A qualitative study on the development of pharmacist-managed clinics in Taiwan
| Autor: | Shang En Wu, Meng Jung Wen, Wan Chen Shen, Elizabeth H. Chang, Jo Hsin Chen |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Outpatient Clinics Hospital Attitude of Health Personnel Medication Therapy Management media_common.quotation_subject Pharmacist Taiwan Pharmacy Sample (statistics) Certification Pharmacists Trust 030226 pharmacology & pharmacy Ambulatory Care Facilities Interviews as Topic 03 medical and health sciences 0302 clinical medicine Promotion (rank) Professional Role Physicians Humans Pharmacology (medical) 030212 general & internal medicine Referral and Consultation Qualitative Research media_common Aged Pharmacology Service (business) Medical education business.industry Administrative Personnel Middle Aged Female Thematic analysis Psychology business Qualitative research |
| Zdroj: | Journal of clinical pharmacy and therapeuticsREFERENCES. 46(4) |
| ISSN: | 1365-2710 |
| Popis: | WHAT IS KNOWN AND OBJECTIVE Pharmacist-managed clinics (PMCs) are established to solve drug-related problems and enhance the quality of care of ambulatory patients. Although the benefits of such services have been demonstrated, little is known about PMC operations, especially outside the United States. The aim of this study was to explore how PMCs were established and to discuss implementation issues of PMCs in Taiwan. METHODS A purposive sample of pharmacists, pharmacy administrators and physicians involved with PMCs was recruited from hospitals of varying scales across Taiwan. Semi-structured, individual interviews were conducted to understand the perceptions of the clinical service of PMCs. Interviews were transcribed verbatim and analysed by thematic analysis to find underlying themes. RESULTS A total of 12 pharmacists, 5 pharmacy administrators and 3 physicians from 8 institutions were interviewed. Pharmacists spent 4 to 20 h per week at PMCs, and the practice experiences of PMC ranged from 1 to 6 years. PMCs have been provided in these institutions for 4 to 11 years with an average volume of 28 h and 25 patient visits weekly. Study participants described influential factors in establishing PMCs, including clinical expertise, attitude towards patient care and trust building with collaborating physicians. Operational concerns in implementing PMCs included role clarifications, manpower shortage, inadequate advanced training or certification, regulatory issues and a lack of service promotion. WHAT IS NEW AND CONCLUSION This research broadens the understanding of operating PMC services and reveals key requirements and concerns regarding the care model, which can be useful for other countries. Resolving perceived barriers and collecting other stakeholders' perspectives may reinforce the integration of PMCs into patient care in the future. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|