Assertiveness in community pharmacists and their experience of pharmacist-led deprescribing: A cross-sectional study

IF 3.7 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Research in Social & Administrative Pharmacy Pub Date : 2025-03-06 DOI:10.1016/j.sapharm.2025.03.002

Mitsuaki Ishii , Sachiko Ozone , Shoichi Masumoto , Tetsuhiro Maeno

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引用次数: 0

Abstract

Background

Deprescribing by physicians based on the suggestions of community pharmacists is useful to ensure medication safety. Pharmacist-led deprescribing is not always implemented smoothly because of communication gaps between physicians and pharmacists. Our previous study found that assertiveness, as a communication style, is associated with pharmacist-initiated prescription changes for medication safety; however, its association with community pharmacist-led deprescribing is unclear.

Objectives

Our objective was to investigate which types of self-expression related to assertiveness are associated with community pharmacist-led deprescribing while adjusting for possible confounding factors.

Methods

We conducted a cross-sectional survey among community pharmacists between May and October 2022. Participants were community pharmacists belonging to a nationwide pharmacy chain in Japan who worked in 1 of 10 prefectures. The outcome variable was experience of community pharmacist-led deprescribing in the past year. Community pharmacists' self-expression related to assertiveness was assessed using the 3 subdomains of the Interprofessional Assertiveness Scale (IAS): nonassertive, assertive, and aggressive self-expression. Participants were classified into 1 of 2 categories based on median IAS subdomain scores. Pharmacist characteristics were compared by group in univariate analyses. Binomial logistic regression was used to examine the association between experience of community pharmacist-led deprescribing and community pharmacists’ assertiveness.

Results

Of the 3346 community pharmacists invited, 963 were included in the analysis. After adjustment, high assertive self-expression was associated with experience of community pharmacist-led deprescribing (adjusted odds ratio, 1.49; 95 % confidence interval, 1.02–2.20; p = 0.042). No associations were found between experience of community pharmacist-led deprescribing and nonassertive or aggressive self-expression.

Conclusions

Community pharmacists with higher levels of assertive self-expression were more likely to experience community pharmacist-led deprescribing.

查看原文本刊更多论文

社区药剂师的自信及其药剂师主导的处方经验：一项横断面研究。

背景：医师根据社区药师的建议开处方有助于确保用药安全。由于医生和药剂师之间的沟通差距，药剂师主导的处方并不总是顺利实施。我们之前的研究发现，自信作为一种沟通方式，与药剂师发起的药物安全处方变更有关；然而，它与社区药剂师主导的处方处方的关系尚不清楚。目的：我们的目的是在调整可能的混杂因素的同时，调查与自信相关的哪些类型的自我表达与社区药剂师主导的处方有关。方法：于2022年5 - 10月对社区药师进行横断面调查。参与者是在日本10个县中的1个县工作的一家全国性连锁药店的社区药剂师。结果变量是过去一年中社区药剂师主导的处方经验。采用跨专业自信量表（IAS）的三个子域：非自信、自信和侵略性自我表达来评估社区药师与自信相关的自我表达。参与者根据IAS子域得分中位数分为2类中的1类。在单因素分析中，分组比较药师特征。采用二项logistic回归检验社区药师主导开处方经验与社区药师自信的关系。结果：被邀请的3346名社区药师中，963名被纳入分析。调整后，高自信的自我表达与社区药剂师主导的处方处方经验相关(调整优势比为1.49；95%置信区间为1.02-2.20；p = 0.042)。没有发现社区药剂师主导的处方处方与非自信或攻击性自我表达之间的联系。结论：自信自我表达水平较高的社区药师更有可能经历社区药师主导的处方减开。

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来源期刊

Research in Social & Administrative Pharmacy PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

7.20

自引率

10.30%

发文量

225

审稿时长

47 days

期刊介绍： Research in Social and Administrative Pharmacy (RSAP) is a quarterly publication featuring original scientific reports and comprehensive review articles in the social and administrative pharmaceutical sciences. Topics of interest include outcomes evaluation of products, programs, or services; pharmacoepidemiology; medication adherence; direct-to-consumer advertising of prescription medications; disease state management; health systems reform; drug marketing; medication distribution systems such as e-prescribing; web-based pharmaceutical/medical services; drug commerce and re-importation; and health professions workforce issues.