Pharmacists' role and experiences with delivering mental health care within team-based primary care settings during the COVID-19 pandemic.

IF 1.5 Q3 PHARMACOLOGY & PHARMACY International Journal of Pharmacy Practice Pub Date : 2024-03-06 DOI:10.1093/ijpp/riad086
Rachelle Ashcroft, Annalise Mathers, Amanda Gin, Simon Lam, Catherine Donnelly, Judith Belle Brown, Toula Kourgiantakis, Kavita Mehta, Jennifer Rayner, Deepy Sur, Keith Adamson, Anne Kirvan, Lisa Dolovich
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Abstract

Objectives: Pharmacists have been increasingly integrated into primary care teams, leading to improved health outcomes for patients. The two objectives of this study were (i) to describe how the COVID-19 pandemic impacted pharmacists' role in mental health care within Canadian primary care teams and (ii) to describe Canadian pharmacists' experiences collaborating with other healthcare providers in the delivery of mental health services during the COVID-19 pandemic.

Methods: Cross-sectional observational study utilizing an online survey consisting of closed-ended and open-ended questions. Primary care pharmacists in Ontario were eligible to participate. Descriptive statistics were collated, and qualitative data underwent thematic analysis. A total of 51 pharmacists participated in the study.

Key findings: The COVID-19 pandemic has led to the expanding role of pharmacists in attending to the mental health care of patients. Working within a collaborative, interprofessional healthcare environment, pharmacists support patients' mental health in a variety of ways, including medication education and management, non-pharmacologic approaches and supportive conversations, and identification of resources, including referrals, wellness checks, and consulting with physicians. Increasing demand for mental health services has led to higher referrals to pharmacists, which will likely persist and require further education of pharmacists in mental health along with better access to deliver virtual care.

Conclusion: In response to the increasing mental health care needs of patients since the COVID-19 pandemic, primary care pharmacists reported increased attention spent on mental health care. Building capacity and ensuring support for pharmacists to continue to address the increasing mental health care demands is essential.

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在 COVID-19 大流行期间,药剂师在以团队为基础的初级医疗机构中提供心理健康护理的角色和经验。
目标:药剂师已越来越多地融入初级医疗团队,从而改善了患者的健康状况。本研究的两个目标是:(i) 描述 COVID-19 大流行如何影响药剂师在加拿大初级医疗团队中的心理保健角色;(ii) 描述加拿大药剂师在 COVID-19 大流行期间与其他医疗服务提供者合作提供心理保健服务的经验:方法:横断面观察研究,采用由封闭式和开放式问题组成的在线调查。安大略省的初级保健药剂师均有资格参与。对描述性统计数据进行了整理,并对定性数据进行了主题分析。共有 51 名药剂师参与了研究:COVID-19 大流行使得药剂师在为患者提供心理健康护理方面的作用不断扩大。药剂师在跨专业合作的医疗保健环境中工作,以多种方式为患者的心理健康提供支持,包括药物教育和管理、非药物治疗方法和支持性谈话,以及确定资源,包括转诊、健康检查和向医生咨询。对心理健康服务需求的增加导致了药剂师转诊量的增加,这种情况很可能会持续下去,这就需要对药剂师进行心理健康方面的进一步教育,同时提供更好的虚拟医疗服务:自 COVID-19 大流行以来,患者对心理健康护理的需求不断增加,为应对这种情况,初级保健药剂师报告称,他们对心理健康护理的关注度有所提高。培养药剂师的能力并确保为其提供支持以继续满足日益增长的精神健康护理需求至关重要。
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来源期刊
CiteScore
2.90
自引率
5.60%
发文量
146
期刊介绍: The International Journal of Pharmacy Practice (IJPP) is a Medline-indexed, peer reviewed, international journal. It is one of the leading journals publishing health services research in the context of pharmacy, pharmaceutical care, medicines and medicines management. Regular sections in the journal include, editorials, literature reviews, original research, personal opinion and short communications. Topics covered include: medicines utilisation, medicine management, medicines distribution, supply and administration, pharmaceutical services, professional and patient/lay perspectives, public health (including, e.g. health promotion, needs assessment, health protection) evidence based practice, pharmacy education. Methods include both evaluative and exploratory work including, randomised controlled trials, surveys, epidemiological approaches, case studies, observational studies, and qualitative methods such as interviews and focus groups. Application of methods drawn from other disciplines e.g. psychology, health economics, morbidity are especially welcome as are developments of new methodologies.
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