Peninsula Medical School, Faculty of Health, University of Plymouth, Drake Circus, Plymouth, PL4 8AA, UK.
School of Pharmacy, University of Reading, Whiteknights Campus, PO Box 226, Reading, RG6 6AP, UK.
BMC Fam Pract. 2021 Mar 5;22(1):48. doi: 10.1186/s12875-021-01393-0.
Since 2015, pharmacists have been integrating into English general practices and more recently into primary care networks. General practice-based pharmacists provide a range of patient-facing services, such as medication reviews, management of long-term conditions and minor ailments, prescribing duties and answering queries over the telephone. Literature reports patients' satisfaction with general practice-based pharmacists' services, however, previous research captured only limited experiences. The aim of the current study was to pursue an extensive exploration of patients' experiences of pharmacists in general practice.
General practice-based pharmacists, working in practices in West London, Surrey and Berkshire, handed invitation packs to patients seen during consultations. Patients that wanted to take part in the study were invited to undertake a qualitative, in-depth, face-to-face, semi-structured interview within the practice with which each patient was registered. Interviews lasted from 15 min to more than 1 h and were audio-recorded. Recruitment continued until data saturation. Audio-recordings were transcribed verbatim and transcripts analysed thematically.
Twenty participants were interviewed. Four themes were discerned: awareness ("I had been coming to this practice for 24 years and I didn't know that there was a pharmacist"); accessibility ("People ring for a GP [general practitioner] appointment … it's Monday and they [receptionist] tells you 'We can slot you in on Friday' … with a pharmacist on board, they can [instantly] look at you"); interactions ("I've always had a really good interaction with them [pharmacists] and they listen and they take on board what I'm trying to say"); and feedback ("It's easier [to collect feedback instantly] because I could have forgotten half of what they [pharmacists] have told me in an hour or so's time").
Findings indicate that pharmacists' integration into general practices could improve accessibility to, and the quality of, care received. The findings will assist policy development to provide general practice-based pharmacists' services as per patients' needs.
自 2015 年以来,药剂师已融入英语全科医生诊所,最近又融入了初级保健网络。以全科医生诊所为基础的药剂师提供了一系列面向患者的服务,例如药物审查、长期疾病管理和小病管理、处方职责以及通过电话回答查询。文献报告了患者对全科医生诊所药剂师服务的满意度,但是以前的研究仅捕获了有限的经验。本研究的目的是广泛探索患者对全科医生中的药剂师的体验。
在伦敦西部、萨里和伯克郡的诊所工作的全科医生向就诊期间看到的患者分发邀请包。有兴趣参与研究的患者受邀在与其注册的实践中进行定性、深入、面对面的半结构化访谈。访谈时间从 15 分钟到 1 个多小时不等,并进行了录音。招募工作继续进行,直到数据饱和。录音被逐字转录,并进行主题分析。
共对 20 名参与者进行了访谈。确定了四个主题:意识(“我已经来这家诊所 24 年了,我不知道这里有药剂师”);可及性(“人们打电话预约全科医生[GP]预约……是星期一,他们[接待员]告诉您'我们可以在星期五为您安排'……有药剂师在,他们可以[立即]查看您的情况”);互动(“我与他们[药剂师]的互动一直非常好,他们倾听并接受我想说的话”);和反馈(“因为我可能在一个小时左右就忘记了他们[药剂师]告诉我的一半内容,所以即时收集反馈会更容易”)。
研究结果表明,药剂师融入全科医生诊所可以改善获得护理的可及性和质量。研究结果将有助于制定政策,根据患者的需求提供以全科医生诊所为基础的药剂师服务。