Percival Matthew, McMurray Anne, Freeman Christopher, Cottrell Neil
School of Pharmacy, Pharmacy Australia Centre of Excellence, The University of Queensland, 20 Cornwall Street, Woolloongabba, Brisbane, QLD 4102, Australia.
Gold Coast Hospital and Health Service, 1 Hospital Boulevard, Southport, QLD 4215, Australia.
Explor Res Clin Soc Pharm. 2023 Feb 17;9:100236. doi: 10.1016/j.rcsop.2023.100236. eCollection 2023 Mar.
A collaborative pharmacist prescribing model for patients with chronic disease(s) attending Australian general practices: patient and general practitioner perceptions.
Pharmacists working in general practice settings are slowly emerging in Australia, with comprehensive medication reviews forming a large part of their role in optimising pharmaceutical care. In Australia, pharmacists are entirely reliant on general practitioners (GPs) accepting and implementing their recommendations to manage drug related problems (DRPs). The next step is a model where the pharmacist takes on responsibility for implementing some of their recommendations.
To investigate patient and general practitioner perceptions of a collaborative model of care where the pharmacist has increased responsibility in assisting the general practitioner manage patients with chronic conditions.
Semi-structured, phone and face-to-face interviews were conducted with a purposive sample of patients and GPs respectively. Data were transcribed by a professional transcription service, collated using NVivo 12 Plus and analysed using Braun and Clarke's thematic analysis. Provisional codes were generated and clustered into categories, from which themes were identified.
Eighteen interviews were conducted (12 patients, 6 GPs). Four themes were identified from the patient interview data: pharmacist attributes; acknowledgement of the impact of the pharmacist, understanding of the GP-pharmacist collaborative model; relationships with and attitudes towards medicines and health care providers. Four themes were identified from the general practitioner interview data: pharmacist attributes; relationships with pharmacists; impressions on collaboration; impressions of the pharmacist's recommendations. Patients' and GPs' perceptions of the collaborative model of care overall were positive, acknowledging the advantages of a patient-centred, interdisciplinary approach and the potential benefits to patients.
The GP-pharmacist collaborative model was viewed favourably by patients and GPs, with some GPs articulating the value in the pharmacist's increased responsibility as they implemented some recommendations to manage DRPs.
澳大利亚全科医疗中慢性病患者的药剂师协作处方模式：患者及全科医生的看法
在澳大利亚，在全科医疗环境中工作的药剂师正逐渐兴起，全面药物评估是他们优化药学服务的重要职责。在澳大利亚，药剂师完全依赖全科医生接受并实施他们管理药物相关问题（DRP）的建议。下一步是建立一种模式，让药剂师对实施部分建议负责。
调查患者及全科医生对一种协作护理模式的看法，在该模式下药剂师在协助全科医生管理慢性病患者方面承担更多责任。
分别对有目的抽样的患者和全科医生进行半结构化电话访谈和面对面访谈。数据由专业转录服务机构转录，使用NVivo 12 Plus进行整理，并采用布劳恩和克拉克的主题分析法进行分析。生成临时代码并聚类为类别，从中识别出主题。
共进行了18次访谈（12名患者，6名全科医生）。从患者访谈数据中识别出四个主题：药剂师特质；对药剂师影响的认可、对全科医生 - 药剂师协作模式的理解；与药物及医疗服务提供者的关系和态度。从全科医生访谈数据中识别出四个主题：药剂师特质；与药剂师的关系；对协作的印象；对药剂师建议的印象。患者和全科医生对协作护理模式总体看法积极，认可以患者为中心的跨学科方法的优势以及对患者的潜在益处。
患者和全科医生对全科医生 - 药剂师协作模式评价良好，一些全科医生明确表示，当药剂师在实施一些管理DRP的建议时承担更多责任具有价值。
