Community pharmacists and mental illness: a survey of service provision, stigma, attitudes and beliefs

Community pharmacists and mental illness: a survey of service provision, stigma, attitudes and beliefs
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DOI:
10.1007/s11096-018-0619-7
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发表时间:
2018-10-01
影响因子:
2.4
通讯作者:
Vadagam, Pratyusha
Vadagam, Pratyusha
中科院分区:
医学4区
文献类型:
--
作者:
Giannetti, Vincent;Caley, Charles F.;Vadagam, Pratyusha

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一半的美国人在一生中经历过精神疾病。社区药剂师有很大的机会向这些患者提供服务;然而,个人和实践相关的障碍可能会阻碍充分参与。目的了解全国社区药师对精神疾病患者的人口学特征、执业特征、服务提供、耻感、态度和信念。目的:对美国3008名社区药师进行全国随机抽样。方法采用101项横断面邮寄调查问卷,内容包括:(1)人口统计学调查;(2)知识与实践特点调查;(3)临床药学服务提供调查;(4)对比意见调查。主要结果测量心理疾病的服务提供(舒适、信心、意愿和兴趣)和比较意见(污名、态度和信念)的量表测量,四种线性回归模型预测服务提供。结果共收到应答239份,应答率7.95%。在整个药房服务中,意愿/兴趣的评分高于舒适/信心的评分。报告为患者提供药物治疗管理(MTM)服务的药剂师报告舒适度更高(18.36 vs. 17.46, p
Background Half of Americans experience mental illness during their lifetime. Significant opportunity exists for community pharmacists to deliver services to these patients; however, personal and practice-related barriers may prevent full engagement. Objective To assess the demographics, practice characteristics, service provision, stigma, attitudes and beliefs of a national sample of community pharmacists towards individuals with mental illness. Setting National random sample of 3008 community pharmacists in the USA. Method 101-item cross-sectional mailed survey questionnaire on: (1) demographics, (2) knowledge and practice characteristics, (3) provision of clinical pharmacy services, and (4) comparative opinions. Main outcome measure Scaled measures of service provision (comfort, confidence, willingness and interest) and comparative opinions (stigma, attitudes and beliefs) of mental illness, four linear regression models to predict service provision. Results A total of 239 responses were received (response rate 7.95%). Across pharmacy services, ratings for willingness/interest were higher than those for comfort/confidence. Pharmacists who reported providing medication therapy management (MTM) services for patients reported higher comfort (18.36 vs. 17.46, p