“为整个人开处方”：一项探索新西兰开处方药师对 2 型糖尿病管理看法的定性研究。

"Prescribing for the whole person": A qualitative study exploring prescribing pharmacist views on type 2 diabetes management in New Zealand.

机构信息

Medical Research Centre, Te Huataki Waiora School of Health, University of Waikato, Private Bag 3216, Hamilton, New Zealand.

School of Primary and Allied Health Care, Monash University, Melbourne, Australia.

出版信息

BMC Health Serv Res. 2023 Oct 4;23(1):1058. doi: 10.1186/s12913-023-09877-8.

DOI:10.1186/s12913-023-09877-8

PMID:37794403

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10552232/

Abstract

BACKGROUND

Pharmacist prescribers have comprehensive pharmacotherapy knowledge that can be useful for management of complex health conditions such as type 2 diabetes, yet the number of pharmacist prescribers working in New Zealand primary care is low.

AIM

To explore the experiences of pharmacist prescribers in supporting type 2 diabetes management in New Zealand primary care.

METHODS

Qualitative research design using semi-structured interviews with six pharmacist prescribers working in NZ primary care. Thematic analysis guided this study and themes were finalised with the wider research team.

RESULTS

Three major themes were identified: team approach, health inequity and the role of a pharmacist prescriber. This study found that pharmacist prescribers may improve health equity by providing advanced pharmacotherapy knowledge within a wider primary care team to support complex patient needs and understanding the wider social determinants of health that impact effective diabetes management. Participants reportedly had more time to spend with patients (than GPs or nurses) and could also contribute to improving health outcomes by directly educating and empowering patients.

CONCLUSION

The views of pharmacist prescribers have seldom been explored and this study suggests that their role may be under-utilised in primary care. In particular, pharmacist prescribers can provide specialist prescribing (and often mobile) care, and may contribute to improving health outcomes and reducing inequity when used as part of a multi-disciplinary team.

摘要

背景

药师执业者具有全面的药物治疗知识，对于管理 2 型糖尿病等复杂健康状况非常有用，但在新西兰初级保健中工作的药师执业者人数较少。

目的

探索新西兰初级保健中药师执业者在支持 2 型糖尿病管理方面的经验。

方法

采用半结构式访谈对在新西兰初级保健中工作的 6 名药师执业者进行定性研究设计。本研究采用主题分析法，并与更广泛的研究团队一起确定主题。

结果

确定了三个主要主题：团队方法、健康不公平和药师执业者的角色。本研究发现，药师执业者可以通过在更广泛的初级保健团队中提供先进的药物治疗知识，来支持复杂的患者需求并了解影响有效糖尿病管理的更广泛的社会决定因素，从而改善健康公平。据报道，药师执业者与全科医生或护士相比，可以有更多的时间与患者相处，并且可以通过直接教育和增强患者的能力来为改善健康结果做出贡献。