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全科医疗社区药剂师咨询服务:一项探索性患者调查

General Practice Community Pharmacist Consultation Service: an exploratory patient survey.

作者信息

Gauly Julia, Grimley Catherine, Dale Jeremy, Gill Paramjit, Atherton Helen

机构信息

Warwick Medical School, University of Warwick, Coventry, UK.

Primary Care Research Centre, University of Southampton, Southampton, UK

出版信息

BJGP Open. 2025 Jul 23;9(2). doi: 10.3399/BJGPO.2024.0204. Print 2025.

Abstract

BACKGROUND

The General Practice Community Pharmacist Consultation Service (GPCPCS) was established to allow patients with certain minor illnesses to be referred to a community pharmacy for assessment and treatment.

AIM

To explore patients' experiences of the GPCPCS.

DESIGN & SETTING: An online survey in two regions of England.

METHOD

Twenty-five general practices invited patients to take part in an exploratory survey. Descriptive statistics were used for the analysis.

RESULTS

The response rate was 5.1% (72/1423). Prior to contacting their general practice, 14.1% (9/64) of patients had tried to speak to a pharmacist. Most responders accepted the GPCPCS referral (77.3%, 51/66); received a pharmacy consultation on the same day (80.0%, 40/50); and were largely satisfied with the amount of time the pharmacist spent with them (82.5%, 33/40), the consultation format (68.3%, 28/41), and the privacy provided during the consultation (80.9%, 38/47). However, most responders (56.5%, 39/69) felt poorly informed by the general practice on why they were being advised to speak to a pharmacist and did not feel that it was appropriate that they had been advised to speak to a community pharmacist (54.2%, 39/72). Only 33.3% (16/48) felt that their consultation fully met their health needs and 27.1% (13/48) of patients described being re-referred from pharmacy back to their general practice.

CONCLUSION

In this exploratory study patients were largely accepting of the GPCPCS. Improvements in terms of explaining GPCPCS to patients, selecting patients appropriate for referral to the service, and the appointment process may be of benefit.

摘要

背景

设立全科医疗社区药剂师咨询服务(GPCPCS)是为了让患有某些轻微疾病的患者能被转介至社区药房进行评估和治疗。

目的

探讨患者对GPCPCS的体验。

设计与设置

在英格兰两个地区开展的一项在线调查。

方法

25家全科医疗机构邀请患者参与一项探索性调查。采用描述性统计进行分析。

结果

回复率为5.1%(72/1423)。在联系其全科医疗机构之前,14.1%(9/64)的患者曾试图与药剂师交谈。大多数回复者接受了GPCPCS转介(77.3%,51/66);在同一天接受了药房咨询(80.0%,40/50);并且对药剂师与他们相处的时间量(82.5%,33/40)、咨询形式(68.3%,28/41)以及咨询期间提供的隐私情况(80.9%,38/47)基本满意。然而,大多数回复者(56.5%,39/69)觉得全科医疗机构告知他们被建议去与药剂师交谈的原因很不足,并且觉得被建议去与社区药剂师交谈不合适(54.2%,39/72)。只有33.3%(16/48)的人觉得他们的咨询完全满足了他们的健康需求,27.1%(13/48)的患者表示从药房又被转回了他们的全科医疗机构。

结论

在这项探索性研究中,患者对GPCPCS总体上是接受的。在向患者解释GPCPCS、挑选适合转介至该服务的患者以及预约流程方面进行改进可能会有帮助。

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