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埃塞俄比亚临床药学服务的挑战与机遇:一项基于医疗从业者视角的定性研究

Challenges and opportunities of clinical pharmacy services in Ethiopia: A qualitative study from healthcare practitioners' perspective.

作者信息

Tegegn Henok G, Abdela Ousman A, Mekuria Abebe B, Bhagavathula Akshaya S, Ayele Asnakew A

机构信息

Assistant professor, Department of Clinical Pharmacy, School of Pharmacy, College of Medicine and Health Sciences, University of Gondar, Gondar (Ethiopia).

Lecturer, Department of Clinical Pharmacy, School of Pharmacy, College of Medicine and Health Sciences, University of Gondar, Gondar (Ethiopia).

出版信息

Pharm Pract (Granada). 2018 Jan-Mar;16(1):1121. doi: 10.18549/PharmPract.2018.01.1121. Epub 2018 Mar 21.

Abstract

BACKGROUND

Currently, clinical pharmacists have in-depth therapeutic knowledge and scientific skills to act as drug therapy experts in healthcare settings.

OBJECTIVE

The aim of this study was to assess the opportunities and challenges of clinical pharmacy services from the health practitioners' perspective in University of Gondar (UOG) hospital Ethiopia.

METHODS

A qualitative study was performed using face-to-face in-depth interviews with health practitioners who were directly involved in clinical pharmacy services (clinical pharmacists, physicians, and nurses) in UOG hospital.

RESULTS

A total of 15 health professionals from various specialties were interviewed to express their views towards clinical pharmacists' competencies and identified challenges and opportunities regarding their clinical services. Based on interviewees report, the opportunities for clinical pharmacists includes acceptance of their clinical services among health specialties, new government policy and high patient load in hospital. However, inadequacy of service promotions, lack of continuity of clinical pharmacy services in wards, poor drug information services, lack of commitment, lack of confidence among clinical pharmacists, conflict of interest due to unclear scope of practice, and absence of cooperation with health workers were some of the challenges identified by the interviewees.

CONCLUSION

We identified health professionals working in UOG hospital are receptive towards clinical pharmacy services, but identified some of the potential challenges that needed to be focused to strengthen and promote clinical pharmacy services. Further, the opportunities at hand also need to be utilized astutely to boost the services.

摘要

背景

目前,临床药师拥有深入的治疗知识和科学技能,能够在医疗环境中担任药物治疗专家。

目的

本研究旨在从埃塞俄比亚贡德尔大学(UOG)医院从业者的角度评估临床药学服务的机遇和挑战。

方法

采用定性研究方法,对UOG医院直接参与临床药学服务的从业者(临床药师、医生和护士)进行面对面深入访谈。

结果

共采访了15名来自不同专业的卫生专业人员,以了解他们对临床药师能力的看法,以及确定其临床服务方面的挑战和机遇。根据受访者的报告,临床药师的机遇包括在各卫生专业中临床服务得到认可、新的政府政策以及医院患者负荷高。然而,服务推广不足、病房临床药学服务缺乏连续性、药物信息服务不佳、缺乏敬业精神、临床药师缺乏信心、执业范围不明确导致利益冲突以及与卫生工作者缺乏合作是受访者指出的一些挑战。

结论

我们发现UOG医院的卫生专业人员对临床药学服务持接受态度,但也发现了一些需要关注的潜在挑战,以加强和推广临床药学服务。此外,还需要巧妙利用现有的机遇来提升服务。

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