PDF(Pubmed)
Abstract：
Pharmacists are increasingly joining the general practice skill-mix. Research is still in relative infancy, but barriers and facilitators to their integration are emerging, as well as indications that pharmacists\' skillset remain underutilised. This study explores first-hand experiences and perspectives among general practice teams of the processes that underpin the effective integration and sustained contribution of pharmacists in general practice.
This research employed a qualitative case study approach involving general practice teams in Wales. Data were collected from eight general practices where each practice represented one case study. Data were collected via online interviews (one-to-one or group) and written feedback. Data were pattern coded and analysed thematically through a constant comparative approach. Data interpretations were confirmed with participants and wider general practice teams.
Eight general practice teams across Wales (comprising combinations of practice and business managers, general practitioners (GPs) and general practice pharmacists) represented eight case studies. Cases were required to have had experience of working with a general practice pharmacist.
Data were yielded from five practice managers, two GPs, three general practice pharmacists and a business manager. A total of 3 hours and 2 min of interview data was recorded as well as 2038 words of written feedback. Three foundations to pharmacists\' effective contribution to general practice were identified: defining the role (through identifying the right pharmacist, mapping skillset to demand and utilising the increasing need for specialist skills), appropriate infrastructure and workforce review, and an appropriate employment model.
Pharmacists are becoming increasingly critical to the general practice skill-mix and utilisation of their specialist skillset is crucial. This paper identifies how to enable the effective integration and sustained contribution of pharmacists to general practice.
This research employed a qualitative case study approach involving general practice teams in Wales. Data were collected from eight general practices where each practice represented one case study. Data were collected via online interviews (one-to-one or group) and written feedback. Data were pattern coded and analysed thematically through a constant comparative approach. Data interpretations were confirmed with participants and wider general practice teams.
Eight general practice teams across Wales (comprising combinations of practice and business managers, general practitioners (GPs) and general practice pharmacists) represented eight case studies. Cases were required to have had experience of working with a general practice pharmacist.
Data were yielded from five practice managers, two GPs, three general practice pharmacists and a business manager. A total of 3 hours and 2 min of interview data was recorded as well as 2038 words of written feedback. Three foundations to pharmacists\' effective contribution to general practice were identified: defining the role (through identifying the right pharmacist, mapping skillset to demand and utilising the increasing need for specialist skills), appropriate infrastructure and workforce review, and an appropriate employment model.
Pharmacists are becoming increasingly critical to the general practice skill-mix and utilisation of their specialist skillset is crucial. This paper identifies how to enable the effective integration and sustained contribution of pharmacists to general practice.
摘要：
目的：药剂师越来越多地加入普通实践技能组合。研究仍处于起步阶段，但是他们融合的障碍和促进者正在出现，以及表明药剂师的技能仍未得到充分利用的迹象。本研究探讨了普通实践团队之间的第一手经验和观点，这些经验和观点支持药剂师在普通实践中的有效整合和持续贡献。
方法：这项研究采用了定性案例研究方法，涉及威尔士的全科团队。数据是从八个一般实践中收集的，每个实践代表一个案例研究。数据是通过在线访谈（一对一或小组）和书面反馈收集的。通过恒定的比较方法对数据进行模式编码和主题分析。参与者和更广泛的全科医生团队确认了数据解释。
方法：威尔士的八个普通实践团队（由实践和业务经理组成，全科医生（GP）和全科医生药剂师）代表了八个案例研究。案件必须具有与普通执业药剂师合作的经验。
结果：数据来自五名实践经理，两个GP,三名普通执业药剂师和一名业务经理。总共记录了3小时2分钟的访谈数据以及2038字的书面反馈。确定了药剂师对一般实践的有效贡献的三个基础：定义角色(通过确定合适的药剂师，将技能集映射到需求，并利用对专业技能日益增长的需求)，适当的基础设施和劳动力审查，适当的就业模式。
结论：药剂师对一般实践技能组合越来越重要，利用他们的专业技能至关重要。本文确定了如何使药剂师对一般实践的有效整合和持续贡献。
方法：这项研究采用了定性案例研究方法，涉及威尔士的全科团队。数据是从八个一般实践中收集的，每个实践代表一个案例研究。数据是通过在线访谈（一对一或小组）和书面反馈收集的。通过恒定的比较方法对数据进行模式编码和主题分析。参与者和更广泛的全科医生团队确认了数据解释。
方法：威尔士的八个普通实践团队（由实践和业务经理组成，全科医生（GP）和全科医生药剂师）代表了八个案例研究。案件必须具有与普通执业药剂师合作的经验。
结果：数据来自五名实践经理，两个GP,三名普通执业药剂师和一名业务经理。总共记录了3小时2分钟的访谈数据以及2038字的书面反馈。确定了药剂师对一般实践的有效贡献的三个基础：定义角色(通过确定合适的药剂师，将技能集映射到需求，并利用对专业技能日益增长的需求)，适当的基础设施和劳动力审查，适当的就业模式。
结论：药剂师对一般实践技能组合越来越重要，利用他们的专业技能至关重要。本文确定了如何使药剂师对一般实践的有效整合和持续贡献。
