Department of Pharmacy Administration and Clinical Pharmacy, School of Pharmacy, Xi'an Jiaotong University, #76 Yanta West Road, Xi'an, 710061, China.
Center for Drug Safety and Policy Research, Xi'an Jiaotong University, Xi'an, China.
Int J Clin Pharm. 2020 Oct;42(5):1335-1343. doi: 10.1007/s11096-020-01096-z. Epub 2020 Aug 8.
Background The effective implementation of pharmaceutical care requires pharmacists' collaboration with other healthcare providers, especially doctors. However, doctor's perceptions and expectations may not be in line with the tasks and responsibilities of pharmacists. Objectives We aim to explore doctors' expectations and perceptions of pharmacists while working together in a multi-disciplinary team in Sierra Leone. Setting Twelve public hospitals in Sierra Leone. Method A national cross-sectional survey was conducted between July and September 2018. Anonymous self-administered questionnaires were distributed to all doctors at randomly selected public hospitals. Data were analyzed in Excel and SPSS using descriptive and inferential statistics, and a p > 0.05 was taken as statistically significant. Main outcome measure Doctors' perceptions and expectations towards pharmacists role in patient care. Results A total of 119 out of 150 questionnaires were returned. Doctors hold a mixed perception of pharmacists. The majority of medical doctors believed that pharmacists are vital (n = 98; 82.4%) as they provide services that foster better patients outcomes (n = 78; 65.6%). However, about half (n = 58; 48.8%) expressed uncertainty or perceived pharmacists as incompetent in providing clinical pharmacy services. Our findings also showed a large proportion of doctors expect pharmacists to review medication order (n = 110; 92.4%) for appropriateness and monitoring patients' response to therapy and possible adverse drug effects (n = 112; 92.2%). M ore than three quarters (n = 104, 87.4%) were in favour of collaborating with pharmacists in the process of developing patients' treatment plans. Doctors (n = 116; 97.5%) were of the view that doctor-pharmacist collaborations can be improved by developing trust relationships through dialogue. No demographic characteristics were independently associated with doubt in pharmacist clinical competence. Conclusion Reservations regarding pharmacists' clinical competency still prevail amongst medical doctors. Conversely, they view pharmacists as crucial players in the healthcare delivery system in Sierra Leone. Doctors also have high expectations of pharmacists in terms of contributing to better patient outcomes and therefore wish to collaborate. Possible interventions to settle doctors' discontent regarding pharmacists may include fostering interprofessional training, practice, and constructive dialogue.
药学服务的有效实施需要药剂师与其他医疗保健提供者合作，尤其是医生。然而，医生的看法和期望可能与药剂师的任务和职责不一致。
我们旨在探索塞拉利昂多学科团队中医生对药剂师的期望和看法。
塞拉利昂 12 家公立医院。
2018 年 7 月至 9 月期间进行了一项全国性的横断面调查。在随机选择的公立医院向所有医生发放匿名自填式问卷。使用 Excel 和 SPSS 进行数据分析，p＞0.05 为统计学显著。
医生对药剂师在患者护理中角色的看法和期望。
共收回 150 份问卷中的 119 份。医生对药剂师的看法存在混合性。大多数医生认为药剂师至关重要（n=98；82.4%），因为他们提供的服务可以促进更好的患者结果（n=78；65.6%）。然而，约一半（n=58；48.8%）的医生表示不确定或认为药剂师在提供临床药学服务方面能力不足。我们的研究结果还表明，大多数医生期望药剂师审查医嘱的适宜性（n=110；92.4%）并监测患者对治疗的反应和可能的药物不良反应（n=112；92.2%）。超过四分之三（n=104；87.4%）的医生赞成在制定患者治疗计划的过程中与药剂师合作。医生（n=116；97.5%）认为，通过对话建立信任关系可以改善医生-药剂师的合作。没有任何人口统计学特征与对药剂师临床能力的怀疑独立相关。
尽管医生对药剂师的临床能力仍持保留意见，但他们认为药剂师是塞拉利昂医疗保健提供系统中的重要角色。医生也对药剂师在改善患者结局方面寄予厚望，因此希望与药剂师合作。可能的干预措施包括促进药剂师与其他专业人员的培训、实践和建设性对话，以解决医生对药剂师的不满。
