Deeks Louise S, Naunton Mark, Tay Guan Han, Peterson Gregory M, Kyle Gregory, Davey Rachel, Dawda Paresh, Goss John, Cooper Gabrielle M, Porritt Julie, Kosari Sam
BSc (Hons), PGDipPharmPrac, PGCertIPresc, Pharmacist Researcher, Discipline of Pharmacy, Faculty of Health, University of Canberra, Bruce, Canberra, ACT.
BPharm (Hons), AACP, PhD, Head of Discipline, Discipline of Pharmacy, Faculty of Health, University of Canberra, Bruce, Canberra, ACT.
Aust J Gen Pract. 2018 Aug;47(8):545-549. doi: 10.31128/AJGP-03-18-4520.
Non-dispensing pharmacists are being suggested as a useful addition to the workforce in general practice. The aim of this study was to describe the activities of three general practice pharmacists over six months in a pilot trial.
Three general practices integrated a part-time (15.2-16 hours per week) non-dispensing pharmacist to be employed according to their individual skillset and local workplace needs. Each general practice pharmacist maintained a daily activity diary, which was subsequently analysed.
The general practice pharmacists' activities were categorised as quality of practice (37%), administration (34%), medication review (19%) and patient education (11%). Within the quality of practice category, most time was spent conducting clinical audits (47%). Over the course of the six months, time spent on administration decreased, while time communicating with general practitioners (GPs) on clinical issues increased.
The general practice pharmacists conducted a range of predominantly clinically related activities involving their expertise in the quality use of medications. Involvement in clinical activities to support GPs increased with time working in the practice. Randomised controlled trials are required to collect clinical outcomes and determine which activities conducted by pharmacists are most beneficial to Australian patients and GPs.
非配药药剂师被认为是普通医疗服务中劳动力的有益补充。本研究的目的是描述三名普通医疗服务药剂师在一项试点试验中六个月的活动情况。
三家普通医疗机构根据各自的技能组合和当地工作场所需求，聘请了一名兼职（每周15.2 - 16小时）非配药药剂师。每位普通医疗服务药剂师都记录了每日活动日记，随后进行了分析。
普通医疗服务药剂师的活动分为执业质量（37%）、管理（34%）、药物审查（19%）和患者教育（11%）。在执业质量类别中，大部分时间用于进行临床审计（47%）。在六个月的时间里，用于管理的时间减少，而与全科医生就临床问题进行沟通的时间增加。
普通医疗服务药剂师开展了一系列主要与临床相关的活动，这些活动涉及他们在合理用药方面的专业知识。随着在该医疗机构工作时间的增加，参与支持全科医生的临床活动也增多。需要进行随机对照试验来收集临床结果，并确定药剂师开展的哪些活动对澳大利亚患者和全科医生最有益。
