Mann Claire, Anderson Claire, Boyd Matthew, Karsan Yasmin, Emerson Tristan
Centre for Health Innovation, Leadership and Learning, Nottingham University Business School, University of Nottingham, Nottingham, UK
School of Pharmacy, University of Nottingham, Nottingham, UK.
BJGP Open. 2022 Aug 30;6(2). doi: 10.3399/BJGPO.2021.0112. Print 2022 Jun.
Utilising skill mix in general practice is proposed as a solution to the demand-supply issue. Pharmacists can play an important role in this context, leading to an increase in training and funding for independent prescriber roles. A role for pharmacists in general practice was funded, piloted, and evaluated by NHS England (NHSE) from 2015.
To answer the following question: what is the patient perspective of pharmacists in patient-facing roles in general practice in the UK?
DESIGN & SETTING: Focus group interviews exploring patient perspectives on the pharmacist role in the UK.
Thirty-four patients were interviewed in five focus group (January-December 2016). Data were iteratively analysed using the one sheet of paper technique.
While the public were aware of the primary care crisis, they were less well informed about potential solutions. Data showed patients primarily sought access to a clinician over expressing a preference for any type of clinician. Low awareness was shown about the pharmacist role and there was initial confusion about it. Acceptability levels were high. It was found that pharmacists added value and provided an expert medication-focused service, which had a positive impact on medicines use. Patients reported benefit from longer appointments, feeling they were not rushed, and that all their conditions were being considered holistically. They trusted pharmacists as experts in medication and trust was consolidated over time. Regular coaching from a pharmacist could lead to improved patient self-monitoring and self-care.
Pharmacists can add value to the general practice team and this is recognised by patients.
在全科医疗中运用技能组合被认为是解决供需问题的一种方法。在这种情况下，药剂师可以发挥重要作用，从而增加对独立处方者角色的培训和资金投入。自2015年起，英国国家医疗服务体系（NHSE）为药剂师在全科医疗中的角色提供资金支持、进行试点并开展评估。
回答以下问题：英国患者对于药剂师在全科医疗中担任面向患者角色的看法是什么？
采用焦点小组访谈来探究患者对英国药剂师角色的看法。
2016年1月至12月期间，在五个焦点小组中对34名患者进行了访谈。使用单页纸技术对数据进行迭代分析。
虽然公众意识到了基层医疗危机，但他们对潜在的解决方案了解较少。数据显示，患者主要寻求看医生，而不是表达对任何类型临床医生的偏好。对药剂师角色的认知度较低，最初存在困惑。接受度较高。结果发现，药剂师增加了价值，并提供了以药物为重点的专业服务，这对药物使用产生了积极影响。患者报告称，较长的预约时间让他们受益，感觉不匆忙，并且所有病情都得到了全面考虑。他们信任药剂师作为药物方面的专家，并且随着时间的推移这种信任得到了巩固。药剂师的定期指导可以提高患者的自我监测和自我护理能力。
药剂师可以为全科医疗团队增加价值，这一点得到了患者的认可。
