Deeks Louise S, Kosari Sam, Naunton Mark, Cooper Gabrielle, Porritt Julie, Davey Rachel, Dawda Paresh, Goss John, Kyle Gregory
Discipline of Pharmacy, Faculty of Health, University of Canberra, Bruce, Canberra, ACT 2601, Australia.
Capital Health Network, PO Box 9, Deakin West, Canberra, ACT 2600, Australia.
Aust J Prim Health. 2018 Jul;24(3):263-272. doi: 10.1071/PY17086.
Previous studies have found that integrating non-dispensing pharmacists in general practice may improve patient safety, improve patient outcomes, deliver health system efficiencies and generate savings. However, the employment of pharmacists in general practice is not common in Australia. A naturalistic study was conducted in the Australian Capital Territory with three general practices, each employing a part-time pharmacist for 12 months. This study reports on stakeholder perspectives of the benefits, barriers and enablers for integrating pharmacists into general practice. Patients, practice staff and community pharmacists that had interacted with a practice pharmacist were asked to complete a self-administered questionnaire. Patient questionnaire respondents (n=44) reported that a practice pharmacist was beneficial and wanted to see this continue. Practice pharmacists were also perceived beneficial by primary healthcare employees surveyed (n=42). Opinions were further explored by individual semi-structured interviews (n=20). The qualitative data explored five themes: perception of the practice pharmacist, collaboration with doctors, pharmacist roles, sustainability and community pharmacy aspects. Patients welcomed improved understanding about their medication, whereas general practice staff appreciated pharmaceutical advice about patients with chronic conditions. Participants discussed options to fund practice pharmacists longer term, which was identified as the main barrier to widespread roll out.
以往的研究发现，在普通医疗中引入非配药药剂师可能会提高患者安全性、改善患者治疗效果、提高卫生系统效率并节省开支。然而，在澳大利亚，普通医疗中聘用药剂师的情况并不常见。在澳大利亚首都地区对三家普通医疗机构进行了一项自然主义研究，每家机构聘用一名兼职药剂师，为期12个月。本研究报告了利益相关者对于将药剂师纳入普通医疗的益处、障碍和促成因素的看法。与机构药剂师有过接触的患者、机构工作人员和社区药剂师被要求填写一份自填式问卷。参与问卷调查的患者（n = 44）报告称，机构药剂师很有帮助，并希望这种情况继续下去。接受调查的基层医疗员工（n = 42）也认为机构药剂师很有帮助。通过个人半结构化访谈（n = 20）进一步探讨了相关意见。定性数据探讨了五个主题：对机构药剂师的看法、与医生的合作、药剂师的角色、可持续性以及社区药房方面。患者欢迎对其用药有更好的了解，而普通医疗机构工作人员则赞赏针对慢性病患者的药学建议。参与者讨论了为长期聘用机构药剂师提供资金的方案，这被确定为广泛推广的主要障碍。
