Gregory Paul A M, Austin Zubin
Leslie Dan Faculty of Pharmacy and the Institute for Health Policy, Management and Evaluation-Faculty of Medicine at the University of Toronto.
Can Pharm J (Ott). 2021 Feb 16;154(2):120-128. doi: 10.1177/1715163521989760. eCollection 2021 Mar-Apr.
Pharmacists need patients to trust them in order to support best possible health outcomes. There has been little empirical work to test the widely stated claim that pharmacists are the "most trusted" health care professional. This study was undertaken to characterize the factors that shape public trust of individual pharmacists and the profession as a whole.
An exploratory qualitative study was undertaken. Semistructured interviews with 13 patients from 5 different community pharmacies were completed. Interview data were transcribed, coded and categorized to identify trust-enhancing and trust-diminishing factors influencing patients' perceptions of pharmacists.
Four trust-diminishing factors were identified, including the business context within which community pharmacy is practised, lack of transparency regarding pharmacists' remuneration, lack of awareness of how pharmacists qualify and are regulated and inconsistent previous experiences with pharmacists. Four trust-enhancing factors were identified, including accessibility, affability, acknowledgement and respect.
This study illustrates that trust-diminishing factors appear to be somewhat outside the day-to-day control of individual community pharmacists, while trust-enhancing factors are elements that pharmacists may have greater personal control over. Further research is required to better understand these factors and to develop a more generalizable understanding of how patients develop trust in their pharmacists. 2021;154:xx-xx.
药剂师需要患者信任他们，以支持实现尽可能好的健康结果。关于药剂师是“最受信任”的医疗保健专业人员这一广泛宣称，几乎没有实证研究来加以验证。本研究旨在描述塑造公众对个体药剂师及整个职业信任的因素。
开展了一项探索性定性研究。完成了对来自5家不同社区药房的13名患者的半结构化访谈。访谈数据进行了转录、编码和分类，以确定影响患者对药剂师看法的增强信任和削弱信任的因素。
确定了四个削弱信任的因素，包括社区药房所处的商业环境、药剂师薪酬缺乏透明度、对药剂师资质及监管方式缺乏了解以及之前与药剂师的经历不一致。确定了四个增强信任的因素，包括易接近性、和蔼可亲、认可和尊重。
本研究表明，削弱信任的因素似乎在个体社区药剂师的日常控制范围之外，而增强信任的因素是药剂师可能有更大个人控制权的因素。需要进一步研究以更好地理解这些因素，并对患者如何建立对药剂师的信任形成更具普遍性的认识。2021;154:xx - xx。
