Pharmaceutical Care Research Group, School of Pharmacy, University College Cork, Cork, Ireland.
Department of General Practice, University College Cork, Cork, Ireland.
Fam Pract. 2023 Mar 28;40(2):377-386. doi: 10.1093/fampra/cmac115.
Pharmacists are being increasingly employed as part of general practice teams globally, and their input has been associated with several clinical and economic benefits. However, there is a paucity of research focussing on general practitioners' (GPs') perceptions of pharmacist integration into practices in countries where this novel role for pharmacists is yet to become commonplace.
To explore GPs' perceptions of integrating pharmacists into general practices and to identify the behavioural determinants of GPs integrating pharmacists into practices.
Semistructured interviews were conducted with GPs practising in Ireland, who were sampled using a combination of purposive, convenience, and snowball sampling. Interviews were audio-recorded and transcribed verbatim, which then were analysed using conventional content analysis and directed content analysis employing the Theoretical Domains Framework (TDF).
Seventeen GPs were interviewed between November 2021 and February 2022. Seven TDF domains were identified as predominant in influencing GPs' perceptions of pharmacist integration into general practices. These perceptions were mostly positive, especially regarding patient outcomes, cost savings, and improving access to care. However, there were concerns about funding the role, affecting others' workloads, and pharmacists' training needs to work in practices.
This study's theory-informed insight provides a deeper understanding of GPs' perceptions of pharmacists working in general practice and behaviours which can be targeted to help optimize integration. These findings should be utilized in future service development to preempt and address GPs' concerns ahead of pharmacist integration, as well as to inform the development of general practice-based pharmacist roles going forward.
在全球范围内，药剂师越来越多地被雇用到全科医生团队中，他们的参与与许多临床和经济效益相关。然而，在药剂师在这些国家扮演新角色尚未成为普遍现象的情况下，针对全科医生对药剂师融入实践的看法的研究很少。
探讨全科医生对将药剂师融入全科实践的看法，并确定全科医生将药剂师融入实践的行为决定因素。
采用目的性、便利性和滚雪球抽样相结合的方法，对爱尔兰的全科医生进行了半结构式访谈。对访谈进行了录音，并逐字记录下来，然后使用常规内容分析和基于理论领域框架（TDF）的定向内容分析进行分析。
2021 年 11 月至 2022 年 2 月期间，对 17 名全科医生进行了访谈。确定了七个 TDF 领域，这些领域在影响全科医生对药剂师融入全科实践的看法方面占主导地位。这些看法大多是积极的，尤其是在患者结局、节省成本和改善获得护理方面。然而，人们对该角色的资金问题、影响他人工作量以及药剂师在实践中工作的培训需求表示担忧。
本研究基于理论的深入见解，提供了对全科医生对在全科实践中工作的药剂师的看法和可以针对这些看法采取的行为的更深入理解，以帮助优化整合。这些发现应该在未来的服务发展中加以利用，以便在药剂师整合之前预见到和解决全科医生的担忧，并为未来的以全科医生为基础的药剂师角色的发展提供信息。
