Burnand Alice, Woodward Abi, Kantilal Kumud, Bhanu Cini, Jani Yogini, Manthorpe Jill, Orlu Mine, Rait Greta, Sajid Madiha, Samsi Kritika, Vickerstaff Victoria, Ward Jane, Wilcock Jane, Davies Nathan
Research Department of Primary Care and Population Health, Centre for Ageing Population Studies, Patient and Public Involvement Member, University College London, London, United Kingdom.
Centre for Psychiatry and Mental Health, Wolfson Institute of Population Health, QMUL, London, United Kingdom.
PLoS One. 2025 Aug 13;20(8):e0330028. doi: 10.1371/journal.pone.0330028. eCollection 2025.
The number of people living with dementia is increasing, placing significant strain on healthcare systems and family carers. Primary care teams, including clinical pharmacists, are crucial in supporting people with dementia. While clinical pharmacists have demonstrated benefits in other areas of healthcare, their role in dementia care is less understood. This study aims to explore the perspectives of people with dementia and family carers on the potential contributions of clinical pharmacists to dementia support within primary care in England.
To explore the views and perspectives of people with dementia and family carers of dementia care received from primary care teams, with a specific focus on clinical pharmacists in England.
We conducted thirteen semi-structured interviews with family carers and fifteen with people with dementia in 2022-2024. Interviews were analysed using reflexive thematic analysis.
Three overarching themes, were developed from the interviews: 1) Recognising the value of clinical pharmacists 2) Building and developing rapport, with personalised care and a holistic approach; and 3) The needs of patients without clinical pharmacy support - left in uncertainty about their care.
This study highlights the potential of clinical pharmacists in dementia care, highlighting both positive experiences as well as unmet needs of those who did not have access to the service. Awareness of these services hinder the impact that they might be able to achieve otherwise. Increasing awareness, standardising training, and further research on service delivery models are crucial.
痴呆症患者数量不断增加，给医疗系统和家庭护理人员带来了巨大压力。包括临床药剂师在内的基层医疗团队在为痴呆症患者提供支持方面至关重要。虽然临床药剂师在医疗保健的其他领域已证明其益处，但他们在痴呆症护理中的作用却鲜为人知。本研究旨在探讨痴呆症患者及其家庭护理人员对临床药剂师在英格兰基层医疗中为痴呆症支持所做潜在贡献的看法。
探讨痴呆症患者及其家庭护理人员对基层医疗团队提供的痴呆症护理的看法和观点，特别关注英格兰的临床药剂师。
在2022年至2024年期间，我们对家庭护理人员进行了13次半结构化访谈，对痴呆症患者进行了15次访谈。采用反思性主题分析法对访谈进行分析。
从访谈中提炼出三个总体主题：1）认识临床药剂师的价值；2）通过个性化护理和整体方法建立和发展融洽关系；3）没有临床药学支持的患者的需求——对其护理感到不确定。
本研究凸显了临床药剂师在痴呆症护理中的潜力，既强调了积极的经验，也指出了无法获得该服务者未得到满足的需求。对这些服务的认知不足阻碍了它们原本可能取得的成效。提高认知度、规范培训以及对服务提供模式进行进一步研究至关重要。
