患者对加拿大新斯科舍省社区药剂师在初级保健中的重要作用的看法:PUPPY 研究的定性结果。

IF 1.5 Q3 PHARMACOLOGY & PHARMACY
Jennifer E Isenor, Lauren Renaud, Maria Mathews, Bobbi Morrison, Andrea L Murphy, Andrea Bishop, Susan K Bowles, Natalie Kennie-Kaulbach, Sarah Peddle, Mylaine Breton, Michael E Green, Emily G Marshall
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引用次数: 0

摘要

目标:社区药剂师在为所有患者(包括有家庭医生或执业护士的患者("有家庭医生或执业护士")和没有家庭医生或执业护士的患者("无家庭医生或执业护士"))提供初级医疗服务方面发挥着重要作用。在 COVID-19 大流行期间,社区药剂师是未随访患者和难以获得其惯常初级保健提供者("半随访")的患者可获得的保健提供者。在大流行之前和期间,药剂师服务在加拿大多个省份得到了扩展。这项定性研究旨在探讨患者接受社区药剂师护理的经历,以及他们对社区药剂师执业范围的看法:方法:对加拿大新斯科舍省的 15 名患者进行了访谈。对参与者有关药剂师护理的叙述进行了专题分析:有联系、"半联系 "和无联系的患者都认为社区药剂师是医疗服务的基石,并寻求药剂师提供各种医疗服务,包括分诊和系统导航。患者对扩大社区药剂师的执业范围以及更好地优化药剂师在初级保健中的作用给予了积极评价:系统决策者应考虑社区药剂师在实现初级医疗保健的五重目标(人口健康、患者和医疗服务提供者体验、降低成本和支持健康公平)中可发挥的积极作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Patient perspectives on the vital primary care role of community pharmacists in Nova Scotia, Canada: qualitative findings from the PUPPY Study.

Objectives: Community pharmacists play an important role in primary care access and delivery for all patients, including patients with a family physician or nurse practitioner ("attached") and patients without a family physician or nurse practitioner ("unattached"). During the COVID-19 pandemic, community pharmacists were accessible care providers for unattached patients and patients who had difficulty accessing their usual primary care providers ("semi-attached"). Before and during the pandemic, pharmacist services expanded in several Canadian provinces. The aim of this qualitative study was to explore patient experiences receiving care from community pharmacists, and their perspectives on the scope of practice of community pharmacists.

Methods: Fifteen patients in Nova Scotia, Canada, were interviewed. Participant narratives pertaining to pharmacist care were analyzed thematically.

Key findings: Attached, "semi-attached," and unattached patients valued community pharmacists as a cornerstone of care and sought pharmacists for a variety of health services, including triaging and system navigation. Patients spoke positively about expanding the scope of practice for community pharmacists, and better optimization of pharmacists in primary care.

Conclusions: System decision-makers should consider the positive role community pharmacists can play in achieving primary care across the Quintuple Aim (population health, patient and provider experiences, reducing costs, and supporting equity in health).

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来源期刊
CiteScore
2.90
自引率
5.60%
发文量
146
期刊介绍: The International Journal of Pharmacy Practice (IJPP) is a Medline-indexed, peer reviewed, international journal. It is one of the leading journals publishing health services research in the context of pharmacy, pharmaceutical care, medicines and medicines management. Regular sections in the journal include, editorials, literature reviews, original research, personal opinion and short communications. Topics covered include: medicines utilisation, medicine management, medicines distribution, supply and administration, pharmaceutical services, professional and patient/lay perspectives, public health (including, e.g. health promotion, needs assessment, health protection) evidence based practice, pharmacy education. Methods include both evaluative and exploratory work including, randomised controlled trials, surveys, epidemiological approaches, case studies, observational studies, and qualitative methods such as interviews and focus groups. Application of methods drawn from other disciplines e.g. psychology, health economics, morbidity are especially welcome as are developments of new methodologies.
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