Division of Pharmacy Practice and Policy, School of Pharmacy, University of Nottingham, Nottingham, NG72RD, UK.
Division of Pharmacy Practice and Policy, School of Pharmacy, University of Nottingham, Nottingham, NG72RD, UK.
Res Social Adm Pharm. 2019 Apr;15(4):338-345. doi: 10.1016/j.sapharm.2018.06.001. Epub 2018 Jun 12.
The review was carried out to inform the evaluation of the clinical pharmacists in general practice pilot scheme, a world leading initiative to improve health care delivery in England. Around 500 pharmacists are already working in general practice as part of the pilot, launched in July 2015.
The review attempts to explain the how pharmacists working in general practice is being implemented in the UK and beyond, what works well, what does not work so well and everything in-between.
This realist review was conducted to the RAMESES standards. Studies were identified by searching three databases, Medline, Embase and Scopus. Additional papers were gathered from reference lists, Google searches and via the find similar citations feature.
A total of 83 papers and articles were initially identified from Medline (19), Embase (31) and Scopus (32). With close reading, the final review consisted of 43 papers relating to 38 studies. Most of the research was undertaken in the field of pharmacy practice and over half of the studies investigated the perspectives of different stakeholders using questionnaires or qualitative methods.
The pharmacist working in general practice is still a relatively new concept and further more in-depth research is still required. However, from this small number of studies, the common barriers and facilitators to the implementation can be identified. The review also lists mechanisms that will be needed to ensure the effective implementation of this initiative.
本次综述旨在为评估全科实践临床药师试点计划提供信息，该计划是改善英格兰医疗服务的一项世界领先举措。作为试点计划的一部分，已有约 500 名药剂师在全科医疗中工作，该试点计划于 2015 年 7 月启动。
本次综述试图解释英国及其他国家/地区的全科实践药剂师工作是如何实施的，哪些方面运作良好，哪些方面效果不佳，以及介于两者之间的情况。
本研究按照 RAMESES 标准进行了真实主义综述。通过搜索 Medline、Embase 和 Scopus 这三个数据库来确定研究，还从参考文献、Google 搜索和“查找相似引文”功能中收集了其他论文。
最初从 Medline（19 篇）、Embase（31 篇）和 Scopus（32 篇）中确定了 83 篇论文和文章。经过仔细阅读，最终综述包括 43 篇与 38 项研究相关的论文。大部分研究是在药学实践领域进行的，超过一半的研究使用问卷或定性方法调查了不同利益相关者的观点。
在全科医疗中工作的药剂师仍然是一个相对较新的概念，需要进一步进行更深入的研究。然而，从为数不多的研究中，可以确定实施的共同障碍和促进因素。该综述还列出了确保该计划有效实施所需的机制。
