Department of Clinical Pharmacy, Institute of Pharmacy, Medical Faculty, Leipzig University, Leipzig, Germany.
Drug Safety Center, Leipzig University, Leipzig, Germany.
BMC Health Serv Res. 2024 Nov 25;24(1):1463. doi: 10.1186/s12913-024-11745-y.
Since June 2022, the legal framework has been created for German community pharmacies to offer their patients five reimbursed community pharmacy services that go beyond the current operating regulations. However, little is known about barriers that hinder their implementation. We therefore aimed to investigate the implementation of reimbursed community pharmacy services (i), barriers to the implementation (ii), solving strategies to overcome the barriers (iii), and future perspectives (iv). The objective of this study is to find out how the implementation of community pharmacy services can be facilitated for community pharmacies so that more services can be offered.
In July 2023, we created an online survey and sent it to pharmacists in community pharmacies, including those who offered reimbursed community pharmacy services and those who did not.
Overall, 218 pharmacists from 218 different community pharmacies participated. (i) Of those, 176 (81%) already offered at least one reimbursed community pharmacy service. (ii) For hypertension service, 33% of the offering pharmacists reported barriers in "Communicating with patients," and 41% reported "Too little patient demand." For polymedication service, 53% of the offering pharmacists indicated "Barriers in communication with physicians," and 44% mentioned "Fear of competing with physicians." (iii) The most frequently reported solving strategies of pharmacists in offering pharmacies were taking advanced training (median of all five services 42%) and developing standardized procedures (median of all five services 34%). In contrast, pharmacists in non-offering pharmacies had not developed any solving strategies (median of all five services 40%). (iv) 64% of the pharmacists in non-offering pharmacies could imagine being able to offer reimbursed community pharmacy services in the future.
Many German pharmacies already offer reimbursed community pharmacy services. However, there are still barriers to widespread implementation. Therefore, customized support regarding the needs of the pharmacies should be provided since most pharmacists who do not yet offer these services today can imagine offering them in the future.
自 2022 年 6 月以来，德国社区药房已经建立了法律框架，可以为患者提供五种超出当前运营规定的报销社区药房服务。然而，对于阻碍这些服务实施的障碍知之甚少。因此，我们旨在调查报销社区药房服务的实施情况（i）、实施障碍（ii）、解决障碍的策略（iii）和未来展望（iv）。本研究的目的是找出如何为社区药房提供便利，以便提供更多的社区药房服务。
2023 年 7 月，我们创建了一个在线调查，并将其发送给社区药房的药剂师，包括提供报销社区药房服务和不提供报销社区药房服务的药剂师。
共有 218 名来自 218 家不同社区药房的药剂师参与了调查。（i）其中，176 名（81%）已经提供了至少一种报销社区药房服务。（ii）对于高血压服务，提供服务的药剂师中有 33%报告在“与患者沟通”方面存在障碍，41%报告“患者需求太少”。对于多药治疗服务，提供服务的药剂师中有 53%表示“与医生沟通存在障碍”，44%提到“担心与医生竞争”。（iii）提供服务的药剂师报告的最常见解决策略是参加高级培训（所有五项服务的中位数为 42%）和制定标准化程序（所有五项服务的中位数为 34%）。相比之下，非提供服务的药房药剂师尚未制定任何解决策略（所有五项服务的中位数为 40%）。（iv）64%的非提供服务的药房药剂师可以想象在未来提供报销社区药房服务。
许多德国药房已经提供报销社区药房服务。然而，广泛实施仍存在障碍。因此，应该提供针对药房需求的定制支持，因为目前尚未提供这些服务的大多数药剂师可以想象在未来提供这些服务。
