。CP的专业性得到了认可,但对于他们在国民医疗服务体系中或与全科医生的“定位”存在困惑,同时对商业主义对专业性的影响也存在担忧或误解。
基于这些发现,公众接受CP的扩展角色,并愿意就更广泛的服务与CP进行互动。然而,对于现有的公共卫生服务缺乏认知。在威尔士这些服务的战略发展过程中,需要开展大量工作来提高公众意识。