Population Health Sciences Institute, Newcastle University, Newcastle, UK.
School of Pharmacy, Newcastle University, Newcastle, UK.
BMJ Open. 2021 Mar 4;11(3):e043344. doi: 10.1136/bmjopen-2020-043344.
To investigate the perception and experience of patients and the public (PP) about community pharmacy (CP) services and other primary care services after hospital discharge back home.
A rapid review and qualitative study exploring PP perceptions of primary care, focusing on CP services in the UK.
A mixed-methods approach was adopted including a rapid review undertaken between 24 April and 8 May 2019 across four databases (MEDLINE, EMBASE, PsycINFO and CINAHL). Semistructured interviews were then conducted investigating for shifts in current PP perception, but also nuanced opinion pertaining to CP services. A convenience sampling technique was used through two online PP groups for recruitment. Thematic framework analysis was applied to interview transcripts.
Any consenting adults ≥18 years old were invited regardless of their medical condition, and whether they had used post-discharge services or not.
Twenty-five studies met the inclusion criteria. Patients were generally supportive and satisfied with primary care services. However, some barriers to the use of these services included: resource limitations; poor communication between healthcare providers or between patient and healthcare providers; and patients' lack of awareness of available services. From the 11 interviewees, there was a lack of awareness of CP post-discharge services. Nevertheless, there was general appreciation of the benefit of CP services to patients, professionals and wider healthcare system. Potential barriers to uptake and use included: accessibility, resource availability, lack of awareness, and privacy and confidentiality issues related to information-sharing. Several participants felt the uptake of such services should be improved.
There was alignment between the review and qualitative study about high patient acceptance, appreciation and satisfaction with primary care services post-discharge. Barriers to the use of CP post-discharge services identified from interviews resonated with the existing literature; this is despite developments in pharmacy practice in recent times towards clinical and public health services.
调查患者和公众（PP）对出院后社区药房（CP）服务和其他初级保健服务的感知和体验。
一项快速审查和定性研究，探讨 PP 对初级保健的看法，重点是英国的 CP 服务。
采用混合方法，包括 2019 年 4 月 24 日至 5 月 8 日在四个数据库（MEDLINE、EMBASE、PsycINFO 和 CINAHL）进行的快速审查。然后进行半结构化访谈，调查当前 PP 感知的变化，但也调查 CP 服务的细微意见。通过两个在线 PP 小组进行方便抽样技术招募。应用主题框架分析对访谈记录进行分析。
邀请任何同意的成年人（≥18 岁）参加，无论他们的病情如何，以及他们是否使用过出院后服务。
有 25 项研究符合纳入标准。患者通常对初级保健服务表示支持和满意。然而，使用这些服务的一些障碍包括：资源限制；医疗保健提供者之间或患者与医疗保健提供者之间沟通不畅；以及患者对可用服务的认识不足。在 11 名受访者中，对 CP 出院后服务缺乏认识。然而，人们普遍认识到 CP 服务对患者、专业人员和更广泛的医疗保健系统的好处。使用这些服务的潜在障碍包括：可及性、资源可用性、缺乏意识，以及与信息共享相关的隐私和保密性问题。一些参与者认为应该提高这些服务的使用率。
审查和定性研究之间存在一致性，即患者对出院后初级保健服务的接受、欣赏和满意度很高。访谈中确定的 CP 出院后服务使用障碍与现有文献相呼应；尽管近年来药房实践在临床和公共卫生服务方面取得了进展。
