A descriptive study of systemic factors that affect ambulatory care pharmacists

IF 2.5 4区医学 Q3 PHARMACOLOGY & PHARMACY

Journal of the American Pharmacists Association Pub Date : 2025-09-26 DOI:10.1016/j.japh.2025.102931

Emily Parry, Allison Hursman, Ellen Rubinstein, Taylor Thooft, Rylie Johnson, Jada Ford, Kimaria Stevenson, Lauren Lowe

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引用次数: 0

Abstract

Background

Ambulatory care pharmacists (ACPs) support patients and the health care team through clinical services such as patient education and comprehensive disease state management. Although multiple studies show the impact of ACPs on others, little research has been done on their own experiences.

Objectives

This study aimed to learn from ACPs about their workplace experiences and identify systemic factors that affect their role as members of interprofessional health care teams.

Methods

This exploratory, qualitative study consisted of digitally recorded, semistructured interviews with ACPs. Interviews were transcribed and analyzed inductively and iteratively by a multidisciplinary research team to determine salient themes.

Results

Twenty-one pharmacists (10 in private health systems, 11 in public health systems) participated, 15 of whom described the effects of leadership, metrics, and reimbursement on their roles. Although many pharmacists felt supported by leadership, others noted consistent pressure to meet arbitrary quality metrics and frustration with limited reimbursement options. Public health system pharmacists seemed to be more affected by these systemic factors than their private health system counterparts.

Conclusion

Leadership, metrics, and reimbursement are all systemic factors that affect ACPs’ workplace experiences, as evinced by participant interviews. More research is necessary to determine how best to support ACPs across health systems to ensure that they can continue providing high-quality, accessible patient care.

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影响门诊药师的系统性因素的描述性研究。

背景：门诊药师通过患者教育和全面疾病状态管理等临床服务支持患者和医疗团队。虽然多项研究表明门诊药剂师对他人的影响，但对他们自己的经历进行的研究很少。目的：了解门诊药剂师的工作经历，并确定影响他们作为跨专业医疗团队成员角色的系统性因素。方法：这项探索性质的研究包括对门诊药剂师进行数字记录的半结构化访谈。访谈记录和分析归纳和迭代多学科的研究小组，以确定突出的主题。结果：21名药剂师（10名在私人卫生系统，11名在公共卫生系统）参与，其中15名描述了领导，指标和报销对他们角色的影响。虽然许多药剂师感到得到了领导的支持，但也有人指出，他们一直面临着满足任意质量指标的压力，并对有限的报销选择感到沮丧。公共卫生系统的药剂师似乎比他们的私人卫生系统的同行更受这些系统因素的影响。结论：领导力、指标和报销都是影响acp工作体验的系统性因素，通过对参与者的访谈证明了这一点。需要进行更多的研究，以确定如何最好地支持跨卫生系统的acp，以确保它们能够继续提供高质量、可获得的患者护理。

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 the American Pharmacists Association 医学-药学

CiteScore

3.30

自引率

14.30%

发文量

336

审稿时长

46 days

期刊介绍： The Journal of the American Pharmacists Association is the official peer-reviewed journal of the American Pharmacists Association (APhA), providing information on pharmaceutical care, drug therapy, diseases and other health issues, trends in pharmacy practice and therapeutics, informed opinion, and original research. JAPhA publishes original research, reviews, experiences, and opinion articles that link science to contemporary pharmacy practice to improve patient care.