University of South Carolina College of Pharmacy, Columbia, SC, USA.
Prisma Health Midlands, Columbia, SC, USA.
J Prim Care Community Health. 2024 Jan-Dec;15:21501319241295952. doi: 10.1177/21501319241295952.
To investigate the prevalence and type of clinical pharmacy services offered within South Carolina Federally Qualified Health Centers (SC FQHCs) and identify existing implementation barriers.
This study was a cross-sectional survey of pharmacists or Chief Medical Officers practicing in SC FQHCs. Organizations were identified utilizing the Health Resources and Services Administration (HRSA) database and were contacted to participate in a telephone survey. An electronic form was created in REDCap software. Descriptive statistics were used to analyze and evaluate data.
Twenty-two SC FQHCs were eligible for the survey, with 16 (72.7%) participating. Of the respondents, 9 (56%) offered at least 1 service. The most common services offered were chronic disease state management, diabetes self-management education and support (DSMES), and tobacco cessation (43.8%, n = 7). The least common services offered were chronic care, Hepatitis C, and HIV management (18.9%, n = 3). The most common barriers to implementation were lack of personnel and provider interest (62.5%, n = 10). The least common barrier was a lack of pharmacist interest or time (25%, n = 4).
Pharmacists offered at least 1 clinical service within most SC FQHCs. Barriers were identified that prevented expansion of services and further research is needed to overcome these.
调查南卡罗来纳州合格的联邦健康中心（SC FQHC）提供的临床药学服务的流行情况和类型，并确定现有的实施障碍。
本研究是对南卡罗来纳州 FQHC 中执业的药剂师或首席医疗官进行的横断面调查。利用卫生资源和服务管理局（HRSA）数据库确定组织，并联系他们参加电话调查。在 REDCap 软件中创建了电子表格。使用描述性统计数据对数据进行分析和评估。
有 22 家 SC FQHC 符合调查条件，其中 16 家（72.7%）参与了调查。在受访者中，有 9 人（56%）提供了至少 1 种服务。最常见的服务包括慢性病管理、糖尿病自我管理教育和支持（DSMES）以及戒烟（43.8%，n=7）。提供最少的服务包括慢性病护理、丙型肝炎和艾滋病毒管理（18.9%，n=3）。实施的最常见障碍是人员和提供者缺乏兴趣（62.5%，n=10）。最不常见的障碍是药剂师缺乏兴趣或时间（25%，n=4）。
大多数 SC FQHC 都提供了至少 1 种临床服务。确定了阻碍服务扩展的障碍，需要进一步研究以克服这些障碍。
