Blondal Anna Bryndis, Jonsson Jon Steinar, Sporrong Sofia Kälvemark, Almarsdottir Anna Birna
Faculty of Pharmaceutical Sciences, University of Iceland, Hagi, Hofsvallagata 53, 107, Reykjavik, Iceland.
Department of Family Medicine, University of Iceland, Læknagarði, Vatnsmýrarvegi 16, 101, Reykjavik, Iceland.
Int J Clin Pharm. 2017 Aug;39(4):945-952. doi: 10.1007/s11096-017-0478-7. Epub 2017 Jun 14.
Background For the past several years pharmacists' responsibilities have expanded globally from traditional tasks of dispensing medications to collaborating with other health care professionals in patient care. Similar developments have not occurred in outpatient settings in Iceland. Objective The aim of this study was to explore Icelandic general practitioners' views on the current status of primary care, their perceptions of pharmacists as a health care profession, and their attitudes towards future GP-pharmacist collaboration in primary care in Iceland. Setting Twelve primary care clinics in Iceland. Methods Semi-structured in-depth interviews were conducted with general practitioners from different primary care clinics in Iceland. A purposive and snowball sampling technique was used to select participants. All interviews were recorded and transcribed verbatim. The transcripts were categorized by themes and then analyzed using conventional content analysis. Main outcome measure General practitioners' attitudes towards pharmacists. Results Twenty general practitioners from twelve different primary care clinics in Iceland were interviewed. There are several unmet needs regarding medicines and patient monitoring in the Icelandic health care system. General practitioners suggested ways in which these gaps may be addressed and pharmacist-led clinical service was one of the suggestions. Currently, their communication with pharmacists in the primary sector solely surrounds practical non-clinical issues. Due to increasing polypharmacy and multimorbidity, they suggested that pharmacists should be more involved in patient care. Conclusions General practitioners believe that pharmacist-led clinical service can increase the quality of patient therapy. To improve communication between these health care providers, pharmacists must also re-professionalize (strengthening the profession´s status through new responsibilities and tasks), not having a conflict of interest and showing that they have expertise in patient care.
背景 在过去几年中，药剂师的职责在全球范围内已从传统的配药任务扩展到与其他医疗保健专业人员合作进行患者护理。冰岛的门诊环境中尚未出现类似的发展情况。
目的 本研究的目的是探讨冰岛全科医生对初级保健现状的看法、他们对药剂师作为一种医疗保健职业的认知，以及他们对冰岛初级保健中未来全科医生与药剂师合作的态度。
地点 冰岛的12家初级保健诊所。
方法 对冰岛不同初级保健诊所的全科医生进行了半结构化深度访谈。采用目的抽样和滚雪球抽样技术选择参与者。所有访谈均进行了录音并逐字转录。转录本按主题分类，然后使用常规内容分析法进行分析。
主要观察指标 全科医生对药剂师的态度。
结果 对冰岛12家不同初级保健诊所的20名全科医生进行了访谈。冰岛医疗保健系统在药品和患者监测方面存在一些未满足的需求。全科医生提出了一些解决这些差距的方法，药剂师主导的临床服务是其中一个建议。目前，他们在初级部门与药剂师的沟通仅围绕实际的非临床问题。由于多重用药和多种疾病的增加，他们建议药剂师应更多地参与患者护理。
结论 全科医生认为药剂师主导的临床服务可以提高患者治疗质量。为了改善这些医疗保健提供者之间的沟通，药剂师还必须重新专业化（通过新的职责和任务加强该职业的地位），不存在利益冲突，并表明他们在患者护理方面具有专业知识。
