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阿联酋药剂师的观点及药房提供专业服务的能力。

Pharmacist views and pharmacy capacity to deliver professional services in the United Arab Emirates.

作者信息

Alzubaidi Hamzah, Saidawi Ward, Mc Namara Kevin

机构信息

Sharjah Institute for Medical Research and College of Pharmacy, University of Sharjah, PO Box 2727, Sharjah, United Arab Emirates.

School of Medicine, Deakin University, 75 Pigdons Rd, Waurn Ponds, VIC, 3216, Australia.

出版信息

Int J Clin Pharm. 2018 Oct;40(5):1106-1115. doi: 10.1007/s11096-018-0662-4. Epub 2018 Jun 20.

Abstract

Background The benefits of professional pharmacy services in improving patient outcomes and reducing health expenditure are well documented. To a large extent, these services are not implemented in many developing countries. Objective To explore pharmacists' perceptions of and willingness to provide professional services in the United Arab Emirates (UAE) and the perceived barriers and facilitators. The current provision of pharmacy-based services and capacity for service delivery were also explored. Setting Community pharmacies in Sharjah and Dubai in the UAE. Methods A 34-item cross-sectional survey was conducted. It assessed community pharmacists' perceptions of and willingness to provide professional services in the future, current service provision and capacity to deliver professional services. A descriptive analysis of responses was undertaken. Main outcome measure Community pharmacists' perceptions of and willingness to provide pharmacy-based professional services in the United Arab Emirates (UAE) and associated barriers and facilitators. Results Overall, 200 community pharmacists completed the survey. Ninety-two percent of participants thought that it is time for community pharmacists to engage in extended services (screening, medication use reviews, and chronic disease management) provided that adequate training and regulatory approvals are given. The current restrictive legislations and negative public perception were perceived as major barriers to providing extended services, but lack of time and support staff were also considered barriers. Conclusions Community pharmacists held strong positive views regarding future engagement in professional services. Given the compelling public health case for expansion of affordable care, it is timely to expand health services in the UAE by using the untapped clinical skills of pharmacists. Transition towards professional pharmacy services requires support from key stakeholders including medical and regulatory organizations, and public acceptance.

摘要

背景 专业药学服务在改善患者治疗效果和降低医疗支出方面的益处已有充分记录。在很大程度上,这些服务在许多发展中国家并未得到实施。目的 探讨阿联酋药剂师对提供专业服务的看法和意愿以及感知到的障碍和促进因素。还探讨了当前基于药房的服务提供情况和服务提供能力。地点 阿联酋沙迦和迪拜的社区药房。方法 开展了一项包含34个项目的横断面调查。评估了社区药剂师对未来提供专业服务的看法和意愿、当前的服务提供情况以及提供专业服务的能力。对回复进行了描述性分析。主要结局指标 阿联酋社区药剂师对提供基于药房的专业服务的看法和意愿以及相关的障碍和促进因素。结果 总体而言,200名社区药剂师完成了调查。92%的参与者认为,如果给予足够的培训和监管批准,社区药剂师是时候参与扩展服务(筛查、用药评估和慢性病管理)了。当前的限制性立法和公众的负面看法被视为提供扩展服务的主要障碍,但时间不足和缺乏支持人员也被认为是障碍。结论 社区药剂师对未来参与专业服务持强烈的积极态度。鉴于扩大可负担医疗服务有令人信服的公共卫生理由,利用药剂师未被充分利用的临床技能在阿联酋扩大医疗服务恰逢其时。向专业药学服务的转变需要包括医疗和监管组织在内的关键利益相关者的支持以及公众的接受。

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