Background: In order to achieve the goals of community pharmacy practice, its legal, labour-related, and economic barriers need to be identified. This study examined pharmacists' perceptions of constraints on providing optimal pharmacy services in order to identify underlying factors and analyse the associations between barriers and pharmaceutical services in community pharmacies. Methods: A survey targeting pharmacy owners was conducted from May to June 2012 using a structured questionnaire including nine pharmaceutical service items. According to the service provision level, we classified pharmacists as inactive (fewer than 5 items among the listed 9 service items) and active providers (5 or more items). Principal component analysis was used to group significant factors for barriers into four thematic components. Associations between the participants' demographics and pharmacy characteristics and the services provided were explored by logistic regression analyses. Results: Participants were 402 pharmacists. Over 60% provided disease management services for hypertension, diabetes, and hyperlipidaemia. Variables that affected pharmaceutical services included the lack of separate areas for patient counselling (OR: 2.12, 95% CI: 1.18-3.80), and clinical knowledge and information-related barriers (OR: 0.59, 95% CI: 0.36-0.97). Conclusion: Strategies for improving clinical knowledge and providing expeditious information are necessary in order to improve community pharmacy services.
목차
ABSTRACT METHODS Study design and participants Survey questionnaire Data analysis RESULTS Participants’ demographics and pharmacy characteristics Pharmaceutical services Pharmacists’ perception of barriers Underlying factors for barriers Factors affecting pharmaceutical services DISCUSSION Limitations CONCLUSION REFERENCES
키워드
community pharmacistpharmaceutical serviceperceptionbarriersclinical knowledge
저자
손현순 [ Hyun Soon Sohn | 차의과학대학교 임상약학대학원 ]
first author
김성옥 [ Seong-Ok Kim | 인제대학교 약학대학 ]
second author
주경미 [ Kyung-Mi Joo | 데일리팜 ]
박혜경 [ Hyekyung Park | 성균관대학교 약학대학 ]
한은아 [ Euna Han | 연세대학교 약학대학 ]
안형태 [ Hyung Tae Ahn | 고려대학교 약학대학 ]
최상은 [ Sang-Eun Choi | 고려대학교 약학대학 ]
Corresponding author