Exploring Opportunities for Improving Pharmacy Services for People With Disabilities: A Qualitative Study

IF 2.1 4区 医学 Q3 PHARMACOLOGY & PHARMACY
Nasser M. Alorfi, Ahmed M. Ashour, Fahad S. Alshehri, Saad M. Wali, Maan H. Harbi, Mohammed M. Aldurdunji, Shaker T. Alsharif, Reem Hasaballah Alhasani, Mohammed S. Alharthi, Nasser M. Aldekhail
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引用次数: 0

Abstract

Background: People with disabilities face significant barriers to accessing pharmacy services, including physical inaccessibility, communication challenges, and inadequate pharmacist training. These barriers often result in poor healthcare outcomes, which lead to a decline in the provided services.

Objective: To explore hospital pharmacists’ experiences, challenges, and suggestions for improving pharmacy services for individuals with disabilities in Saudi Arabia.

Methods: A qualitative study was conducted using semistructured interviews with fifteen hospital pharmacists selected through purposive sampling. Participants had to have had at least 5 years of experience and direct interaction with disabled patients. Data were transcribed verbatim and analyzed using thematic analysis to identify recurring themes and insights. An inductive thematic analysis approach was employed.

Results: The analysis revealed five key themes: (1) physical inaccessibility of pharmacy infrastructure, (2) communication barriers, (3) training needs, (4) the role of assistive technologies, and (5) proposed service improvements. Technology was recognized as a facilitator, with tools such as Braille medication labels, automated dispensing systems, and mobile health applications identified as potential solutions. Participants also proposed structural modifications, mandatory training programs, and dedicated service pathways to address identified challenges. These findings highlight the importance of a comprehensive approach that integrates infrastructure redesign, targeted training, technological solutions, and inclusive healthcare policies.

Conclusion: Improving pharmacy services for individuals with disabilities requires structural, educational, and technological interventions to enhance accessibility, communication, and service delivery.

Implications for Research and Practice: The findings of this study provide valuable insights into the barriers faced by individuals with disabilities when accessing pharmacy services and offer actionable recommendations for improvement. From a practical perspective, healthcare institutions should prioritize mandatory disability-awareness and communication training programs for pharmacists, focusing on skills such as sign language, assistive technology use, and inclusive communication strategies. Structural modifications to pharmacy infrastructure, including lowered counters, wider aisles, and accessible shelving, are essential to ensure physical accessibility. In addition, the integration of assistive technologies, such as Braille labels, voice-assisted mobile apps, and automated dispensing systems, can help address communication gaps and improve medication adherence. Dedicated service pathways for patients with disabilities can further enhance privacy, reduce waiting times, and ensure personalized care delivery. From a research perspective, future studies should explore the perspectives of patients with disabilities to complement pharmacists’ insights, employ mixed-methods approaches for a more comprehensive understanding, and conduct longitudinal studies to evaluate the long-term effectiveness of training programs and technological interventions. Cross-cultural comparative studies can also help identify universal challenges and region-specific solutions. By addressing these implications, stakeholders—including healthcare institutions, policymakers, and educators—can collaboratively create a more inclusive, accessible, and equitable pharmacy service environment for individuals with disabilities.

探索改善残疾人药房服务的机会:一项定性研究
背景:残疾人在获得药学服务方面面临重大障碍,包括身体不便、沟通困难和药剂师培训不足。这些障碍往往导致不良的保健结果,从而导致所提供服务的减少。目的:探讨沙特阿拉伯医院药师为残疾人提供药学服务的经验、挑战及建议。方法:采用半结构化访谈法对15名医院药师进行定性研究。参与者必须有至少5年的经验,并与残疾患者直接互动。数据逐字转录,并使用专题分析来确定反复出现的主题和见解。采用归纳主题分析方法。结果:分析揭示了五个关键主题:(1)药房基础设施的物理不可达性;(2)沟通障碍;(3)培训需求;(4)辅助技术的作用;(5)建议的服务改进。技术被认为是一个促进因素,盲文药物标签、自动配药系统和移动医疗应用程序等工具被认为是潜在的解决方案。与会者还提出了结构调整、强制性培训计划和专门的服务途径,以应对已确定的挑战。这些发现突出了综合方法的重要性,该方法将基础设施重新设计、有针对性的培训、技术解决方案和包容性医疗保健政策整合在一起。结论:改善残疾人药房服务需要结构、教育和技术干预,以提高可及性、沟通和服务提供。对研究和实践的启示:本研究的发现为残疾人在获得药房服务时面临的障碍提供了有价值的见解,并提供了可操作的改进建议。从实践的角度来看,医疗机构应该优先考虑强制性的残疾意识和沟通培训项目,重点是手语、辅助技术使用和包容性沟通策略等技能。对药房基础设施进行结构改造,包括降低柜台、拓宽通道和无障碍货架,对于确保物理可达性至关重要。此外,辅助技术的集成,如盲文标签、语音辅助移动应用程序和自动配药系统,可以帮助解决沟通差距并提高药物依从性。为残疾患者提供专门的服务途径可以进一步加强隐私,减少等待时间,并确保个性化的护理提供。从研究的角度来看,未来的研究应探索残障患者的视角来补充药师的见解,采用混合方法进行更全面的了解,并进行纵向研究来评估培训计划和技术干预的长期有效性。跨文化比较研究也有助于确定普遍的挑战和特定区域的解决方案。通过解决这些问题,包括医疗机构、政策制定者和教育工作者在内的利益相关者可以共同为残疾人创造一个更具包容性、更容易获得和更公平的药房服务环境。
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
CiteScore
4.10
自引率
5.00%
发文量
226
审稿时长
6 months
期刊介绍: The Journal of Clinical Pharmacy and Therapeutics provides a forum for clinicians, pharmacists and pharmacologists to explore and report on issues of common interest. Reports and commentaries on current issues in medical and pharmaceutical practice are encouraged. Papers on evidence-based clinical practice and multidisciplinary collaborative work are particularly welcome. Regular sections in the journal include: editorials, commentaries, reviews (including systematic overviews and meta-analyses), original research and reports, and book reviews. Its scope embraces all aspects of clinical drug development and therapeutics, including: Rational therapeutics Evidence-based practice Safety, cost-effectiveness and clinical efficacy of drugs Drug interactions Clinical impact of drug formulations Pharmacogenetics Personalised, stratified and translational medicine Clinical pharmacokinetics.
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