Hasan S, Stewart K, Chapman C B, Kong D C M
a Department of Clinical Sciences , College of Pharmacy, Ajman University , Ajman , United Arab Emirates.
b Centre for Medicine Use and Safety , Monash University , Parkville , Australia.
J Interprof Care. 2018 Sep;32(5):566-574. doi: 10.1080/13561820.2018.1452726. Epub 2018 Mar 28.
Interprofessional collaborative care has been shown to improve patient outcomes. Physicians' views on collaboration with pharmacists give an insight into what contributes to a well-functioning team. Little is known about these views from low and middle-income countries and nothing from the United Arab Emirates (UAE). The purpose of this study is to investigate physicians' opinions on collaborative relationships with community pharmacists in the UAE. Semi-structured individual interviews and group discussions are conducted with a purposive sample of physicians. Thematic analysis based on the framework approach is used to generate themes. A total of 53 physicians participated. Three themes about collaboration emerged: perceived benefits of collaboration, facilitators of collaboration and perceived barriers to collaboration. Perceived benefits include reducing the burden on physicians, having the pharmacist as an extra safety check within the system, having the pharmacist assist patients to manage their medications: coping with side effects, reducing drug waste and costs, and attaining professional and health-system gains. Perceived facilitators included awareness and trust building, professional role definition, pharmacists' access to patient records and effective communication. Perceived barriers included patient and physician acceptance, logistic and financial issues and perceived pharmacist competence. This study has, for the first time, provided useful information to inform the future development of pharmacist-physician collaboration in the UAE and other countries with similar healthcare systems.
跨专业协作护理已被证明可改善患者预后。医生对与药剂师协作的看法有助于深入了解高效团队的构成要素。对于低收入和中等收入国家的这些看法知之甚少,而关于阿拉伯联合酋长国(阿联酋)的此类看法则一无所知。本研究的目的是调查阿联酋医生对与社区药剂师协作关系的看法。我们对有目的选取的医生样本进行了半结构化个人访谈和小组讨论。采用基于框架法的主题分析法来生成主题。共有53名医生参与。出现了关于协作的三个主题:协作的感知益处、协作的促进因素和协作的感知障碍。感知到的益处包括减轻医生负担、让药剂师成为系统内的额外安全检查、让药剂师协助患者管理药物:应对副作用、减少药物浪费和成本,以及获得专业和卫生系统方面的收益。感知到的促进因素包括提高认识和建立信任、明确专业角色、药剂师获取患者记录以及有效沟通。感知到的障碍包括患者和医生的接受度、后勤和财务问题以及对药剂师能力的看法。本研究首次提供了有用信息,为阿联酋及其他具有类似医疗保健系统的国家未来药剂师与医生协作的发展提供参考。