Siaw Melanie Yee Lee, Toh Jing Heng, Lee Joyce Yu-Chia
Department of Pharmacy, Faculty of Science, National University of Singapore, Block S4A, Level 3, 18 Science Drive 4, Singapore, 117543, Republic of Singapore.
Int J Clin Pharm. 2018 Apr;40(2):403-411. doi: 10.1007/s11096-018-0591-2. Epub 2018 Jan 20.
Background Qualitative evidence on patients' perceptions of pharmacist-managed diabetes services (PMDSs) is limited. Objective To explore patients' perceptions of PMDSs Setting Patients being cared for in the outpatient settings in Singapore. Methods This focus group included patients who were diagnosed with type 2 diabetes, spoke either English or Mandarin, attended PMDSs for at least 6 months in the ambulatory care or community settings, and were at least 21 years of age. Patients with cognitive impairments or mobility issues were excluded. Thematic analysis of transcribed audio recordings was undertaken. Main outcomes measure Patients' care experiences with PMDSs. Results A total of 26 patients from two outpatient ambulatory care clinics and three retail pharmacies were assembled into four focus groups based on the care setting. Four themes abstracted from focus group data illustrated patients' perspectives on PMDSs in fulfilling their health needs, delivery and quality of service, changes attributed to the service, and suggestions for improvement of service. The patients highlighted that PMDSs fulfilled their need for information on diabetes. They also felt comfortable speaking to the pharmacists about their health, and they appreciated the role of the pharmacists as healthcare professionals. Furthermore, the patients reported better diabetes-related self-empowerment via increased medication knowledge and lifestyle modification. Some of the patients noted that medication adherence and glycemic control had improved. Suggestions to improve PMDSs were minimal. Conclusions Overall, patients with type 2 diabetes had positive perceptions of PMDSs regardless of the care settings.
背景 关于患者对药剂师管理的糖尿病服务（PMDSs）认知的定性证据有限。
目的 探讨患者对PMDSs的认知。
地点 新加坡门诊环境中接受护理的患者。
方法 该焦点小组包括被诊断为2型糖尿病、说英语或普通话、在门诊护理或社区环境中参加PMDSs至少6个月且年龄至少21岁的患者。认知障碍或行动不便的患者被排除。对转录的录音进行主题分析。
主要结局指标 患者对PMDSs的护理体验。
结果 来自两家门诊护理诊所和三家零售药店的26名患者根据护理环境被分成四个焦点小组。从焦点小组数据中提取的四个主题说明了患者对PMDSs在满足其健康需求、服务提供和质量、归因于该服务的变化以及服务改进建议方面的看法。患者强调PMDSs满足了他们对糖尿病信息的需求。他们也觉得与药剂师谈论自己的健康很自在，并且他们赞赏药剂师作为医疗保健专业人员的角色。此外，患者报告通过增加用药知识和改变生活方式在糖尿病相关的自我赋能方面有了更好的表现。一些患者指出用药依从性和血糖控制有所改善。对改进PMDSs的建议很少。
结论 总体而言，无论护理环境如何，2型糖尿病患者对PMDSs都有积极的看法。
