Kiles Tyler Marie, Chen Christe, Leibold Christina, Cardosi Lindsey, Hill Hunter, Hohmeier Kenneth C
J Am Pharm Assoc (2003). 2023 Jul-Aug;63(4S):S83-S87. doi: 10.1016/j.japh.2023.02.003. Epub 2023 Feb 8.
Addressing social needs (such as lack of adequate housing, food, and transportation) has been shown to improve medication adherence and overall patient outcomes. However, screening for social needs during routine patient care can be challenging due to lack of knowledge of social resources and adequate training.
The primary objective of this study is to explore the comfort and confidence of community pharmacy personnel in a chain community pharmacy when discussing social determinants of health (SDOH) with patients. A secondary objective of this study was to assess the impact of a targeted continuing pharmacy education program in this area.
Baseline confidence and comfort were measured through a brief online survey consisting of Likert scale questions regarding various aspects of SDOH (e.g., importance and benefit, knowledge of social resources, relevant training, workflow feasibility). Subgroup analysis of respondent characteristics was conducted to examine differences between respondent demographics. A targeted training was piloted, and an optional posttraining survey was administered.
The baseline survey was completed by 157 pharmacists (n = 141, 90%) and pharmacy technicians (n = 16, 10%). Overall, the pharmacy personnel surveyed lacked confidence and comfort when conducting screenings for social needs. There was not a statistically significant difference in comfort or confidence between roles; however, subgroup analysis revealed trends and significant differences between respondent demographics. The largest gaps identified were lack of knowledge of social resources, inadequate training, and workflow concerns. Respondents of the posttraining survey (n = 38, response rate = 51%) reported significantly higher comfort and confidence than the baseline.
Practicing community pharmacy personnel lack confidence and comfort in screening patients for social needs at baseline. More research is needed to determine if pharmacists or technicians may be better equipped to implement social needs screenings in community pharmacy practice. Common barriers may be alleviated with targeted training programs to address these concerns.
满足社会需求（如缺乏足够的住房、食物和交通）已被证明可提高药物依从性和患者总体治疗效果。然而，由于缺乏社会资源知识和充分培训，在常规患者护理期间筛查社会需求可能具有挑战性。
本研究的主要目的是探讨连锁社区药房的社区药房工作人员在与患者讨论健康的社会决定因素（SDOH）时的舒适度和信心。本研究的次要目的是评估该领域有针对性的继续药学教育计划的影响。
通过一项简短的在线调查来衡量基线信心和舒适度，该调查包括关于SDOH各个方面的李克特量表问题（例如重要性和益处、社会资源知识、相关培训、工作流程可行性）。对受访者特征进行亚组分析，以检查受访者人口统计学之间的差异。试点了一项有针对性的培训，并进行了一项可选的培训后调查。
157名药剂师（n = 141，90%）和药房技术员（n = 16，10%）完成了基线调查。总体而言，接受调查的药房工作人员在进行社会需求筛查时缺乏信心和舒适度。不同角色之间在舒适度或信心方面没有统计学上的显著差异；然而，亚组分析揭示了受访者人口统计学之间的趋势和显著差异。确定的最大差距是缺乏社会资源知识、培训不足和工作流程方面的担忧。培训后调查的受访者（n = 38，回复率 = 51%）报告的舒适度和信心明显高于基线。
执业社区药房工作人员在基线时对筛查患者的社会需求缺乏信心和舒适度。需要更多研究来确定药剂师或技术员是否可能更有能力在社区药房实践中实施社会需求筛查。有针对性的培训计划可以缓解这些常见障碍，以解决这些问题。
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