Österreichische Apothekerkammer, Spitalgasse 31, Postfach 87, 1091, Vienna, Austria.
Vienna Pharmacy Department, Hanusch-Hospital, Heinrich Collin-Straße 30, 1140, Vienna, Austria.
Int J Clin Pharm. 2020 Aug;42(4):1050-1060. doi: 10.1007/s11096-020-01066-5. Epub 2020 Jun 3.
Background With expansion of more advanced clinical roles for pharmacists we need to be mindful that the extent to which clinical pharmacy services are implemented varies from one country to another. To date no comprehensive assessment of number and types of services provided by either community or hospital pharmacies in Austria exists. Objective To analyse and describe the number and types of clinical pharmacy services provided in both community and hospital pharmacies, as well as the level of clinical pharmacy education of pharmacists across Austria. Setting Austrian community and hospital pharmacies. Method An electronic questionnaire to determine number and types of clinical pharmacy services provided was send to all chief pharmacists at all community (n = 1365) and hospital pharmacies (n = 40) across Austria. Besides current and future services provision, education and training provision were also assessed. Main outcome measure Extent of and attitude towards CPS in Austria. Results Response rates to the surveys were 19.1% (n = 261/1365) in community and 92.5% (n = 37/40) in hospital pharmacies. 59.0% and 89.2% of community and hospital pharmacies, respectively, indicated that the provision of clinical pharmacy services in Austria has increased substantially over the past 10 years. Fifty-one percent of community pharmacies reported to provide a medication review service, while 97.3% of hospitals provide a range of services. Only 18.0% of community pharmacies offer services other than medication review services at dispensing. Binary regressions show that provision of already established medication management is a predictor for the willingness of community pharmacists to extend the range of CPS (p < 0.01), while completed training in the area of clinical pharmacy is not (p > 0.05). More hospital than community pharmacists have postgraduate education in clinical pharmacy (17.4% vs 6.5%). A desire to complete postgraduate education was shown by 28.3% of community and 14.7% of hospital pharmacists. Lack of time, inadequate remuneration, lack of resources and poor relationship between pharmacists and physicians were highlighted as barriers. Conclusion Both community and hospital pharmacists show strong willingness to expand their service provision and will need continued support, such as improved legislative structures, more supportive resources and practice focused training opportunities, to further these services.
随着药剂师更多先进临床角色的扩展，我们需要注意到，临床药学服务的实施程度因国家而异。迄今为止，尚无关于奥地利社区和医院药房提供的服务数量和类型的全面评估。目的：分析和描述奥地利社区和医院药房提供的临床药学服务的数量和类型，以及药剂师的临床药学教育水平。地点：奥地利社区和医院药房。方法：向奥地利所有社区（n=1365）和医院（n=40）药房的首席药剂师发送了一份电子问卷，以确定提供的临床药学服务的数量和类型。除了当前和未来的服务提供外，还评估了教育和培训的提供情况。主要结果衡量标准：奥地利 CPS 的范围和态度。结果：社区药房调查的回应率为 19.1%（n=261/1365），医院药房为 92.5%（n=37/40）。分别有 59.0%和 89.2%的社区和医院药房表示，过去 10 年来，奥地利临床药学服务的提供大幅增加。51%的社区药房报告提供药物审查服务，而 97.3%的医院提供一系列服务。只有 18.0%的社区药房在发药时提供药物审查服务以外的服务。二元回归显示，提供已经建立的药物管理是社区药剂师愿意扩大 CPS 范围的预测因素（p<0.01），而临床药学领域的完成培训则不是（p>0.05）。与社区药房相比，更多的医院药房拥有临床药学研究生教育（17.4%比 6.5%）。28.3%的社区药剂师和 14.7%的医院药剂师表示希望完成研究生教育。缺乏时间、薪酬不足、资源匮乏以及药剂师与医生之间的关系不佳，均被强调为障碍。结论：社区和医院的药剂师都表现出强烈的扩大服务范围的意愿，并将需要持续的支持，例如改善立法结构、更具支持性的资源和以实践为重点的培训机会，以进一步扩大这些服务。
