Faculty of Pharmacy, Centre of Quality Management of Medicines, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, Kuala Lumpur, Malaysia.
Department of Pharmacy, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, Kuala Lumpur, Malaysia.
PLoS One. 2021 Oct 7;16(10):e0258249. doi: 10.1371/journal.pone.0258249. eCollection 2021.
Patient-centred care (PCC) has been suggested to provide benefits such as improved patient-healthcare provider communication and better disease self-management to patients. The practice of PCC should involve all healthcare professionals, including pharmacists who are well-positioned in providing pharmaceutical care to patients. However, a better understanding of the factors that can affect the practice of PCC in pharmacists' consultations is needed.
To explore the perceptions of Malaysian hospital pharmacists and patients on the barriers and facilitators of a PCC approach in pharmacist consultations.
This study employed a qualitative, explorative semi-structured interview design.
Interviews were conducted with 17 patients and 18 pharmacists from three tertiary hospitals in Malaysia. The interviews were audiotaped and transcribed verbatim. Emerging themes were developed through a constant comparative approach and thematic analysis.
Three themes were identified in this study: (i) patient-related factors (knowledge, role expectations, and sociocultural characteristics), (ii) pharmacist-related factors (personalities and communication), and (iii) healthcare institutional and system-related factors (resources, continuity of care, and interprofessional collaboration). Pharmacists and patients mentioned that factors such as patients' knowledge and attitudes and pharmacists' personality traits and communication styles can affect patients' engagement in the consultation. Long waiting time and insufficient manpower were perceived as barriers to the practice of PCC. Continuity of care and interprofessional collaboration were viewed as crucial in providing supportive and tailored care to patients.
The study findings outlined the potential factors of PCC that may influence its implementation in pharmacist consultations. Strategic approaches can be undertaken by policymakers, healthcare institutions, and pharmacists themselves to address the identified barriers to more fully support the implementation of PCC in the pharmacy setting.
以患者为中心的护理（PCC）被认为可以为患者带来益处，例如改善医患沟通和更好的疾病自我管理。PCC 的实践应该包括所有医疗保健专业人员，包括药剂师，他们在为患者提供药物治疗方面具有得天独厚的优势。然而，我们需要更好地了解影响药剂师咨询中 PCC 实践的因素。
探讨马来西亚医院药剂师和患者对药剂师咨询中以患者为中心方法的障碍和促进因素的看法。
本研究采用定性、探索性半结构式访谈设计。
在马来西亚的三家三级医院，对 17 名患者和 18 名药剂师进行了访谈。访谈进行了录音，并逐字转录。通过不断比较的方法和主题分析，发展出了主题。
本研究确定了三个主题：（i）患者相关因素（知识、角色期望和社会文化特征），（ii）药剂师相关因素（个性和沟通），和（iii）医疗保健机构和系统相关因素（资源、连续性护理和跨专业合作）。药剂师和患者提到，患者的知识和态度以及药剂师的个性特征和沟通方式等因素会影响患者参与咨询。长时间的等待时间和人手不足被认为是实践以患者为中心护理的障碍。连续性护理和跨专业合作被视为为患者提供支持性和量身定制的护理的关键。
研究结果概述了可能影响药剂师咨询中实施以患者为中心护理的潜在因素。政策制定者、医疗机构和药剂师本身可以采取战略方法，解决已确定的障碍，以更全面地支持在药剂师环境中实施以患者为中心的护理。
