Hansen R W, Ranelli P L
Department of Medical History and Ethics, College of Medicine, University of Washington, Seattle.
Ann Pharmacother. 1994 Sep;28(9):1020-4. doi: 10.1177/106002809402800904.
To examine the relationship between pharmacists' willingness to assume further professional responsibilities, as measured by attitudes to the Omnibus Budget Reconciliation Act of 1990 (OBRA '90) requirements, and their attitudes toward voluntarism as their responsibility to society and their level of interest in their jobs.
A survey was distributed to a convenience sample of 443 pharmacists who were asked to indicate their responses on a number of items.
Surveys were distributed to participants in an annual pharmacy continuing education program.
The response rate was 65 percent with completed surveys from 290 Florida pharmacists who were typically male (73 percent) and practicing in the community setting (39 percent) for over 25 years (33 percent).
Questions were aimed at gathering the following information: (1) demographics; (2) attitudes concerning the benefits of the three OBRA '90 requirements: patient counseling, prospective drug-use review (DUR), and information recording; (3) attitudes toward voluntarism; and (4) job interest.
Pharmacists tended to agree that all three of the OBRA '90 mandates will be beneficial. Fifty-six percent favored the prospective DUR requirements, while 68 percent favored the patient counseling requirements and 66 percent favored the information-recording requirements. Logistic regression analysis showed that unit increases in scaled responses, indicating more favorable attitudes toward believing that voluntarism was one's responsibility, increased the odds of favoring counseling by 38.7 percent and information recording by 32.4 percent. A similar directional relationship was found for the DUR requirement. Job interest did not add to the predictive ability of the variables already in the models.
This study suggests a possible association between pharmacists' attitudes toward social responsibility and their acceptance of expanded professional responsibility.
通过对1990年综合预算协调法案（OBRA '90）要求的态度来衡量药剂师承担更多专业责任的意愿，并考察其对志愿服务作为社会责任以及工作兴趣水平的态度之间的关系。
向443名药剂师的便利样本发放调查问卷，要求他们对一系列项目表明自己的回答。
调查问卷发放给参加年度药学继续教育项目的人员。
回复率为65%，共收到290名佛罗里达药剂师完成的调查问卷，这些药剂师通常为男性（73%），在社区药房工作（39%）超过25年（33%）。
问题旨在收集以下信息：（1）人口统计学信息；（2）对OBRA '90的三项要求（患者咨询、前瞻性药物使用审查（DUR）和信息记录）的益处的态度；（3）对志愿服务的态度；（4）工作兴趣。
药剂师倾向于认为OBRA '90的所有三项规定都是有益的。56%的人赞成前瞻性DUR要求，68%的人赞成患者咨询要求，66%的人赞成信息记录要求。逻辑回归分析表明，量表得分每增加一个单位，表明对志愿服务是个人责任的态度更积极，赞成咨询的几率增加38.7%，赞成信息记录的几率增加32.4%。对DUR要求也发现了类似的方向关系。工作兴趣并未增加模型中已有变量的预测能力。
本研究表明药剂师对社会责任的态度与他们接受扩大的专业责任之间可能存在关联。
