Scott D M, Wessels M J
Department of Pharmacy Practice, University of Nebraska Medical Center, Omaha, USA.
J Am Pharm Assoc (Wash). 1997 Jul-Aug;NS37(4):401-6. doi: 10.1016/s1086-5802(16)30230-3.
To assess the impact of OBRA '90 regulations on the counseling practices of community pharmacists in Nebraska.
A telephone survey was conducted of 80 randomly selected community pharmacies throughout Nebraska. A modified written survey was mailed to the 34 telephone nonrespondents and to another 86 randomly selected community pharmacists. A composite response rate (combining both survey methods) of 67.5% (112 of 166) was obtained, and responses were sorted into an independent community pharmacy group (n = 80) and a chain pharmacy group (n = 32).
Only 44.6% of respondents reported that time devoted to patient counseling had increased as a result of OBRA '90. Chain pharmacists generally devoted more time to counseling after OBRA '90 became effective than did independent community pharmacists.
While more than three out of four pharmacists felt adequately prepared for mandated patient counseling, fewer than half reported that time devoted to counseling had increased. Although the profession is moving toward the standard of pharmaceutical care, many pharmacists are not yet counseling as the law requires.
评估《1990年综合预算调节法》法规对内布拉斯加州社区药剂师咨询服务实践的影响。
对整个内布拉斯加州随机选取的80家社区药房进行电话调查。一份修改后的书面调查问卷被邮寄给34名未回复电话调查的人以及另外86名随机选取的社区药剂师。获得了67.5%（166人中的112人）的综合回复率（两种调查方法相结合），回复被分为独立社区药房组（n = 80）和连锁药房组（n = 32）。
只有44.6%的受访者表示，由于《1990年综合预算调节法》，用于患者咨询的时间有所增加。《1990年综合预算调节法》生效后，连锁药房的药剂师通常比独立社区药房的药剂师投入更多时间进行咨询。
虽然超过四分之三的药剂师觉得为法定的患者咨询做好了充分准备，但不到一半的人表示用于咨询的时间有所增加。尽管该行业正朝着药学服务标准迈进，但许多药剂师尚未按照法律要求进行咨询。
