Women's College Hospital, 76 Grenville St., Toronto, Ontario, Canada; Leslie Dan Faculty of Pharmacy, University of Toronto, 144 College St., Toronto, Ontario, Canada.
Leslie Dan Faculty of Pharmacy, University of Toronto, 144 College St., Toronto, Ontario, Canada.
Res Social Adm Pharm. 2019 May;15(5):575-583. doi: 10.1016/j.sapharm.2018.07.016. Epub 2018 Jul 24.
In 2012, community pharmacists in Ontario, Canada gained regulatory authority to independently prescribe, including renew and adapt prescriptions. Studies have explored views of pharmacists, physicians and policymakers about pharmacist prescribing but less is known about the views of community pharmacy services users.
To describe Ontario community pharmacy service users' support for and stated willingness to use pharmacist prescribing services.
A qualitative descriptive study was conducted with 19 adults who had filled or refilled prescription(s) at a community pharmacy within the past three months. Participants were recruited through purposive and snowball sampling. Data were collected through one-on-one, semi-structured interviews between May and September 2016. Interview transcripts were coded and thematic analysis conducted. The first two transcripts were independently coded and analyzed by 2 researchers and after consensus was achieved, the lead researcher coded and analyzed the remainder of the data.
Most community pharmacy service users lacked experience with pharmacist prescribing services but perceived some potential benefits, including personal convenience. The majority of participants supported pharmacist prescribing. Support for and stated willingness to use pharmacist prescribing services varied by the type of service and was contingent upon the clinical purpose of the prescription, pharmacists' access to patient clinical information (e.g. health records), and the extent of pharmacist-physician collaboration during the prescribing process.
Community pharmacy service users in Ontario expressed varying support for and stated willingness to use pharmacist prescribing services. This seemed to be due to their perceptions of the pharmacists' role (compared to physicians) and concerns about risks. Understanding these contributing factors will help implement strategies that address concerns and facilitate use of community pharmacists' prescribing services.
2012 年，加拿大安大略省的社区药剂师获得了独立处方的监管权，包括续方和调整处方。已经有研究探讨了药剂师、医生和政策制定者对药剂师处方的看法，但对于社区药房服务用户的看法知之甚少。
描述安大略省社区药房服务用户对药剂师处方服务的支持程度和使用意愿。
采用定性描述性研究方法，对 19 名在过去三个月内在社区药房配过或续过处方的成年人进行研究。参与者通过目的性和滚雪球抽样进行招募。数据收集于 2016 年 5 月至 9 月期间进行的一对一半结构式访谈。访谈记录进行编码和主题分析。前两份转录本由两名研究人员独立进行编码和分析，达成共识后，由首席研究员对其余数据进行编码和分析。
大多数社区药房服务用户缺乏对药剂师处方服务的经验，但认为有一些潜在的好处，包括个人方便。大多数参与者支持药剂师处方。对药剂师处方服务的支持和使用意愿因服务类型而异，并取决于处方的临床目的、药剂师获取患者临床信息（如健康记录）的程度，以及在处方过程中医务人员的合作程度。
安大略省的社区药房服务用户对药剂师处方服务表达了不同程度的支持和使用意愿。这似乎是由于他们对药剂师角色（与医生相比）的看法以及对风险的担忧。了解这些影响因素将有助于实施策略，解决顾虑，促进社区药剂师处方服务的使用。
