Faculty of Pharmacy, Al-Zaytoonah University of Jordan, Amman, Jordan, and researcher, Primary Care Research Group, School of Pharmacy, Queen's University Belfast, Belfast, UK.
School of Pharmacy, Queen's University Belfast, Belfast, UK.
Br J Gen Pract. 2023 May 25;73(731):e407-e417. doi: 10.3399/BJGP.2022.0518. Print 2023 Jun.
Practice-based pharmacists (PBPs) have been introduced into general practice across the UK to relieve some of the pressures within primary care. However, there is little existing UK literature that has explored healthcare professionals' (HCPs') views about PBP integration and how this role has evolved.
To explore the views and experiences of GPs, PBPs, and community pharmacists (CPs) about PBPs' integration into general practice and their impact on primary healthcare delivery.
A qualitative interview study in primary care in Northern Ireland.
Purposive and snowball sampling were used to recruit triads (a GP, a PBP, and a CP) from across five administrative healthcare areas in Northern Ireland. Sampling of practices to recruit GPs and PBPs commenced in August 2020. These HCPs identified the CPs who had most contact with the general practices in which the recruited GPs and PBPs were working. Semi-structured interviews were recorded, transcribed verbatim, and analysed using thematic analysis.
Eleven triads were recruited from across the five administrative areas. Four main themes in relation to PBPs' integration into general practices were revealed: evolution of the role; PBP attributes; collaboration and communication; and impact on care. Areas for development were identified such as patient awareness of the PBP role. Many saw PBPs as a 'central hub-middleman' between general practice and community pharmacies.
Participants reported that PBPs had integrated well and perceived a positive impact on primary healthcare delivery. Further work is needed to increase patient awareness of the PBP role.
实践药剂师（PBPs）已被引入英国的全科医生实践中，以缓解初级保健中的一些压力。然而，英国现有的关于医疗保健专业人员（HCPs）对 PBP 整合的看法以及该角色如何演变的文献很少。
探讨全科医生、PBPs 和社区药剂师（CPs）对 PBP 整合到全科医生实践中的看法和经验，以及对初级医疗保健服务的影响。
在北爱尔兰的初级保健中进行的定性访谈研究。
采用目的抽样和滚雪球抽样，从北爱尔兰五个行政医疗区招募了由全科医生、PBPs 和 CPs 组成的三人小组。从 2020 年 8 月开始，对实践进行抽样以招募全科医生和 PBPs。这些 HCPs 确定了与招募的全科医生和 PBPs 所在的全科医生实践接触最多的 CPs。记录半结构化访谈，逐字转录，并使用主题分析进行分析。
从五个行政区域招募了 11 个三人小组。揭示了与 PBP 整合到全科医生实践相关的四个主要主题：角色的演变；PBP 的属性；协作和沟通；以及对护理的影响。确定了一些需要改进的领域，例如患者对 PBP 角色的认识。许多人认为 PBPs 是全科医生和社区药房之间的“中心枢纽中间人”。
参与者报告说，PBPs 已经很好地融入了工作，并认为对初级医疗保健服务的提供产生了积极的影响。需要进一步努力提高患者对 PBP 角色的认识。
