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未来药师对在卡塔尔发展和实施药师处方的潜力的看法。

Perspectives of future pharmacists on the potential for development and implementation of pharmacist prescribing in Qatar.

机构信息

College of Pharmacy, QU Health, Qatar University, P.O. Box 2713, Doha, Qatar.

Mental Health Services, Hamad Medical Corporation, Doha, Qatar.

出版信息

Int J Clin Pharm. 2020 Feb;42(1):110-123. doi: 10.1007/s11096-019-00946-9. Epub 2020 Jan 2.

Abstract

Background Pharmacists in many developed countries have been granted prescribing authorities under what is known as "non-medical prescribing" or "pharmacist prescribing". However, such prescribing privileges are not available in many developing countries. Objective The objective of this study was to determine the perspectives of future pharmacists (recent pharmacy graduates and pharmacy students) on pharmacist prescribing and its potential implementation in Qatar. Methods A convergent parallel mixed-methods design was used: (1) a cross-sectional survey using a pre-tested questionnaire and; (2) focus group discussions to allow for an in-depth understanding of the issue, with a focus on pharmacists prescribing competencies as well as barriers for its implementation. Main outcome measures Future pharmacists' perspectives and attitudes towards pharmacist prescribing in Qatar. Results The majority of the respondents (94.4%) indicated awareness of the prescribing competency related to selecting treatment options. Furthermore, the majority (92.4%) believed that pharmacists should undergo prescribing training and accreditation before been legally allowed to prescribe, a point that was reiterated in the focus group discussions. Participants generally expressed support for collaborative and supplementary prescribing models when developing prescribing frameworks for Qatar. Four categories emerged under the theme barriers to implementation of pharmacist prescribing: lack of prescribing competency, pharmacist mindset, lack of accessibility to patient records and counseling rooms, and diversity of education and training background. Conclusion The majority of recent pharmacy graduates and students were in favor of pharmacist prescribing been implemented in Qatar. However, a special training program was deemed necessary to qualify pharmacists to prescribe safely and effectively.

摘要

背景

在许多发达国家,药剂师已经获得了所谓的“非医疗处方”或“药剂师处方”的处方权。然而,在许多发展中国家,并没有这样的处方特权。

目的

本研究旨在了解未来药剂师(最近的药学毕业生和药学学生)对药剂师处方及其在卡塔尔实施的潜在看法。

方法

采用了一种汇聚式平行混合方法设计:(1)使用预先测试的问卷进行横断面调查;(2)进行焦点小组讨论,以深入了解问题,重点关注药剂师的处方能力以及实施的障碍。

主要结果措施

未来药剂师在卡塔尔对药剂师处方的看法和态度。

结果

大多数受访者(94.4%)表示意识到与选择治疗方案相关的处方能力。此外,大多数(92.4%)人认为药剂师在被合法允许处方之前应该接受处方培训和认证,这一点在焦点小组讨论中得到了重申。参与者普遍表示支持在为卡塔尔制定处方框架时采用协作和补充处方模式。在实施药剂师处方的障碍主题下出现了四个类别:缺乏处方能力、药剂师思维模式、缺乏获取患者记录和咨询室的途径,以及教育和培训背景的多样性。

结论

大多数最近的药学毕业生和学生都赞成在卡塔尔实施药剂师处方。然而,被认为有必要开设一个特别的培训计划,以使药剂师有资格安全有效地处方。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3419/7162834/247093cd4ec8/11096_2019_946_Fig1_HTML.jpg

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