UNASSIGNED: To investigate citizen perspectives on the potential role of pharmacists in prescribing in primary care.
UNASSIGNED: A Citizen Platform with citizens (>18 years) from the Netherlands was conducted in October 2022. This consisted of a one-day program in which the participants were engaged in interactive assignments and received expert presentations to foster the development of informed opinions. In the final assignment, 3 participant groups designed their ideal future scenario including preconditions regarding the role of the pharmacist in prescribing in primary care. All assignments were recorded, and notes were taken. The researchers then consolidated the 3 scenarios into one version and categorized the preconditions. The Citizen Platform results were summarized and subsequently discussed in 2 online focus groups with other citizens in February 2023 to investigate the perspectives of less informed citizens. Focus group discussions were audio-recorded, transcribed, and thematically analyzed.
UNASSIGNED: The Citizen Platform (n = 10) resulted in a shared scenario involving a primary care center where general practitioners (GPs) pharmacists and other healthcare professionals collaborate as a team. In this scenario, pharmacists can modify treatment in certain chronic diseases, manage minor ailments and support GPs with the care for patients with complex needs. Preconditions needed to realize this scenario include having shared medical records, the GP retaining the overview of the care for the patient and additional training for pharmacists. The focus groups (n = 6, in total) yielded 5 themes which acknowledge potential pharmacist prescribing but depict a more skeptical view towards pharmacist prescribing and include several concerns, for example pharmacists\' potential conflict of interest.
UNASSIGNED: Citizens that are informed about opportunities for pharmacy prescribing are capable of sketching potential scenarios for pharmacist prescribing in a collaborative primary care context. Less informed citizens seem more skeptical towards pharmacist prescribing.
■调查公民对药剂师在初级保健处方中的潜在作用的看法。
■与来自荷兰的公民(>18岁)的公民平台于2022年10月进行。这包括一个为期一天的计划,参与者参与互动任务,并接受专家演讲,以促进知情意见的发展。在最后的任务中,3个参与者小组设计了他们理想的未来方案,包括有关药剂师在初级保健中的作用的先决条件。所有的作业都被记录下来,并做了笔记。然后,研究人员将这3种情况合并为一个版本,并对前提条件进行分类。对公民平台的结果进行了总结,随后于2023年2月在2个在线焦点小组中与其他公民进行了讨论,以调查不太知情的公民的观点。焦点小组讨论被录音,转录,并进行了主题分析。
■公民平台(n=10)产生了一个涉及初级保健中心的共享方案,全科医生(GP)药剂师和其他医疗保健专业人员作为一个团队进行合作。在这种情况下,药剂师可以修改某些慢性疾病的治疗方法,管理轻微的疾病,并支持全科医生照顾有复杂需求的患者。实现这种情况所需的先决条件包括共享医疗记录,全科医生保留对患者的护理概述和对药剂师的额外培训。焦点小组(总共n=6)产生了5个主题,这些主题承认潜在的药剂师处方,但对药剂师处方提出了更多的怀疑观点,并包括几个问题。例如药剂师潜在的利益冲突。
■了解药房处方机会的公民能够在协作初级保健环境中勾勒出药剂师处方的潜在方案。不了解情况的公民似乎对药剂师开处方持怀疑态度。