Frisk Pia, Holtendal Clary, Bastholm-Rahmner Pia, Sporrong Sofia Kälvemark
Public Healthcare Services Committee, Stockholm County Council, Stockholm, Sweden.
Swedish Pharmacists Association, Stockholm, Sweden.
Int J Pharm Pract. 2019 Aug;27(4):346-354. doi: 10.1111/ijpp.12518. Epub 2019 Feb 1.
Creating evidence of effectiveness is an important part of service development. In an ongoing research project Swedish community pharmacists participate in services research by recruiting patients initiated on statins to an adherence-promoting cognitive pharmaceutical service, jointly run by nurses and pharmacists.
To explore the pharmacists' experiences of providing part of the service and their views regarding future participation in practice research aiming at developing cognitive pharmaceutical services.
Focus group interviews were conducted with community pharmacists from pharmacies participating in the project. A semi-structured interview guide was developed, based on the aim and earlier research.
The domains identified were the service itself, operative conditions, the pharmacists' role/profession and stakeholders. The research project was thought to promote the local pharmacy to customers, increase job satisfaction and contribute to service development. However, a perceived lack of competence among pharmacists affected both patient communication and project involvement. Additional resources and strengthened collaboration with other local healthcare were requested. Competition among pharmacy chains was identified as a barrier to patient-centred service provision and research.
The current operative conditions in Swedish community pharmacies were perceived by pharmacists as hampering cognitive pharmaceutical services provision and research. Additional resources, improved communication skills and research competence, and increased collaboration with other healthcare and across pharmacy chains are necessary changes. A stronger patient-centred perspective among all stakeholders is required.
提供有效性证据是服务发展的重要组成部分。在一个正在进行的研究项目中，瑞典社区药剂师通过招募开始服用他汀类药物的患者参与一项由护士和药剂师联合开展的促进依从性的认知药学服务，从而参与服务研究。
探讨药剂师提供部分服务的经验以及他们对未来参与旨在发展认知药学服务的实践研究的看法。
对参与该项目的药店的社区药剂师进行焦点小组访谈。根据研究目的和早期研究制定了半结构化访谈指南。
确定的领域包括服务本身、操作条件、药剂师的角色/职业和利益相关者。该研究项目被认为有助于当地药店吸引顾客、提高工作满意度并促进服务发展。然而，药剂师认为自身能力不足影响了与患者的沟通和项目参与。他们要求增加资源并加强与当地其他医疗保健机构的合作。连锁药店之间的竞争被视为以患者为中心的服务提供和研究的障碍。
瑞典社区药店目前的操作条件被药剂师认为阻碍了认知药学服务的提供和研究。需要进行一些改变，包括增加资源、提高沟通技巧和研究能力，以及加强与其他医疗保健机构和跨连锁药店的合作。所有利益相关者都需要更强的以患者为中心的视角。
