Abdel-Latif Mohamed M M
Department of Clinical Pharmacy, Faculty of Pharmacy, Assiut University, Assiut, Egypt.
Department of Clinical and Hospital Pharmacy, College of Pharmacy, Taibah University, Al-Madinah Al-Munawwarah, Kingdom of Saudi Arabia.
Eur J Hosp Pharm. 2017 Nov;24(6):343-348. doi: 10.1136/ejhpharm-2016-001075. Epub 2016 Nov 7.
The collaboration between doctors and clinical pharmacists is a key factor in the provision of drug therapy and the continuity of patient care. The aim of this study was to explore the views of hospital doctors on the clinical role of pharmacists, barriers to interaction with them and their expectations of them.
A self-administered survey was conducted among a representative sample of doctors (n=400) recruited in hospitals in the Madinah region of Saudi Arabia; 270 surveys were returned, yielding a 67.5% response rate.
Most doctors knew about clinical pharmacy (85.19%), but only 42.96% of them were aware of the existence of clinical pharmacy services in their hospital. Nearly three-quarters of doctors (74.07%) were willing to collaborate with a clinical pharmacist despite existing barriers that hinder interprofessional collaboration. Approximately 67.78% of the doctors strongly agreed or agreed that a clinical pharmacist was a reliable source of drug information. The most common queries from doctors to pharmacists were about drug alternatives (46.29%), drug interactions (39.26%), drug availability (37.77%), side effects (34.81%), drug dosage (26.29%), drug indications (24.81%), drug costs (21.48%) or other (7.41%). Only 19.63% of respondents would always accept a pharmacist's modification to a prescription. Most of the doctors (70%) expected the clinical pharmacist to advise them on rational use of drugs, to resolve drug-related problems and to counsel patients.
Doctors widely accept that clinical pharmacists can make a great contribution to the provision of drug therapy. However, strong interprofessional collaboration between doctors and clinical pharmacists is needed to optimise patient care.
医生与临床药师之间的合作是提供药物治疗及患者护理连续性的关键因素。本研究旨在探讨医院医生对药师临床角色的看法、与药师互动的障碍以及对药师的期望。
对沙特阿拉伯麦地那地区医院招募的具有代表性的医生样本（n = 400）进行了一项自填式调查；共收回270份调查问卷，回复率为67.5%。
大多数医生了解临床药学（85.19%），但其中只有42.96%的人知道他们所在医院存在临床药学服务。近四分之三的医生（74.07%）愿意与临床药师合作，尽管存在阻碍跨专业合作的障碍。约67.78%的医生强烈同意或同意临床药师是可靠的药物信息来源。医生向药师提出的最常见问题涉及药物替代（46.29%）、药物相互作用（39.26%）、药物可及性（37.77%）、副作用（34.81%）、药物剂量（26.29%）、药物适应症（24.81%）、药物成本（21.4$）或其他（7.41%）。只有19.63%的受访者会始终接受药师对处方的修改。大多数医生（70%）期望临床药师就药物的合理使用向他们提供建议、解决与药物相关的问题并为患者提供咨询。
医生普遍认为临床药师可为药物治疗做出巨大贡献。然而，医生与临床药师之间需要进行强有力的跨专业合作以优化患者护理。
