Cavaco Afonso Miguel, Arslan Miray, Şar Sevgi
Lisbon University, Faculty of Pharmacy, Department of Social Pharmacy, Lisbon, Portugal.
Ankara University, Faculty of Pharmacy, Department of Pharmacy Management, Ankara, Turkey.
Homeopathy. 2017 May;106(2):93-102. doi: 10.1016/j.homp.2017.02.003. Epub 2017 Apr 8.
Alternative and complementary therapy systems, such as homeopathy, have long been used around the world. Since 1995 homeopathy has been officially recognized in Europe as a system of medicine or a medical specialty. Portuguese community pharmacists have long-standing experience with homeopathic products. By contrast, healthcare professionals in Turkey are less experienced with homeopathic practice although there is a new regulatory setting in place. There are a limited number of studies addressing pharmacists' role within the homeopathic system.
To investigate the attitudes (knowledge, feelings and behaviour) of experienced Portuguese pharmacy practitioners who deal with homeopathy, and thus to inform Turkish pharmacy practice and policy on homeopathy-related success factors.
A qualitative cross-sectional design was followed, using semi-structured and face-to-face individual interviews with purposively selected Portuguese pharmacists experienced with homeopathic medicines. Audio-recordings were transcribed verbatim and the transcriptions imported into QSR NVivo v10 software for qualitative coding and analysis. Using a thematic content approach, the extracted codes were grouped and indexed by recurrent themes through a reflective procedure and constant comparison.
RESULTS & DISCUSSION: Six general themes emerged, the most relevant being participants' feelings of gratitude for the ability to work in homeopathy; other themes were a helpful regulatory body, clear practice boundaries, scientific support and product quality assurance. Specialized homeopathic education was considered the most important factor for success. This was related to patients' positive perceptions and acceptance, suggesting an increase in public awareness through the pharmacy network.
Portuguese pharmacists' attitudes towards their homeopathic practices highlighted the key elements for success in a field that is usually distant from traditional pharmaceutical education and practice. The present findings provide guidance for Turkish pharmacists willing to expand their professional scope and to embrace complementary medicines.
顺势疗法等替代疗法和补充疗法体系在全球范围内长期使用。自1995年以来，顺势疗法在欧洲已被正式认可为一种医学体系或医学专业。葡萄牙社区药剂师在顺势疗法产品方面有着长期经验。相比之下，土耳其的医疗保健专业人员在顺势疗法实践方面经验较少，尽管已经有了新的监管规定。针对药剂师在顺势疗法体系中的作用的研究数量有限。
调查有经验的葡萄牙顺势疗法药剂师的态度（知识、感受和行为），从而为土耳其顺势疗法实践及相关成功因素的政策提供信息。
采用定性横断面设计，对有目的地挑选出的、有顺势疗法药品经验的葡萄牙药剂师进行半结构化面对面个人访谈。录音逐字转录，转录文本导入QSR NVivo v10软件进行定性编码和分析。采用主题内容分析法，通过反思程序和持续比较，将提取的代码按反复出现的主题进行分组和索引。
出现了六个总体主题，最相关的是参与者对能够从事顺势疗法工作的感激之情；其他主题包括一个有帮助的监管机构、明确的实践界限、科学支持和产品质量保证。专门的顺势疗法教育被认为是成功的最重要因素。这与患者的积极认知和接受度有关，表明通过药房网络提高了公众意识。
葡萄牙药剂师对其顺势疗法实践的态度突出了一个通常远离传统药学教育和实践领域成功的关键要素。目前的研究结果为愿意扩大其专业范围并接受补充药物的土耳其药剂师提供了指导。
