背景:在全科医生(GP)和药剂师之间建立专业间的工作关系对于确保高质量的患者护理至关重要。然而,关于GP-药剂师合作的中国文献有限,很少有研究探索全科医生将药剂师整合到一般实践中的经验。本研究旨在调查全科医生对与中国药剂师合作的态度和频率。
方法:这项横断面研究使用了在线自我管理问卷,整合了两个量表,ATCI-GP和FICI-GP,经翻译和验证,于2023年2月15日至3月15日在浙江省调查了3248名全科医生,中国。使用描述性分析,并使用logistic回归分析探讨了与全科医生与药剂师合作频率相关的因素。
结果:共有2,487名全科医生(76.6%)回答并同意参加调查;52.3%为男性,平均年龄为35.4岁。大多数全科医生同意在照顾患者时与药剂师共享共同的目标和目标(90.0%),药剂师愿意与他们合作进行患者的药物管理(80.8%)。然而,一半的全科医生在药剂师的建议下没有改变或很少改变患者的药物(51.4%).Logistic回归分析显示,年龄较大、执业年限较多的全科医生更倾向于认同药剂师愿意合作,有共同的治疗目标,他们会根据药剂师的建议改变病人的药物治疗。具有常规通信协议的全科医生(调整后的赔率比1[aOR1]=1.88,95%CI1.45-2.45;aOR2=3.33,95%CI2.76-4.02),参加联合继续教育(aOR1=1.87,95%CI1.44-2.43;aOR2=2.27,95%CI1.91-2.70),提供药物审查建议(aOR1=3.01,95%CI2.07-4.38;aOR2=3.50,95%CI2.51-4.86),在住院医师培训期间与药剂师沟通(aOR1=2.15,95%CI1.78-2.60;aOR2=1.38,95%CI1.18-1.62)与更积极的合作态度和更高的合作频率相关。
结论:中国的全科医生对与药师合作表现出积极的态度,但是他们没有表现出类似的实践水平。由于环境决定因素影响跨学科合作,医疗保健管理者和政策制定者需要采取措施,营造有利于跨学科合作的支持性环境。
BACKGROUND: Building interprofessional working relationships between general practitioners (GPs) and pharmacists is essential to ensure high-quality patient care. However, there is limited Chinese literature on GP-pharmacist collaboration, and few studies have explored GPs\' experiences with pharmacist integration into general practices. This study aimed to investigate GPs\' attitudes towards and frequency of collaboration with pharmacists in
China.
METHODS: This cross-sectional study used an online self-administered questionnaire integrating two scales, ATCI-GP and FICI-GP, which had been translated and validated to investigate 3,248 GPs from February 15 to March 15, 2023 across Zhejiang Province,
China. Descriptive analyses were used, and the factors associated with GPs\' frequency of collaboration with pharmacists were explored using logistic regression analysis.
RESULTS: A total of 2,487 GPs (76.6%) responded and consented to participate in the survey; 52.3% were male and the mean age was 35.4 years. Most GPs agreed that they shared common goals and objectives with pharmacists when caring for patients (90.0%), and pharmacists were open to working with them on patients\' medication management (80.8%). However, half of the GPs did not change or seldom changed the patient\'s medication on the pharmacist\'s advice (51.4%). Logistic regression analysis showed that GPs who were older and had more years of practice were more likely to agree that pharmacists were willing to collaborate, had common goals for treatment and that they would change the patient\'s medication on the advice of the pharmacist. GPs who had regular communication protocols (adjusted odds ratio1 [aOR1] = 1.88, 95% CI 1.45-2.45; aOR2 = 3.33, 95% CI 2.76-4.02), participated in joint continuing education (aOR1 = 1.87, 95% CI 1.44-2.43; aOR2 = 2.27, 95% CI 1.91-2.70), provided recommendations for medication review (aOR1 = 3.01, 95% CI 2.07-4.38; aOR2 = 3.50, 95% CI 2.51-4.86), and communicated with pharmacists during resident training (aOR1 = 2.15, 95% CI 1.78-2.60; aOR2 = 1.38, 95% CI 1.18-1.62) were associated with a more positive attitude towards and higher frequency of cooperation.
CONCLUSIONS: GPs in
China displayed a positive attitude towards cooperating with pharmacists, but they did not demonstrate a similar level of practice. As environmental determinants impact interdisciplinary collaboration, healthcare managers and policy-makers need to implement measures that foster a supportive environment conducive to interdisciplinary collaboration.