Chewning B, Schommer J C
Sonderegger Research Center, School of Pharmacy, University of Wisconsin-Madison, USA.
Pharm Res. 1996 Sep;13(9):1299-304. doi: 10.1023/a:1016001428511.
The pharmaceutical care framework requires an active client-pharmacist partnership, particularly with respect to consultation about medications. With low client expectations for pharmacist consultation documented by several studies, this research sought to identify: 1) what information clients want from pharmacists, 2) what barriers prevent clients from asking pharmacists their questions, and 3) whether an inexpensive intervention could increase client short-term knowledge of pharmacist roles related to patient consultation and monitoring prescription appropriateness. Role theory provides a framework for this study.
Nineteen community pharmacies and 355 pharmacy clients participated in the study. Each client completed a survey on their needs for information and knowledge of pharmacist roles, with clients in the experimental arm receiving a short brochure on pharmacist roles while a control group did not.
Sixty percent wanted information about side effects; 51% wanted directions for how to take the medication correctly. Most frequently listed barriers to asking pharmacists questions were client embarrassment and ignorance that it was appropriate to seek information from pharmacists. Significantly more experimental group clients than control group clients correctly answered survey questions about pharmacist roles and training. Only 52% of the control group believed the pharmacist always checks for possible drug interactions. Only 55% believed pharmacists were required to provide appropriate patient consultation for prescriptions under state law.
Brief exposure to a short pamphlet about pharmacists' activities increased knowledge of pharmacist roles and training, suggesting that inexpensive interventions can impact on client short term knowledge of pharmacist roles.
药学服务框架要求建立积极的医患(药师)合作关系,尤其是在药物咨询方面。多项研究表明患者对药师咨询的期望较低,本研究旨在确定:1)患者希望从药师那里获得哪些信息;2)哪些障碍阻碍患者向药师提问;3)一种低成本的干预措施是否能增加患者对药师在患者咨询和监测处方合理性方面作用的短期了解。角色理论为该研究提供了一个框架。
19家社区药房和355名药房患者参与了该研究。每位患者完成了一项关于他们对信息的需求以及对药师角色了解的调查,实验组的患者收到了一份关于药师角色的简短手册,而对照组没有。
60%的患者希望了解副作用信息;51%的患者希望得到正确用药指导。最常列出的向药师提问的障碍是患者感到尴尬以及不知道向药师寻求信息是合适的。实验组正确回答关于药师角色和培训调查问题的患者明显多于对照组。对照组中只有52%的人认为药师总是会检查是否存在药物相互作用。只有55%的人认为根据州法律药师必须为处方提供适当的患者咨询。
简短接触一本关于药师活动的小册子增加了对药师角色和培训的了解,表明低成本干预措施可以影响患者对药师角色的短期了解。