Pharmacists' current and potential prescribing roles in primary care in the Netherlands: a case study.

IF 1.9 3区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Journal of Interprofessional Care Pub Date : 2024-09-01 Epub Date: 2024-07-10 DOI:10.1080/13561820.2024.2374017
Thomas G H Kempen, Yosra Benaissa, Haijo Molema, Lea E Valk, Ankie C M Hazen, Mette Heringa, Henk-Frans Kwint, Dorien L M Zwart, Sofia Kälvemark Sporrong, Derek Stewart, Liset van Dijk
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引用次数: 0

Abstract

In some countries, pharmacists have obtained prescribing rights to improve quality and accessibility of care and reduce physician workload. This case study explored pharmacists' current roles in and potential for prescribing in primary care in the Netherlands, where prescribing rights for pharmacists do not exist. Participatory observations of pharmacists working in either general practice or community pharmacy were conducted, as were semi-structured interviews about current and potential practice. The latter were extended to patients and other healthcare professionals, mainly general practitioners, resulting in 34 interviews in total. Thematic analyses revealed that pharmacists, in all cases, wrote prescriptions that were then authorized by a physician before dispensing. General practice-based pharmacists often prescribed medications during patient consultations. Community pharmacists mainly influenced prescribing through (a) medication reviews where the physician and/or practice nurse often were consulted to make treatment decisions, and (b) collaborative agreements with physicians to start or substitute medications in specific situations. These findings imply that the pharmacists' current roles in prescribing in the Netherlands resemble collaborative prescribing practices in other countries. We also identified several issues that should be addressed before formally introducing pharmacist prescribing, such as definitions of tasks and responsibilities and prescribing-specific training for pharmacists.

荷兰药剂师在初级保健中当前和潜在的处方角色:案例研究。
在一些国家,药剂师获得了处方权,以提高医疗质量和可及性,并减轻医生的工作量。本案例研究探讨了药剂师目前在荷兰初级保健中的作用和开处方的潜力,因为在荷兰,药剂师还没有开处方权。研究人员对在全科诊所或社区药房工作的药剂师进行了参与式观察,并就当前和潜在的实践进行了半结构化访谈。后者扩大到病人和其他医疗保健专业人员,主要是全科医生,总共进行了 34 次访谈。专题分析表明,在所有情况下,药剂师都开具处方,然后在配药前得到医生的授权。全科药剂师通常在为患者问诊时开具处方。社区药剂师主要通过以下方式影响处方:(a) 药物审查,经常咨询医生和/或执业护士以做出治疗决定;(b) 与医生达成合作协议,在特定情况下开始用药或替代用药。这些发现表明,药剂师目前在荷兰处方中的作用与其他国家的合作处方实践相似。我们还发现了在正式引入药剂师开处方之前需要解决的几个问题,例如任务和职责的定义以及药剂师的处方培训。
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来源期刊
Journal of Interprofessional Care
Journal of Interprofessional Care HEALTH CARE SCIENCES & SERVICES-
CiteScore
5.80
自引率
14.80%
发文量
124
审稿时长
6-12 weeks
期刊介绍: The Journal of Interprofessional Care disseminates research and new developments in the field of interprofessional education and practice. We welcome contributions containing an explicit interprofessional focus, and involving a range of settings, professions, and fields. Areas of practice covered include primary, community and hospital care, health education and public health, and beyond health and social care into fields such as criminal justice and primary/elementary education. Papers introducing additional interprofessional views, for example, from a community development or environmental design perspective, are welcome. The Journal is disseminated internationally and encourages submissions from around the world.
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