Abstract：
Introduction The University of Otago School of Pharmacy Clinic (the Clinic) is a campus-based non-dispensing clinic that offers consultation-based medicines optimisation services to patients. Aim This project aims to understand the experiences and opinions of healthcareproviders who have referred patients to the School of Pharmacy Clinic, specifically: their motivation for referring patients; how the Clinic impacts providers, patients and the wider health system; provider satisfaction; and opportunities for further collaboration. Methods Semi-structured interviews were used to collect data from 15 participants who represented five health professions. An inductive reflexive thematic analysis approach was used to analyse the dataset from which codes and themes were developed. Normalisation Process Theory (NPT) was used to structure the interview guide and as a framework to present themes. Results Seven themes were developed; \'Perceptions of Pharmacists\' (Coherence), \'Motivators for Engagement\' and \'Barriers to Engagement\' (Cognitive Participation), \'Utility of Pharmacist Feedback\' and \'Opportunities\' (Collective Action) and \'Referrers\' Experiences\' and \'Patient-centred Care\' (Reflexive Action). Discussion Healthcare providers described predominantly positive experiences. Medically complex cases and patients requiring medicines education were most likely to be referred for consultation. Engaging with the Clinic presented valuable opportunities for interprofessional collaborative practice and continuing professional education. Referrers would like more regular contact with Clinic pharmacists to encourage interprofessional collaborative relationships. Patients were thought to benefit from their pharmacist\'s clinical expertise, time, patient-centred approach and subsequent medication and health optimisation. Integration of Clinic pharmacists into specialist outpatient clinics at Dunedin Hospital may broaden the scope and improve efficiency of their services.
摘要：
介绍奥塔哥大学药学院诊所（诊所）是一家基于校园的非配药诊所，为患者提供基于咨询的药物优化服务。目的该项目旨在了解将患者转介给药学院诊所的医疗保健提供者的经验和意见，具体来说：他们转诊患者的动机；诊所如何影响提供者，患者和更广泛的卫生系统；提供者满意度；以及进一步合作的机会。方法采用半结构化访谈方法从代表五个卫生专业的15名参与者中收集数据。使用归纳反身主题分析方法来分析开发代码和主题的数据集。标准化过程理论（NPT）用于构建采访指南，并作为呈现主题的框架。结果开发了七个主题；“药剂师的感知”（连贯性），\“参与动机\”和\“参与障碍\”（认知参与），\'药剂师反馈的效用\'和\'机会\'（集体行动）和\'推荐人\'经验\'和\'以患者为中心的护理\'（反身行动）。讨论医疗保健提供者描述了主要的积极经验。医学复杂的病例和需要药物教育的患者最有可能被转诊。参与诊所为跨专业合作实践和继续专业教育提供了宝贵的机会。推荐人希望与临床药剂师进行更多的定期联系，以鼓励跨专业的合作关系。患者被认为受益于他们的药剂师的临床专业知识，时间,以患者为中心的方法以及随后的药物和健康优化。将临床药剂师纳入但尼丁医院的专科门诊可能会扩大范围并提高其服务效率。
