Pharmacists' views on the development of asthma pharmaceutical care model in Indonesia: A needs analysis study
| Autor: | Maria Wisnu Donowati, Christianus Heru Setiawan, Putu Dyana Christasani, Carol L. Armour, Dita Maria Virginia, Aris Widayati, Rita Suhadi, Titien Siwi Hartayu, Fenty Fenty, Bandana Saini |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Scope of practice Attitude of Health Personnel Interprofessional Relations education Pharmacist Pharmaceutical Science Developing country Pharmacy Pharmacists 030226 pharmacology & pharmacy 03 medical and health sciences Young Adult 0302 clinical medicine Professional Role Physicians Humans 030212 general & internal medicine Reimbursement Aged Medical education business.industry Focus Groups Middle Aged Focus group Asthma Leadership Pharmaceutical care Indonesia Pharmaceutical Services Female Needs analysis business Psychology Delivery of Health Care Needs Assessment |
| Zdroj: | Research in socialadministrative pharmacy : RSAP. 14(12) |
| ISSN: | 1934-8150 |
| Popis: | Background Over recent years the pharmacy profession in Indonesia has adopted a stance of pharmaceutical care to expand their scope of practice. Asthma management presents a key opportunity for pharmacists to test expanded roles in health service provision. There is however no exploratory work on the willingness, experience or future practice needs of Indonesian pharmacists in the realm of specialised asthma service provision. Objectives The objectives of this study were to explore Indonesian pharmacists' experiences, perspectives, and needs regarding the provision of pharmaceutical care for asthma patients in Indonesia. Methods The study utilised conventional qualitative content analyses with two stages, i.e.: deductive analyses and inductive concept development. Data were collected using Focus Group Discussion (FGD) Method. FGDs were conducted using a topic guide and by facilitators trained in FGD conduct. FGDs were audio-recorded and transcribed verbatim prior to analysis. A maximum variation sampling methods targeted pharmacist across various settings of practice within Yogyakarta Indonesia. Results Nine focus groups with 103 pharmacist participants were conducted, with an average of 11 participants in each group. Inductively derived concepts that emerged included: willingness to adopt asthma service provision roles, pragmatism in recognising essential barriers/facilitators in adopting such roles, reflections regarding practice gaps and barriers to interprofessional collaboration mainly in relation to doctors. Inductive data analysis indicated clear differences in responses between hospital and non-hospital pharmacists. Key barriers to service provision included lack of training, lack of supportive professional frameworks, time and lack of reimbursement channels for services. Participants urged for a visionary leadership to facilitate pharmacists' role expansion into health services provision in Indonesia. Conclusions Indonesian pharmacists were willing to adopt change and reported universally recognised barriers and facilitators to changing roles, especially in the provision of asthma care. Given this universality of pharmacists expressions, it may be suggested that the experience of researchers and academics who have expended time and effort in developing and implementing asthma care models in other countries should be, to some extent, transplanted to regions where pharmacy organisations are now considering adopting roles additional to medicines supply. |
| Databáze: | OpenAIRE |
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