Raisch D W
Veterans Affairs Cooperative Studies Program, Clinical Research Pharmacy Coordinating Center, Albuquerque, NM.
Am Pharm. 1993 Dec;NS33(12):54-8. doi: 10.1016/s0160-3450(15)30574-2.
Seventy-three pharmacists were surveyed to evaluate their perceptions of barriers to performing cognitive services in community pharmacy; 64 responded. Perceived barriers to counseling patients were excessive workload, lack of privacy, patient attitudes, and store layout. Perceived barriers to interacting with physicians were difficulties contacting them, negative physician attitudes toward pharmacists' recommendations, excessive workload, and inadequate patient information. Rates of interaction with prescribers correlated with greater job satisfaction; rates of patient counseling did not. Methods to address these barriers include structuring reimbursement and workload around cognitive services rather than drug product dispensing, redesigning pharmacies to provide counseling areas, changing attitudes and abilities through pharmacist education, and using technology to promote information transfer between pharmacies and health care facilities.
对73名药剂师进行了调查，以评估他们对社区药房开展认知服务障碍的看法；64人作出了回应。认为在为患者提供咨询方面存在的障碍包括工作量过大、缺乏隐私、患者态度以及店铺布局。认为在与医生互动方面存在的障碍包括难以联系到他们、医生对药剂师建议持消极态度、工作量过大以及患者信息不足。与开处方者的互动率与更高的工作满意度相关；而患者咨询率则不然。解决这些障碍的方法包括围绕认知服务而非药品调配来构建报销和工作量体系、重新设计药房以提供咨询区域、通过药剂师教育改变态度和能力，以及利用技术促进药房与医疗保健机构之间的信息传递。
