Centre of Quality Management of Medicines, Faculty of Pharmacy, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Department of Pharmacy, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia.
J Eval Clin Pract. 2020 Dec;26(6):1638-1647. doi: 10.1111/jep.13346. Epub 2020 Jan 6.
RATIONALE, AIMS AND OBJECTIVES: Patient-centred care (PCC) has been increasingly recognized as the standard in current health care, especially when it comes to health communication between patients and health care professionals. The evidence suggests that PCC could potentially improve medication-related outcomes such as medication adherence, disease self-management, and patient-provider relationships. Pharmacists are strategically positioned in the health care system to provide medication management to patients. However, there is a paucity of research regarding PCC in pharmacist-patient consultations. This study aimed to explore the views and experiences of pharmacists and patients on the important aspects of a PCC consultation.
A semistructured interview study was conducted among 17 patients and 18 pharmacists in three tertiary hospitals in Malaysia. All interviews were audiotaped and transcribed verbatim. Themes were developed using a constant comparison approach and thematic analysis.
Five main themes emerged from the data, namely, achieving mutual understanding, recognizing individuality, communication style, information giving, and medication decision making. For both pharmacists and patients, a PCC consultation should promote mutual understanding and non-judgmental discussions. Communication was an important element to bridge the gap between patients' and pharmacists' expectations. Patients emphasized the importance of emotional aspects of the consultation, while pharmacists emphasized the importance of evidence-based information to support patient engagement and information needs.
Comparison of pharmacists' and patients' views provided insight towards important aspects of PCC in pharmacist-patient consultations. It was suggested that PCC is not a one-sided approach but rather a patient-provider collaboration to optimize the consultation. Further research can be done to improve the integration of PCC in the local health care context, including pharmacist consultations.
背景、目的和目标：以患者为中心的护理（PCC）已越来越被视为当前医疗保健的标准，尤其是在患者与医疗保健专业人员之间的健康沟通方面。有证据表明，PCC 可能潜在地改善与药物相关的结果，例如药物依从性、疾病自我管理和医患关系。药剂师在医疗保健系统中处于提供患者药物管理的战略位置。然而，关于药剂师-患者咨询中 PCC 的研究很少。本研究旨在探讨药剂师和患者对 PCC 咨询重要方面的看法和经验。
在马来西亚的三家三级医院中，对 17 名患者和 18 名药剂师进行了半结构式访谈研究。所有访谈均进行了录音，并逐字转录。使用恒定比较方法和主题分析方法开发主题。
从数据中得出了五个主要主题，即实现相互理解、识别个体、沟通方式、信息提供和药物决策。对于药剂师和患者来说，PCC 咨询应促进相互理解和无偏见的讨论。沟通是弥合患者和药剂师期望之间差距的重要元素。患者强调咨询中情感方面的重要性，而药剂师强调基于证据的信息对支持患者参与和信息需求的重要性。
对药剂师和患者观点的比较提供了有关药剂师-患者咨询中 PCC 重要方面的见解。有人建议，PCC 不是单方面的方法，而是患者-提供者合作，以优化咨询。可以进一步进行研究，以改善 PCC 在当地医疗保健环境中的整合，包括药剂师咨询。
