Community pharmacy in Australia: A health hub destination of the future
Community pharmacy in Australia: A health hub destination of the future
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DOI：
10.1016/j.sapharm.2012.11.003
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发表时间：
2013-11-01
影响因子：
3.9
通讯作者：
Kelly, Fiona
中科院分区：
文献类型：
--
作者：
McMillan, Sara S.;Wheeler, Amanda J.;Kelly, Fiona
背景资料：澳大利亚的慢性病发病率正在上升，由于药物经常用于治疗一系列慢性病，社区药剂师处于更好地帮助这些消费者的理想位置。从消费者健康组织、健康倡导者和专业支持组织的角度来看，目前关于药房如何做到这一点的信息有限。目标：探索社区药房更好地帮助慢性病消费者的新角色、机会和任何相关障碍。方法：非政府消费者健康组织的代表（n = 10）进行了采访，从澳大利亚政府强调的关键健康优先领域。健康倡导者（n = 3），创新的医疗保健专业人员（n = 4）和来自药学和医学的医疗保健专业组织的代表（n = 4）也参加了会议。结果：共进行了21次深度访谈。核心发现是社区药店成为健康中心目的地的潜力，药店工作人员可以帮助患有慢性病的消费者：浏览卫生系统（e.例如，在一个实施例中，提供关于支助服务的信息），管理他们的药物，并提供健康宣传。与会者表示关切的是，消费者可能不知道药剂师的专业知识的广度，需要与非政府消费者健康组织和其他保健提供者进一步合作。重点放在改善药剂师目前的作用，特别是在用药建议和可及性领域，与目前的药房薪酬模式确定为成为一个健康中心destination.Conclusion的障碍：最终朝着健康中心目的地的进展被认为是重要的，以更好地协助消费者与慢性病。这侧重于更积极主动的护理方法，包括简单的建议，转介消费者健康组织，并最终，健康宣传。然而，需要进一步研究社区药房如何成为健康中心，因为这是一个新概念，存在现有的专业障碍。(C)2013 Elsevier Inc. All rights reserved.
Background: Rates of chronic illness are rising in Australia and as medications are frequently used in the management of a range of chronic conditions, community pharmacists are in an ideal position to better assist these consumers. There is currently limited information as to how pharmacy can do this from the perspective of consumer health organizations, health advocates and professional support organizations.Objectives: To explore new roles, opportunities and any associated barriers for community pharmacy to better assist consumers with chronic illnesses.Methods: Representatives of non-government consumer health organizations (n = 10) were interviewed from the key health priority areas emphasized by the Australian government. Health advocates (n = 3), innovative health care professionals (n = 4) and representatives of health care professional organizations (n = 4) from pharmacy and medicine also participated. Interviews were analyzed via thematic analysis.Results: Twenty-one in-depth interviews were conducted. The core finding was the potential for community pharmacies to become a health hub destination, whereby pharmacy staff assist consumers with chronic conditions to: navigate the health system (e. g., provide information on support services), manage their medications, and provide health advocacy. Participants expressed their concern that consumers may not be aware of the breadth of the pharmacist's expertise and that further collaboration is needed with non-government consumer health organizations and other health providers. Emphasis was placed on the improvement of the pharmacist's current role, particularly in the area of medication advice and accessibility, with the current pharmacy remuneration model identified as a barrier to becoming a health hub destination.Conclusion: The eventual progression toward a health hub destination was seen to be important to better assist consumers with chronic conditions. This focuses on a more proactive approach to care encompassing simple advice, referrals to consumer health organizations and ultimately, health advocacy. However, further research is required into how community pharmacy can become a health hub given that this is a new concept and there are existing professional barriers. (C) 2013 Elsevier Inc. All rights reserved.