Faculty of Pharmacy, Laval University, Quebec, QC, Canada.
Population Health and Optimal Health Practices Research Unit, CHU de Québec Research Centre, Quebec, QC, Canada.
J Clin Pharm Ther. 2020 Feb;45(1):105-114. doi: 10.1111/jcpt.13035. Epub 2019 Aug 22.
Pharmacists' responsibilities and practices have expanded over the years to be more clinical. Working in other settings and collaborating with other healthcare professionals can lead to new needs that are unmet by actual training. This study was performed to describe the characteristics and practices of pharmacists working in family medicine groups (FMGs) and to assess their needs to develop a practice-based network fostering best practices.
A Quebec province-wide cross-sectional study was performed from May to August 2018. Pharmacists practising in FMGs were identified through phone calls to all listed FMGs and via direct emails. All identified pharmacists were emailed an invitation to complete an online questionnaire comprising questions to assess their sociodemographic characteristics, to describe their FMG and to assess their needs to reach an optimal practice. The link to the questionnaire was also publicized in a Facebook group of FMG pharmacists and by several professional organizations. A descriptive analysis was performed and discussed with two committees: a working group of FMG pharmacists and an advisory committee comprising key stakeholders.
A total of 299 FMG pharmacists were identified, and 178 (59.5%) completed the online questionnaire. Most were women (71.9%), were less than 40 years old (71.9%) and also practised as community pharmacists (76.4%). Reviewing medication to optimize pharmacotherapy and answering questions related to specific issues were the most frequent activities, with 86.0% and 90.4% of pharmacists, respectively, reporting that they performed these often or very often. The most frequently mentioned needs were training and mentorship adapted to the FMG practice and improvement in the understanding that other healthcare professionals have about the role of the FMG pharmacist. Performing comprehensive medication assessments and developing thorough pharmaceutical care plans were among the clinical competencies that pharmacists wanted to develop. Scientific and interprofessional communication was also among the abilities they wished to optimize.
This study provided unique information about pharmacists practising in FMGs and elicited several needs. The results will inform the development of a practice-based network aimed at fulfilling these needs.
多年来，药剂师的职责和实践已经扩展到更具临床性。在其他环境中工作并与其他医疗保健专业人员合作可能会带来新的需求，而这些需求无法通过实际培训来满足。本研究旨在描述在家庭医学组（FMG）工作的药剂师的特征和实践，并评估他们发展基于实践的网络以促进最佳实践的需求。
2018 年 5 月至 8 月期间，在魁北克省进行了一项全省范围的横断面研究。通过电话联系所有列出的 FMG 并通过直接电子邮件，确定在 FMG 工作的药剂师。向所有确定的药剂师发送电子邮件邀请，邀请他们填写在线问卷，该问卷包括评估他们的社会人口统计学特征、描述他们的 FMG 并评估他们达到最佳实践所需的问题。还在 FMG 药剂师的 Facebook 小组和几个专业组织中宣传了问卷链接。进行了描述性分析，并与两个委员会进行了讨论：一个是 FMG 药剂师工作组，另一个是由主要利益相关者组成的咨询委员会。
共确定了 299 名 FMG 药剂师，其中 178 名（59.5%）完成了在线问卷。他们大多数是女性（71.9%），年龄小于 40 岁（71.9%），并且还从事社区药剂师工作（76.4%）。优化药物治疗以审查药物治疗和回答与特定问题相关的问题是最常见的活动，分别有 86.0%和 90.4%的药剂师报告他们经常或非常经常进行这些活动。最常提到的需求是适应 FMG 实践的培训和指导以及提高其他医疗保健专业人员对 FMG 药剂师角色的理解。进行全面的药物评估和制定全面的药物治疗计划是药剂师希望发展的临床能力之一。科学和专业间的沟通也是他们希望优化的能力之一。
本研究提供了有关在 FMG 工作的药剂师的独特信息，并引出了一些需求。结果将为发展一个基于实践的网络提供信息，以满足这些需求。
