从执业药师角度浅谈社会药房开展慢病服务的障碍与建议

Barriers and suggestions of pharmacy services for patients with chronic diseases provided by community pharmacy from the perspective of licensed pharmacist

目的 探讨社会药房药师开展慢病药学服务的障碍及建议。方法 通过在线问卷调查及与社会药房药师一对一访谈调查其开展慢病药学服务的障碍与建议。结果 共有167名社会药房药师参与了问卷调查,缺乏与其他医疗专业人员的有效沟通(67.07%)和缺乏政府政策支持(65.27%)是药师认为最大的障碍;共选择了16名社会药房药师进行定性访谈,缺乏公司政策、法律保护、公众认知、与其他医务工作者的合作及专业能力是主要障碍;相应的,公司考核体系的改革、政府继续教育的投入及个人专业能力的提升等是药师认为可以促进药学服务落地的因素。结论 社会药房药师应不断提升自身专业素养以应对开展慢病药学服务所面临的挑战,政府、企业管理层应发挥更大作用以促使药学服务开展得更加规范和深入。

Objective To explore the barriers and suggestions for pharmacists in community pharmacies to implement pharmacy services for patients with chronic diseases.Methods Barriers and suggestions for developing pharmacy services for chronic diseases were investigated through an online questionnaire and one-on-one interviews with pharmacists in community pharmacies.Results A total of 167 community pharmacists participated in the questionnaire survey,and lack of effective communication with other healthcare professionals(67.07%)and lack of government policy support(65.27%)were the biggest barriers identified by pharmacists.A total of 16 community pharmacists were selected for qualitative interviews,lack of corporate policy,legal protection,public awareness,cooperation with other healthcare workers,and professional competence were the main barriers,and accordingly,the reform of the corporate assessment system,the government's investment in continuing education,and the enhancement of individual professional competence were the factors that pharmacists believed could facilitate the implementation of pharmacy services.Conclusion Pharmacists in community pharmacies should continue to improve their professionalism to meet the challenges of providing pharmacy services,and the government and corporate management should play more active role in promoting more standardized and in-depth pharmacy services.