Kempen Thomas G H, van Dijk Liset, Floor-Schreudering Annemieke, Kohli Aradhana, Kwint Henk-Frans, Schackmann Laura, van Tuyl Lilian H D, Heringa Mette
Division of Pharmacoepidemiology & Clinical Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Utrecht University, Utrecht, the Netherlands.
Nivel, Netherlands Institute for Health Services Research, Utrecht, the Netherlands.
Explor Res Clin Soc Pharm. 2024 May 23;14:100453. doi: 10.1016/j.rcsop.2024.100453. eCollection 2024 Jun.
Medication prescribing by pharmacists is a task shifting approach to help ensure quality and accessibility of healthcare. In many countries, like the Netherlands, pharmacist prescribing is not legally ensured, and it is unknown what citizens think of its potential introduction.
To investigate citizen perspectives on the potential role of pharmacists in prescribing in primary care.
A Citizen Platform with citizens (>18 years) from the Netherlands was conducted in October 2022. This consisted of a one-day program in which the participants were engaged in interactive assignments and received expert presentations to foster the development of informed opinions. In the final assignment, 3 participant groups designed their ideal future scenario including preconditions regarding the role of the pharmacist in prescribing in primary care. All assignments were recorded, and notes were taken. The researchers then consolidated the 3 scenarios into one version and categorized the preconditions. The Citizen Platform results were summarized and subsequently discussed in 2 online focus groups with other citizens in February 2023 to investigate the perspectives of less informed citizens. Focus group discussions were audio-recorded, transcribed, and thematically analyzed.
The Citizen Platform ( = 10) resulted in a shared scenario involving a primary care center where general practitioners (GPs) pharmacists and other healthcare professionals collaborate as a team. In this scenario, pharmacists can modify treatment in certain chronic diseases, manage minor ailments and support GPs with the care for patients with complex needs. Preconditions needed to realize this scenario include having shared medical records, the GP retaining the overview of the care for the patient and additional training for pharmacists. The focus groups ( = 6, in total) yielded 5 themes which acknowledge potential pharmacist prescribing but depict a more skeptical view towards pharmacist prescribing and include several concerns, for example pharmacists' potential conflict of interest.
Citizens that are informed about opportunities for pharmacy prescribing are capable of sketching potential scenarios for pharmacist prescribing in a collaborative primary care context. Less informed citizens seem more skeptical towards pharmacist prescribing.
药剂师开处方是一种任务转移方法，有助于确保医疗保健的质量和可及性。在许多国家，如荷兰，药剂师开处方在法律上没有保障，而且公民对其可能引入的看法尚不清楚。
调查公民对药剂师在初级保健开处方方面潜在作用的看法。
2022年10月，针对来自荷兰的18岁以上公民开展了一个公民平台活动。该活动为期一天，参与者参与互动任务并听取专家讲座，以促进形成明智的观点。在最后一项任务中，3个参与者小组设计了他们理想的未来情景，包括药剂师在初级保健开处方方面的作用的前提条件。所有任务都进行了记录并做了笔记。研究人员随后将这3个情景整合为一个版本，并对前提条件进行了分类。总结了公民平台的结果，随后在2023年2月与其他公民进行了2次在线焦点小组讨论，以调查了解较少的公民的观点。焦点小组讨论进行了录音、转录和主题分析。
公民平台（n = 10）得出了一个共享情景，涉及一个初级保健中心，全科医生、药剂师和其他医疗保健专业人员作为一个团队进行协作。在这个情景中，药剂师可以修改某些慢性病的治疗方案，处理小病，并在照顾有复杂需求的患者方面支持全科医生。实现这一情景所需的前提条件包括共享病历、全科医生保留对患者护理的总体把控以及为药剂师提供额外培训。焦点小组（总共n = 6）产生了5个主题，这些主题承认药剂师开处方的可能性，但对药剂师开处方描绘了更为怀疑的观点，并包括一些担忧，例如药剂师潜在的利益冲突。
了解药剂师开处方机会的公民能够勾勒出在协作性初级保健背景下药剂师开处方的潜在情景。了解较少的公民似乎对药剂师开处方更为怀疑。
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