A Qualitative Study to Explore Global Trends in Clinical Pharmacy Practice

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice Pub Date : 2025-05-05 DOI:10.1111/jep.70104

Laura Alexandra Moura Gomes, Adriano Miguel Gomes Costa, Stephane Marc Richard Steurbaut, Helder Dias Mota Filipe, Silvana Nair Leite, Filipa da Palma Carlos Alves da Costa Azevedo e Silva

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引用次数: 0

Abstract

Rationale

Pharmacists' clinical responsibilities have been on a progressive rise, adopting a more person-centered approach, and experiencing increased involvement in healthcare teams across all settings. The development and evolution of clinical pharmacy practice in each country depends on the existing facilitators and barriers, which are variable and highly context-related.

Aims and Objectives

To investigate the perspectives of global experts regarding the advancement of clinical pharmacy practice, with a specific focus on examining the factors contributing to success and their outlook on the future of clinical pharmacy.

Methods

Semi-structured interviews were conducted with academia and practice experts from 13 countries. Each expert was asked what they considered to be the future of clinical pharmacy education and practice, as well as what should be improved in the clinical pharmacy learning path to ensure that it keeps pace with the evolution of pharmacists' clinical responsibilities in practice. Success factors for change in clinical pharmacy practice were also explored. Interviews were transcribed verbatim and analyzed thematically.

Results

Success factors for advancing clinical pharmacy practice included elements related to the healthcare and political landscape, such as remuneration, leadership, as well as willingness and readiness for change. Other success factors identified are directly related to the pharmacist, such as the use of reflective practice or the pharmacist's motivation.

Perceived future directions include the existence of a multidisciplinary approach in practice, the expansion of clinical pharmacy services, as well as the delivery of clinical pharmacy services at the primary care level.

Conclusion

The development of clinical pharmacy practice relies on a wide range of factors. The analysis carried out in this study of the success factors as well as the potential future directions of clinical pharmacy can serve as catalysts for the development of this pharmacy field at the country, regional, and global levels.

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探讨全球临床药学实践趋势的质性研究

基本原理药剂师的临床责任一直在逐步上升，采用更以人为本的方法，并在所有设置中体验到更多的医疗团队参与。每个国家临床药学实践的发展和演变取决于现有的促进因素和障碍，这些因素和障碍是可变的，并且与环境高度相关。目的和目的调查全球专家对临床药学实践进步的看法，特别关注影响成功的因素以及他们对临床药学未来的展望。方法采用半结构化访谈法对来自13个国家的学术界和实践专家进行访谈。每位专家都被问及他们认为临床药学教育和实践的未来是什么，以及临床药学学习路径应该改进什么，以确保其与实践中药师临床责任的演变保持同步。探讨了临床药学实践变革的成功因素。采访被逐字记录下来，并按主题进行分析。结果促进临床药学实践的成功因素包括与医疗保健和政治环境相关的因素，如薪酬、领导以及变革的意愿和准备。其他确定的成功因素与药剂师直接相关，如使用反思性实践或药剂师的动机。可预见的未来方向包括在实践中采用多学科方法，扩大临床药学服务，以及在初级保健水平提供临床药学服务。结论临床药学工作的发展依赖于多种因素。本研究对临床药学的成功因素和潜在的未来方向进行了分析，可以作为在国家、地区和全球层面上发展临床药学领域的催化剂。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of evaluation in clinical practice 医学-卫生保健

CiteScore

4.80

自引率

4.20%

发文量

143

审稿时长

3-8 weeks

期刊介绍： The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.