Maes Karen A, Ruppanner Jasmine A, Imfeld-Isenegger Tamara L, Hersberger Kurt E, Lampert Markus L, Boeni Fabienne
Pharmaceutical Care Research Group, University of Basel, 4056 Basel, Switzerland.
Institute of Hospital Pharmacy, Solothurner Spitäler, 4600 Olten, Switzerland.
Pharmacy (Basel). 2018 Dec 21;7(1):1. doi: 10.3390/pharmacy7010001.
Patient counselling and addressing drug-related problems are the pharmacist's key activities to ensure the safe and effective use of medicines. This study aimed to describe the dispensing practice of prescribed medicines in daily community pharmacy practice and to identify factors influencing counselling provision; An observational study was conducted in community pharmacies in Basel, Switzerland. One master student in pharmacy performed non-participatory observations for one day at each of the participating community pharmacies. Patient characteristics, counselling content, additional activities, and pharmaceutical interventions were documented on a structured checklist; : 556 prescription encounters (PE) in 18 participating community pharmacies were observed (269 first prescriptions; 287 refill prescriptions). Patients were regular customers (n = 523, 94.1%) and 53.8 ± 23.4 years old. Counselling was provided to 367 (66.0%) customers on 2.9 ± 3.1 themes per PE. Factors influencing counselling were dispensing by the pharmacist, new customer, customer who did not refuse counselling, customer with a first prescription, with a prescription resulting in a pharmaceutical intervention, and a prescription filled by carers. During 144 PEs, 203 interventions were documented. Pharmacists proposed few additional activities and performed no cognitive pharmaceutical service; Our study quantified counselling and additional services at the dispensing of prescribed medicines and identified influencing factors on counselling provision at the patient, prescription, and pharmacy level.
患者咨询及解决药物相关问题是药剂师确保药物安全有效使用的关键活动。本研究旨在描述日常社区药房实践中处方药的调配情况，并确定影响咨询服务提供的因素；在瑞士巴塞尔的社区药房进行了一项观察性研究。一名药学专业硕士研究生在每家参与研究的社区药房进行了一天的非参与性观察。患者特征、咨询内容、额外活动和药学干预措施都记录在一份结构化清单上；观察了18家参与研究的社区药房的556次处方配药情况（269张首次处方；287张续方）。患者均为常客（n = 523，94.1%），年龄为53.8 ± 23.4岁。367名（66.0%）顾客接受了咨询，每次处方配药的咨询主题为2.9 ± 3.1个。影响咨询的因素包括药剂师调配、新顾客、不拒绝咨询的顾客、首次处方顾客、导致药学干预的处方顾客以及由护理人员代取药的处方顾客。在144次处方配药过程中，记录了203项干预措施。药剂师提出的额外活动很少，且未提供认知药学服务；我们的研究对处方药调配时的咨询及额外服务进行了量化，并确定了患者、处方和药房层面影响咨询服务提供的因素。
