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新西兰药剂师对现行处方课程的看法:问卷调查。

New Zealand pharmacists' views regarding the current prescribing courses: questionnaire survey.

机构信息

School of Pharmacy, University of Otago, Dunedin, New Zealand.

Department of Primary Health Care and General Practice, University of Otago, Wellington, New Zealand.

出版信息

J Prim Health Care. 2023 Dec;15(4):324-332. doi: 10.1071/HC23021.

Abstract

Introduction New Zealand pharmacists must complete a joint prescribing course offered by Otago and Auckland universities only, to be qualified as pharmacist prescribers. Aim To identify knowledge and perceptions of New Zealand registered pharmacists, who are not pharmacist prescribers, on: pharmacist prescribing roles, courses and perceived barriers and facilitators to course uptake. Methods Participants comprised registered practising New Zealand pharmacists (n  = 4025), across all New Zealand regions. Invitations to participate in a questionnaire survey were sent in March 2021. Data were analysed using thematic analysis and descriptive statistics. Results The response rate was 12% (482/4025), with 94% community pharmacists. Almost two-thirds (65%) had over 10 years of working experience. Nearly all (95%) agreed that pharmacist prescribing would improve healthcare delivery in New Zealand. Most reported that barriers to pharmacist prescribing course uptake were funding, lack of institutional support, up-to-date pharmacological/pharmaceutical knowledge, and 2 years of experience in collaborative health team prerequisites for enrolment, finding medical supervisors, and lack of remuneration for prescribing roles. Discussion Pharmacist prescribing in New Zealand is still in its growing phase. Optimising uptake of prescribing courses and role requires a multi-level approach including all stakeholders. Government/policymakers should consider pharmacist prescribing training and remuneration in their funding plans. Employing institutions should provide required time and human resources (staff backfills). Training providers should consider methods of course delivery and assessment that are suitable for trainees in full-time employment.

摘要

简介

新西兰药剂师必须完成由奥塔哥大学和奥克兰大学联合开设的处方课程,才有资格成为药剂师处方者。

目的

确定未获得药剂师处方资格的新西兰注册药剂师对以下方面的知识和看法

药剂师的处方角色、课程以及对课程参与的障碍和促进因素的看法。

方法

参与者包括所有新西兰地区的注册执业新西兰药剂师(n=4025)。2021 年 3 月邀请他们参加问卷调查。使用主题分析和描述性统计方法分析数据。

结果

回应率为 12%(482/4025),其中 94%为社区药剂师。近三分之二(65%)的人有超过 10 年的工作经验。几乎所有人(95%)都认为,在新西兰,药剂师的处方可以改善医疗保健服务。大多数人报告说,阻碍他们参加处方课程的因素是资金、缺乏机构支持、最新的药理学/药学知识、以及 2 年的团队合作经验、寻找医学监督者、以及缺乏处方角色的薪酬。

讨论

新西兰的药剂师处方仍处于起步阶段。优化处方课程和角色的参与需要采取多层次的方法,包括所有利益相关者。政府/决策者应考虑将药剂师的处方培训和薪酬纳入其资助计划。用人机构应提供必要的时间和人力资源(员工替补)。培训提供者应考虑适合全职工作的学员的课程交付和评估方法。

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