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巴基斯坦医生对药剂师及药学服务的认知、期望与体验:研究结果及启示

Perceptions, Expectations, and Experience of Physicians About Pharmacists and Pharmaceutical Care Services in Pakistan: Findings and Implications.

作者信息

Hayat Khezar, Mustafa Zia Ul, Godman Brain, Arshed Muhammad, Zhang Jiaxing, Khan Faiz Ullah, Saleem Fahad, Lambojon Krizzia, Li Pengchao, Feng Zhitong, Fang Yu

机构信息

Department of Pharmacy Administration and Clinical Pharmacy, School of Pharmacy, Xi'an Jiaotong University, Xi'an, China.

Center for Drug Safety and Policy Research, Xi'an Jiaotong University, Xi'an, China.

出版信息

Front Pharmacol. 2021 May 14;12:650137. doi: 10.3389/fphar.2021.650137. eCollection 2021.

Abstract

Optimal collaboration between pharmacists and other healthcare professionals such as physicians is integral in implementing pharmaceutical care. However, there are concerns regarding the role of pharmacists, especially among low- and middle-income countries. This study explored the perceptions, expectations, and experience of physicians working in various hospital settings of Punjab, Pakistan, about pharmacists and their roles. A self-administered questionnaire consisting of four sections was administered from October to December 2020. Descriptive and inferential statistics such as Kruskal-Wallis and Mann-Whitney tests were used for data analysis using SPSS. Six hundred and seventy-eight physicians participated in this study with a response rate of 77.9%. Most of the physicians reported minimal to no interaction with pharmacists ( = 521, 76.8%). However, more than three-quarters of physicians ( = 660, 97.3%) accepted pharmacists as evidence-based sources of drug information. In addition, many physicians ( = 574, 84.7%) strongly agreed that pharmacists should attend patient care rounds to respond promptly to questions related to patient medication. A limited number of physicians ( = 124, 18.3%) assumed that pharmacists were advising their patients regarding the judicial use of their drugs. Median expectation and experience score had a significant association with age, experience, and education of physicians ( < 0.05). The perception of physicians was positive toward certain roles of pharmacists, coupled with high expectations. However, their experience was low, with most of the activities of pharmacists due to inadequate interprofessional coordination.

摘要

药剂师与其他医疗保健专业人员(如医生)之间的最佳协作对于实施药学服务至关重要。然而,人们对药剂师的角色存在担忧,尤其是在低收入和中等收入国家。本研究探讨了在巴基斯坦旁遮普省不同医院环境中工作的医生对药剂师及其角色的看法、期望和经验。2020年10月至12月期间发放了一份由四个部分组成的自填式问卷。使用SPSS进行数据分析时,采用了描述性和推断性统计方法,如Kruskal-Wallis检验和Mann-Whitney检验。678名医生参与了本研究,回复率为77.9%。大多数医生报告与药剂师的互动极少或没有互动(n = 521,76.8%)。然而,超过四分之三的医生(n = 660,97.3%)认可药剂师作为基于证据的药物信息来源。此外,许多医生(n = 574,84.7%)强烈同意药剂师应参加患者护理查房,以便及时回答与患者用药相关的问题。少数医生(n = 124,18.3%)认为药剂师在就药物的合理使用向患者提供建议。医生的期望和经验得分中位数与医生的年龄、经验和教育程度存在显著关联(P < 0.05)。医生对药剂师的某些角色看法积极,同时期望也很高。然而,他们的经验较少,由于跨专业协调不足,药剂师的大部分活动未能开展。

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