Professor in Medicines and Healthcare, Department of Pharmacy, University of Huddersfield, Queensgate, HD1 3DH, Huddersfield, United Kingdom; School of Pharmacy, Faculty of Medical and Health Sciences, The University of Auckland, Private Bag 92019, Auckland, 1142, New Zealand.
School of Management, Massey University, Auckland, New Zealand.
Res Social Adm Pharm. 2018 Dec;14(12):1163-1171. doi: 10.1016/j.sapharm.2018.01.004. Epub 2018 Jan 11.
Healthcare is under significant pressure with the explosion of long term conditions, shift in worldwide demographics and is evolving through advances in technology. Aligned with this is the changing role of pharmacy from the traditional dispenser of medicines to having (in addition) a more advanced clinical role. This study aimed to understand what the pharmacy practice research agenda might look like from the viewpoint of pharmacy academics and practitioners across five high-income countries.
Qualitative methods were used, and thirty one-hour interviews were undertaken with practitioners and academics from five economically advanced countries. These nations have comparable socio-economic status but differing health systems and include; Australia, Canada, New Zealand, United Kingdom and United States of America. Six key informants were chosen from each country, three academics and three community pharmacists. A general inductive analysis was undertaken to analyse the most common and recurring themes.
These themes of research were based around current community pharmacy practice issues and the enablers to changing the profession. Specific areas pharmacy practice could be more involved with included long term health conditions. Some community pharmacists also believed that research into the impact of professional standards and policy change would be beneficial. The findings of this research suggest that current pharmacy practice research methods are sufficient, but need to be used more effectively.
Participants identified a wide range of issues within community pharmacy practice. Academics largely focused on how research can be utilised in the community and how to implement findings to ensure sustainability of pharmacy practice research. Issues that community pharmacists would like to research are related to the current practice model, such as allocating time to provide patient-focused services in addition to managing a business.
随着长期疾病的爆发、全球人口结构的转变以及技术的进步，医疗保健面临着巨大的压力。与此相适应的是，药房的角色正在从传统的药品分发者转变为（除了）具有更先进的临床角色。本研究旨在从五个高收入国家的药房学者和从业者的角度了解药房实践研究议程可能是什么样子。
采用定性方法，对来自五个经济发达国家的从业者和学者进行了 31 小时的访谈。这些国家具有相似的社会经济地位，但具有不同的卫生系统，包括澳大利亚、加拿大、新西兰、英国和美国。每个国家选择了六名关键信息提供者，包括三名学者和三名社区药剂师。采用一般归纳分析方法分析最常见和反复出现的主题。
这些研究主题围绕当前社区药房实践问题和改变专业的推动者展开。药房实践可以更深入参与的具体领域包括长期健康状况。一些社区药剂师还认为，研究专业标准和政策变化的影响将是有益的。这项研究的结果表明，目前的药房实践研究方法是足够的，但需要更有效地使用。
参与者确定了社区药房实践中的一系列广泛问题。学者们主要关注如何在社区中利用研究以及如何实施研究结果以确保药房实践研究的可持续性。社区药剂师希望研究的问题与当前的实践模式有关，例如除了管理业务外，还需要分配时间为患者提供以患者为中心的服务。
