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加强社区药剂师的公共卫生作用——一项运用理论领域框架的定性研究

Enhancing the Public Health Role of Community Pharmacists - A Qualitative Research Utilising the Theoretical Domains Framework.

作者信息

Agomo Chijioke O, Ogunleye James, Portlock Jane

机构信息

The Institute for Work Based Learning,Middlesex University.

University of Sussex.

出版信息

Innov Pharm. 2020 Oct 27;11(4). doi: 10.24926/iip.v11i4.3393. eCollection 2020.

Abstract

INTRODUCTION

The current global coronavirus (Covid-19) pandemic has once again highlighted the need to enhance the role of community pharmacists in public health. In 2012, the World Health Organisation (WHO) estimated that global deaths due to non-communicable diseases (NCDs) as about 38 million (68%). Most of these conditions are preventable through public health initiatives involving community pharmacists. This study aims to explore strategies enhancing the public health role of community pharmacists.

METHODS

Data was collected through telephone interviews, supported by Skype (audio), and recorded using the 'HD Call Recorder for Skype'. The qualitative data software package NVivo (version 10) was used for the storage, retrieval and analysis of data. The constant comparative method of data analysis was used. In addition, the Theoretical Domains Framework (TDF) was used to underpin the research throughout.

RESULTS

This study identified a number of strategies that could enhance the public health role of community pharmacists, some of which include: integrating undergraduate healthcare programmes; broadening the public health knowledge of students and pharmacists; pharmacists working alongside other healthcare professionals; teaching communication methods to students and pharmacists; teaching the use of new technologies and social media; etc. In addition, most of the 14 domains of TDF and several of their constructs were captured in the interview.

CONCLUSIONS

To enhance the public health role of community pharmacists, it is necessary to develop pharmacists' capacity in several areas, particularly as it relates to, the use new technologies and social media in public health; enhancing training of pharmacists/students in public health; empowering pharmacists in public health; as well as teaching communication methods to students and pharmacists. Part of the strategy will also be, to integrate healthcare programmes through interdisciplinary initiatives, and changing the undergraduate pharmacy curriculum to increase its public health content.

摘要

引言

当前全球冠状病毒(新冠病毒-19)大流行再次凸显了加强社区药剂师在公共卫生中作用的必要性。2012年,世界卫生组织(WHO)估计,全球因非传染性疾病(NCDs)导致的死亡人数约为3800万(占68%)。这些疾病中的大多数可通过涉及社区药剂师的公共卫生举措加以预防。本研究旨在探索加强社区药剂师公共卫生作用的策略。

方法

通过电话访谈收集数据,并借助Skype(音频)提供支持,使用“Skype高清通话录音机”进行记录。定性数据软件包NVivo(版本10)用于数据的存储、检索和分析。采用数据分析的持续比较法。此外,理论领域框架(TDF)贯穿整个研究以提供支撑。

结果

本研究确定了一些可加强社区药剂师公共卫生作用的策略,其中包括:整合本科医疗保健课程;拓宽学生和药剂师的公共卫生知识;药剂师与其他医疗保健专业人员合作;向学生和药剂师传授沟通方法;教授新技术和社交媒体的使用等。此外,TDF的14个领域中的大多数及其若干构成要素在访谈中都有涉及。

结论

为加强社区药剂师的公共卫生作用,有必要在多个领域培养药剂师的能力,特别是在公共卫生中使用新技术和社交媒体方面;加强药剂师/学生在公共卫生方面的培训;赋予药剂师在公共卫生中的权力;以及向学生和药剂师传授沟通方法。部分策略还将包括通过跨学科举措整合医疗保健课程,并改变本科药学课程以增加其公共卫生内容。

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