Prasad Mitch, Loewen Peter S, Shalansky Stephen, Salmasi Shahrzad, Barry Arden R
, BComm(Hons), BSc(Pharm), ACPR, was, at the time of writing, a Pharmacy Practice Resident with Lower Mainland Pharmacy Services. He is now a Clinical Pharmacist with Vancouver General Hospital, Lower Mainland Pharmacy Services, Vancouver, British Columbia.
, BSc(Pharm), PharmD, ACPR, FCSHP, is an Associate Professor with the Faculty of Pharmaceutical Sciences, The University of British Columbia, Vancouver, British Columbia.
Can J Hosp Pharm. 2019 May-Jun;72(3):185-193. Epub 2018 Jun 30.
In many jurisdictions, the pharmacist's role continues to evolve from drug distribution-based service delivery to expanded scopes of practice, including independent prescribing of medications.
To assess health authority-based pharmacists' attitudes, beliefs, and perceptions about independent prescribing, to determine how independent prescribing may affect their behaviour, and to identify perceived barriers and enablers to incorporating it into their practice.
An anonymous, cross-sectional online survey of 677 health authority-based pharmacists employed by Lower Mainland Pharmacy Services in British Columbia collected information in the following domains: demographic characteristics; attitudes, beliefs, and perceptions regarding pharmacist prescribing; anticipated effect of pharmacist prescribing on behaviour; likelihood of applying for this authority, if granted; and barriers and enablers to applying for prescribing authority and incorporating prescribing into their practice. A multivariate regression analysis was performed.
A total of 266 pharmacists (39.3%) responded to the survey. Most respondents agreed that prescribing is important to the profession and relevant to their practice, and that it might enhance job satisfaction. Additionally, respondents agreed that they had the expertise to prescribe. Respondents perceived prescribing as having the potential to positively affect behaviour, including deprescribing, prescribing at time of discharge or transfer, and renewing medications. Enablers to applying for pharmacist prescribing authority included perceived positive impact on patient care and the profession, level of support from management and coworkers, and personal ability. No barriers were identified. About two-thirds of pharmacists indicated they would likely apply for prescribing authority if it were granted through legislation. Pharmacists with a clinical practice or research role were significantly more likely to apply to be a prescriber, whereas those with more than 10 years of experience were less likely to apply.
In this study, health authority-based pharmacists held positive attitudes and beliefs about the value and impact of independent prescribing of medications on their practice and the profession. There were no perceived barriers to applying for prescribing authority or to incorporating prescribing into practice.
在许多司法管辖区，药剂师的角色正不断演变，从基于药品分发的服务提供转变为扩大业务范围，包括独立开具药物处方。
评估基于卫生部门的药剂师对独立处方的态度、信念和看法，确定独立处方如何影响他们的行为，并找出将其纳入实践的感知障碍和促成因素。
对不列颠哥伦比亚省下加拿大药房服务公司雇佣的677名基于卫生部门的药剂师进行了一项匿名横断面在线调查，收集了以下方面的信息：人口统计学特征；对药剂师处方的态度、信念和看法；药剂师处方对行为的预期影响；若获得该权限申请的可能性；以及申请处方权限并将处方纳入实践的障碍和促成因素。进行了多变量回归分析。
共有266名药剂师（39.3%）回复了调查。大多数受访者认为处方对该职业很重要且与他们的实践相关，并且可能会提高工作满意度。此外，受访者同意他们具备开具处方的专业知识。受访者认为处方有可能对行为产生积极影响，包括减少用药、出院或转院时开具处方以及续开药物。申请药剂师处方权限的促成因素包括对患者护理和该职业的感知积极影响、管理层和同事的支持程度以及个人能力。未发现障碍。约三分之二的药剂师表示，如果通过立法授予处方权限，他们可能会申请。担任临床实践或研究角色的药剂师申请成为开处方者的可能性显著更高，而拥有超过10年经验的药剂师申请的可能性较小。
在本研究中，基于卫生部门的药剂师对独立开具药物处方对其实践和职业的价值及影响持积极态度和信念。在申请处方权限或将处方纳入实践方面未发现感知障碍。
