A cross-sectional survey of the pharmacy workforce in general practice in Scotland
| Autor: | Marion Bennie, Sarah Fry, Rosemary Newham, Kathrine Gibson-Smith, James Mackerrow, Rachel Bruce, Andrew MacLure, Katie MacLure, Scott Cunningham, Derek Stewart |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male RM medicine.medical_specialty General Practice Pharmacy Technicians MEDLINE Pharmacy Pharmacists 030226 pharmacology & pharmacy 03 medical and health sciences 0302 clinical medicine Cronbach's alpha Surveys and Questionnaires Health care Humans Medicine 030212 general & internal medicine Competence (human resources) Polypharmacy business.industry Middle Aged Cross-Sectional Studies Scotland Family medicine Workforce Workforce planning Female Family Practice business |
| Zdroj: | Family Practice. |
| ISSN: | 1460-2229 0263-2136 |
| Popis: | Background In Scotland, there has been significant investment in pharmacy teams in general medical practices over recent years, aligned to current government policy. Objectives To characterize the national pharmacy workforce including activities undertaken, perceived competence and confidence, as well as perception of integration of the intervention. Methods A cross-sectional survey of all pharmacists and pharmacy technicians in general practices. Survey items were demographics, activities undertaken and experiences. The NoMAD tool (Improving the Normalization of Complex Interventions) was included as a measure of perspectives of implementation. Post-piloting, a questionnaire link was sent to all pharmacists (n = 471) and pharmacy technicians (n = 112). A total NoMAD score was obtained by assigning 1 (strongly disagree) to 5 (strongly agree) to each item. Results Responses were received from 393 (83.4%) pharmacists and 101 (91.8%) pharmacy technicians. Three quarters of pharmacists (74.6%) and pharmacy technicians (73.3%) had been qualified for over 10 years. Two-thirds of pharmacists (68.4%) were independent prescribers, with three quarters (72.3%) currently prescribing. Respondents worked in a median of two practices and were providing a range of activities including medication/polypharmacy reviews, medicines reconciliation, prescribing efficiencies and training. Respondents reported high levels of competence and confidence (median 8, scale 0–10 highest). Median NoMAD total score (scale 20–100 highest, Cronbach’s alpha 0.89) was 80 for pharmacists and 75 for pharmacy technicians, P ≤ 0.001. Conclusions The general practice pharmacy workforce in Scotland is experienced, well-qualified and integrated within general practices, delivering a range of activities. These findings have implications for workforce planning and future education and training. |
| Databáze: | OpenAIRE |
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