Lech Laura V J, Husted Gitte R, Almarsdottír Anna Birna, Andersen Trine R H, Rossing Charlotte, Nørgaard Lotte S
The Social and Clinical Pharmacy Research Group, Department of Pharmacy, Faculty of Health and Medical Sciences, University of Copenhagen.
Pharmakon, The Danish College of Pharmacy Practice.
Innov Pharm. 2020 Jul 31;11(3). doi: 10.24926/iip.v11i3.2440. eCollection 2020.
Hospital and community pharmacists are increasingly involved in patients' medication interventions related to the transition of care from the hospital to a patient's home. These interventions may enable pharmacists to collaborate across healthcare sector boundaries. However, little is known about pharmacists' views on intraprofessional collaboration across healthcare sectors and what affects the establishment of such collaboration.
The aim of this study was to understand the views and perspectives of hospital pharmacists (HPs) and community pharmacists (CPs) on establishing an intraprofessional collaboration in relation to newly discharging patients.
Joint focus group interviews with HPs and CPs in the Zealand region of Denmark were conducted. The HPs were employed at the only hospital pharmacy in the region (Region Zealand Hospital Pharmacy). Five HPs and six CPs participated in two focus groups. The focus groups were analyzed using theoretical thematic analysis.
Three themes and seven subthemes were identified. The first theme, "Context", was divided into two subthemes: "Prioritization of new tasks in the intraprofessional collaboration" and "The lack of insight into the patient's hospital stay". The second theme, "The hospital physicians and GPs as the focal points for the HPs' and CPs' work", was divided into three subthemes: "The limitation of the CPs and HPs based on current roles and organizations", "Lack of regular access to the physician gives the patients more responsibility" and "Lack of support from the GPs for the work conducted by HPs and CPs". The last theme, "Individuals", had two subthemes: "The motivation for working intraprofessionally" and "CPs' hesitancy towards the new tasks in the intraprofessional collaboration".
Both HPs and CPs are highly influenced by their work context in regard to establishing a new intraprofessional collaboration. Limited resources for intraprofessional collaboration should be taken into account. Likewise, the collaboration should fit into daily routines, which may eliminate hesitancy towards new forms of collaboration and tasks shared between HPs and CPs. The physician was identified as an important key professional, since the work tasks of both HPs and CPs depend on the physician, which in turn limits the capability and success of solely intraprofessional collaboration.
医院药师和社区药师越来越多地参与到与患者从医院到家庭护理过渡相关的药物干预中。这些干预可能使药师能够跨医疗保健部门界限进行协作。然而，对于药师对跨医疗保健部门的专业内协作的看法以及影响这种协作建立的因素知之甚少。
本研究的目的是了解医院药师（HPs）和社区药师（CPs）对建立与新出院患者相关的专业内协作的看法和观点。
对丹麦西兰地区的医院药师和社区药师进行了联合焦点小组访谈。医院药师受雇于该地区唯一的医院药房（西兰地区医院药房）。五名医院药师和六名社区药师参加了两个焦点小组。使用理论主题分析法对焦点小组进行了分析。
确定了三个主题和七个子主题。第一个主题“背景”分为两个子主题：“专业内协作中新任务的优先级”和“对患者住院情况缺乏了解”。第二个主题“医院医生和全科医生是医院药师和社区药师工作的重点”分为三个子主题：“基于当前角色和组织对社区药师和医院药师的限制”、“缺乏定期与医生接触使患者承担更多责任”以及“全科医生对医院药师和社区药师所开展工作缺乏支持”。最后一个主题“个人”有两个子主题：“专业内工作的动机”和“社区药师对专业内协作新任务的犹豫”。
在建立新的专业内协作方面，医院药师和社区药师都受到其工作环境的高度影响。应考虑专业内协作资源有限的情况。同样，协作应融入日常工作流程，这可能消除对医院药师和社区药师之间新协作形式和共享任务的犹豫。医生被确定为重要的关键专业人员，因为医院药师和社区药师的工作任务都依赖于医生，这反过来又限制了单纯专业内协作的能力和成功率。
