Bastianelli Karen M S, Nelson Lucas, Palombi Laura
University of Minnesota College of Pharmacy, Duluth, 55812 MN, United States.
Curr Pharm Teach Learn. 2017 Mar-Apr;9(2):195-200. doi: 10.1016/j.cptl.2016.11.007.
The public is largely unaware of changing pharmacy roles and continues to underutilize pharmacists as mainly a dispensing service, often overlooking direct patient care components. This paper evaluates the public perceptions of pharmacists' through student led point-of-care screenings and comprehensive medication reviews.
An IRB approved longitudinal retrospective study design was used to survey participants who attended College of Pharmacy sponsored health fairs in 2013. The survey contained questions related to patient understanding of the current pharmacy scope of practice, patient's reported level of comfort with the expanding roles of pharmacy, insurance coverage, demographics, income and whom the patients report that they seek first for medical related advice.
One hundred participants were surveyed. By a large majority, the health care practitioner that patients reported that they currently sought out for general health information was a physician. All of the participants reported that they considered pharmacists as reliable sources of general health information. Of the 96 participants that completed the survey question regarding their willingness to seek out a pharmacist in the future to have their blood pressure, blood sugar, cholesterol, and/or bone density checked, 89 (92.7%) surveyed answered yes. Only 50 patients (50%) reported being aware that pharmacists have the capability to perform these point-of-care screenings. Participants responded that they felt "comfortable" (78 patients, 83.4%) followed by "trusting" (36 patients, 38.7%).
The patients surveyed recognized pharmacists as the medication experts; however, many did not understand the capacity to which pharmacists' scope of practice allows them to deliver care to patients. In this study, almost all of the patients stated that they would consider seeking out a pharmacist to receive point-of-care screenings, but only half were aware that a pharmacist is capable of conducting these screenings. All felt that pharmacists are a reliable source of general health information and medication related needs, regardless of the patients' education level or household income.
With the shortage of primary care providers, expansion of the scope of pharmaceutical practice is necessary. Although the public may not fully understand pharmacists' scope of practice, they are comfortable with pharmacists' knowledge related to general health needs outside of medications. The reported public comfort and trust of pharmacist knowledge and skills justify expanding the scope of pharmaceutical practice.
公众很大程度上并未意识到药学角色的转变,仍然主要将药剂师当作配药服务人员而未充分利用其服务,常常忽视了直接的患者护理环节。本文通过学生主导的即时护理筛查和全面用药评估来评估公众对药剂师的看法。
采用经机构审查委员会批准的纵向回顾性研究设计,对参加2013年药学院主办的健康博览会的参与者进行调查。该调查包含与患者对当前药学执业范围的理解、患者对药学角色扩展的舒适程度报告、保险覆盖范围、人口统计学、收入以及患者报告的寻求医疗相关建议的首选对象等相关的问题。
共对100名参与者进行了调查。绝大多数患者表示,他们目前寻求一般健康信息的医疗保健从业者是医生。所有参与者都表示,他们认为药剂师是一般健康信息的可靠来源。在96名完成了关于未来是否愿意找药剂师检查血压、血糖、胆固醇和/或骨密度的调查问题的参与者中,89人(92.7%)回答是。只有50名患者(50%)表示知道药剂师有能力进行这些即时护理筛查。参与者的回答是他们感觉“舒适”(78名患者占83.4%),其次是“信任”(36名患者占38.7%)。
接受调查的患者认可药剂师是药物专家;然而,许多人并不了解药剂师的执业范围使其能够为患者提供护理的程度。在本研究中,几乎所有患者都表示他们会考虑找药剂师进行即时护理筛查,但只有一半人知道药剂师有能力进行这些筛查。所有人都认为药剂师是一般健康信息和药物相关需求的可靠来源,无论患者的教育水平或家庭收入如何。
由于初级保健提供者短缺,扩大药学执业范围是必要的。尽管公众可能不完全理解药剂师的执业范围,但他们对药剂师在药物之外的一般健康需求方面的知识感到放心。报告中公众对药剂师知识和技能的放心与信任证明了扩大药学执业范围的合理性。