Department of Life Sciences, University of Bath, Bath, United Kingdom.
Department of Social & Policy Sciences, University of Bath, Bath, United Kingdom.
Int J Pharm Pract. 2024 Feb 15;32(1):39-45. doi: 10.1093/ijpp/riad082.
To explore pharmacy users' perceptions of current and future provision of community pharmacy services in England.
Qualitative, reconvened focus groups were conducted with community pharmacy users. An initial focus group explored preliminary views. Participants were then given an evidence brief describing community pharmacy before a reconvened focus group two weeks later. Transcripts were analysed using inductive thematic analysis.
Eleven individuals participated across two reconvened focus groups. Participants valued community pharmacies and staff, but lacked awareness of their services and roles: '… I don't think the general public is aware of all of this … it gives you a very different perspective'. Urgent care and long-term conditions management were identified as suitable for future development, facilitated by training, closer collaboration with general practices, shared access to health records, and premises with more space and confidentiality: 'I still think of it as a retail space more than as a health service'. Concerns were expressed about working conditions in community pharmacy and unplanned closures: 'doesn't sound like a great place to work'. Participants anticipated greater use of technology but did not want this to replace face-to-face contact with pharmacy staff: 'I am not saying it's inaccurate, it is so remote and impersonal'.
Pharmacy users would value a greater role for community pharmacy in addressing the challenges currently faced by the health service in England, provided that their concerns on a range of issues are addressed.
探索英国社区药剂师对当前和未来社区药房服务的看法。
采用重新召集的焦点小组方法对社区药剂师使用者进行定性研究。最初的焦点小组探讨了初步意见。参与者在两周后重新召集的焦点小组会议之前,会收到一份描述社区药房的证据简报。使用归纳主题分析对转录本进行分析。
两个重新召集的焦点小组共有 11 人参加。参与者重视社区药房和员工,但对其服务和角色缺乏了解:“……我认为公众并不了解所有这些……这让你有了不同的看法”。紧急护理和长期疾病管理被认为适合未来的发展,这可以通过培训、与全科医生更紧密的合作、共享健康记录、以及拥有更多空间和保密性的场所来实现:“我仍然认为它是一个零售场所,而不是一个卫生服务场所”。人们对社区药房的工作条件和计划外关闭表示担忧:“听起来不是一个工作的好地方”。参与者预计会更多地使用技术,但不希望这取代与药剂师的面对面接触:“我并不是说它不准确,它是如此遥远和缺乏人情味”。
如果能够解决一系列问题,那么社区药剂师的使用者将重视社区药剂师在应对目前英格兰医疗服务面临的挑战方面发挥更大的作用。