Sun Qingran, Wan Chuchuan, Xu Zhaoqi, Huang Yuankai, Xi Xiaoyu
National Medical Products Administration Key Laboratory for Drug Regulatory Innovation and Evaluation, Nanjing, Jiangsu, China.
Front Pharmacol. 2023 May 9;14:1103255. doi: 10.3389/fphar.2023.1103255. eCollection 2023.
This study aimed to understand current status of pharmaceutical care barriers and explore the impact of them on the role ambiguity and role conflict of clinical pharmacists in secondary and tertiary hospitals in mainland China. The Chinese version of Role Conflict and Role Ambiguity Scale was used to measure clinical pharmacists' role ambiguity and role conflict. A questionnaire for clinical pharmacists' pharmaceutical care barriers was established to determine whether clinical pharmacists encounter barriers. Multiple linear regression model was used to analyze the influence of various pharmaceutical care barriers on the role ambiguity and role conflict of clinical pharmacists. 1,300 clinical pharmacists from 31 provinces were eventually included. The results revealed that commonly perceived barriers to pharmaceutical care by clinical pharmacists include the lack of financial compensation and dedicated time for pharmaceutical care. Barriers such as clinical pharmacists' unawareness of the importance of pharmaceutical care increase the degree of clinical pharmacists' role conflict. And the lack of financial compensation for pharmaceutical care decreases the degree of role ambiguity, while barriers such as the lack of dedicated time for pharmaceutical care, the failure to standardize the service procedures and contents of related documents in healthcare institutions increase the degree of role ambiguity. Increased focus on enhancing financial compensation, responsibility cognition, education and training, and greater consideration of institutional factors could help clinical pharmacists better manage their work environments and provide higher-quality pharmaceutical care.
本研究旨在了解药学服务障碍的现状，并探讨其对中国大陆二级和三级医院临床药师角色模糊和角色冲突的影响。采用角色冲突与模糊量表中文版来测量临床药师的角色模糊和角色冲突。建立临床药师药学服务障碍调查问卷，以确定临床药师是否遇到障碍。采用多重线性回归模型分析各种药学服务障碍对临床药师角色模糊和角色冲突的影响。最终纳入了来自31个省份的1300名临床药师。结果显示，临床药师普遍认为的药学服务障碍包括缺乏经济补偿和专门用于药学服务的时间。临床药师对药学服务重要性认识不足等障碍会增加临床药师的角色冲突程度。而药学服务缺乏经济补偿会降低角色模糊程度，医疗机构缺乏专门用于药学服务的时间、相关文件的服务程序和内容未规范等障碍会增加角色模糊程度。加强经济补偿、责任认知、教育培训，并更多地考虑制度因素，有助于临床药师更好地管理工作环境，提供更高质量的药学服务。
