7152San Francisco Department of Public Health, San Francisco, CA, USA.
Department of Clinical Pharmacy, School of Pharmacy, 209683University of California, San Francisco, San Francisco, CA, USA.
J Pharm Pract. 2020 Dec;33(6):790-798. doi: 10.1177/0897190019838422. Epub 2019 Apr 12.
While pharmacists have provided services in a multidisciplinary, primary care setting for decades, few publications have yet to evaluate providers' impressions of- these services. An anonymous 14-item survey distributed to nonresident primary care providers aimed to identify clinical pharmacist services that are most and least helpful to primary care providers, identify barriers to pharmacy services, and develop recommendations to improve pharmacy services in primary care. The most important pharmacist contribution identified by providers is medication management, whereas the least important contributions are case conference, panel management, quality improvement, and transition of care. The primary reasons for referrals to pharmacists included inadequately controlled chronic diseases, poor or questionable adherence, longer visits for more in-depth discussion, and complex regimen requiring frequent monitoring or titration. Providers favored pharmacists working in direct patient care versus indirect patient care activities. Although many providers perceived no barriers to pharmacist service access, pharmacists' presence and visibility were 2 barriers identified. Most providers preferred comprehensive to disease-specific medication management.
尽管药师在多学科、初级保健环境中提供服务已有数十年，但很少有出版物评估提供者对这些服务的印象。一项向非驻留初级保健提供者分发的匿名 14 项调查旨在确定临床药师服务对初级保健提供者最有帮助和最没有帮助的地方，确定药房服务的障碍，并提出改进初级保健药房服务的建议。提供者认为药剂师最重要的贡献是药物管理，而最不重要的贡献是病例会议、小组管理、质量改进和护理过渡。向药剂师转介的主要原因包括慢性疾病控制不佳、服药依从性差或可疑、就诊时间延长以进行更深入的讨论，以及需要频繁监测或滴定的复杂方案。提供者更希望药剂师从事直接的患者护理，而不是间接的患者护理活动。尽管许多提供者认为获得药剂师服务没有障碍，但药剂师的存在和可见性是两个被确定的障碍。大多数提供者更喜欢全面的药物管理而不是针对特定疾病的药物管理。
