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一项探索临床药学实践全球趋势的定性研究。

A Qualitative Study to Explore Global Trends in Clinical Pharmacy Practice.

作者信息

Moura Gomes Laura Alexandra, Gomes Costa Adriano Miguel, Steurbaut Stephane Marc Richard, Mota Filipe Helder Dias, Leite Silvana Nair, Alves da Costa Azevedo E Silva Filipa da Palma Carlos

机构信息

Research Institute for Medicines (iMED.ULisboa), Faculty of Pharmacy, University of Lisbon. Av. Prof. Gama Pinto, Lisboa, Portugal.

Farmácia Cunha, Barcelos, Portugal.

出版信息

J Eval Clin Pract. 2025 Jun;31(4):e70104. doi: 10.1111/jep.70104.

Abstract

RATIONALE

Pharmacists' clinical responsibilities have been on a progressive rise, adopting a more person-centered approach, and experiencing increased involvement in healthcare teams across all settings. The development and evolution of clinical pharmacy practice in each country depends on the existing facilitators and barriers, which are variable and highly context-related.

AIMS AND OBJECTIVES

To investigate the perspectives of global experts regarding the advancement of clinical pharmacy practice, with a specific focus on examining the factors contributing to success and their outlook on the future of clinical pharmacy.

METHODS

Semi-structured interviews were conducted with academia and practice experts from 13 countries. Each expert was asked what they considered to be the future of clinical pharmacy education and practice, as well as what should be improved in the clinical pharmacy learning path to ensure that it keeps pace with the evolution of pharmacists' clinical responsibilities in practice. Success factors for change in clinical pharmacy practice were also explored. Interviews were transcribed verbatim and analyzed thematically.

RESULTS

Success factors for advancing clinical pharmacy practice included elements related to the healthcare and political landscape, such as remuneration, leadership, as well as willingness and readiness for change. Other success factors identified are directly related to the pharmacist, such as the use of reflective practice or the pharmacist's motivation. Perceived future directions include the existence of a multidisciplinary approach in practice, the expansion of clinical pharmacy services, as well as the delivery of clinical pharmacy services at the primary care level.

CONCLUSION

The development of clinical pharmacy practice relies on a wide range of factors. The analysis carried out in this study of the success factors as well as the potential future directions of clinical pharmacy can serve as catalysts for the development of this pharmacy field at the country, regional, and global levels.

摘要

理论依据

药剂师的临床职责一直在逐步增加,采用了更加以患者为中心的方法,并且在所有环境中的医疗团队中参与度也在提高。每个国家临床药学实践的发展和演变取决于现有的促进因素和障碍,这些因素各不相同且与具体情况高度相关。

目的

调查全球专家对临床药学实践发展的看法,特别关注促成成功的因素及其对临床药学未来的展望。

方法

对来自13个国家的学术界和实践专家进行了半结构化访谈。每位专家被问及他们认为临床药学教育和实践的未来是什么,以及临床药学学习路径中应改进哪些方面以确保其跟上药剂师在实践中临床职责的演变。还探讨了临床药学实践变革的成功因素。访谈内容逐字记录并进行主题分析。

结果

推进临床药学实践的成功因素包括与医疗保健和政治格局相关的要素,如薪酬、领导力以及变革的意愿和准备情况。其他确定的成功因素与药剂师直接相关,如反思性实践的运用或药剂师的积极性。可预见的未来方向包括实践中采用多学科方法、扩大临床药学服务以及在初级保健层面提供临床药学服务。

结论

临床药学实践的发展依赖于多种因素。本研究对临床药学成功因素以及潜在未来方向的分析可成为该药学领域在国家、区域和全球层面发展的催化剂。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0eb/12051785/394ad7eea5a6/JEP-31-0-g002.jpg

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