探索社区药剂师在识别酒精相关肝病中的作用:对专业人士、患者和公众的定性访谈研究。

IF 2.1 4区 医学 Q3 SUBSTANCE ABUSE Alcohol and alcoholism Pub Date : 2024-09-21 DOI:10.1093/alcalc/agae069
Alexander Smith, Ryan M Buchanan, Julie Parkes, Kinda Ibrahim
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引用次数: 0

摘要

目的:探讨专业人士、患者和公众对社区药剂师在酒精相关肝病(ArLD)识别中的作用的看法和态度:方法:对英格兰南部威塞克斯地区的酒精相关性肝病患者、公众、药房工作人员和管理酒精相关性肝病患者的临床医生进行了有目的性的半结构访谈。访谈探讨了药房中有关酒精、ArLD 和健康咨询的经验,并就药剂师在识别 ArLD 方面的作用及其影响因素征求了意见。采用反思性主题分析法对访谈记录进行了分析:对 26 名参与者进行了访谈,得出了三个主题:(i) 承认、寻求帮助和参与解决隐藏的问题;(ii) 专业角色、界限和属性;(iii) 沟通、关系、合作和支持。与会者报告了识别 ArLD 高危人群所面临的主要挑战。他们认为,提供 ArLD 检测可促进参与,但对药剂师开展这项工作表示担忧。他们认为,药剂师的作用主要是发现高危人群,并让他们参与进一步的治疗,如转诊到肝脏服务机构。这需要发展跨专业合作,为药剂师提供薪酬和培训,以及开展社区肝脏检测:专业人士、患者和公众参与者都认识到药剂师在识别 ArLD 方面的作用。他们认为,药剂师在识别 ArLD 风险方面应发挥重要作用,包括教育药房使用者有关 ArLD 风险的知识,以及通过发展跨专业合作,识别高危人群并直接为其提供肝脏和支持服务。本研究的结果支持并可为今后发展这一角色的工作提供参考。
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Exploring a role for community pharmacists in the identification of alcohol-related liver disease: a qualitative interview study with professionals, patients, and the public.

Aims: To explore the views and attitudes of professionals, patients and the public to a role for community pharmacists in the identification of alcohol-related liver disease (ArLD).

Methods: Semi-structured interviews were conducted with a purposive sample of patients with ArLD, members of the public, pharmacy staff, and clinicians managing patients with ArLD across the Wessex region of south England. The interviews explored experiences of alcohol, ArLD and health advice in pharmacies and elicited views of what a pharmacist role in identifying ArLD could entail and factors influencing this. Transcripts were analysed using reflexive thematic analysis.

Results: Twenty-six participants were interviewed and three themes were generated: (i) acknowledging, seeking help and engaging with a hidden problem; (ii) professional roles, boundaries and attributes; (iii) communication, relationships, collaboration and support. Participants reported key challenges to identifying people at-risk of ArLD. Offering testing for ArLD was perceived to motivate engagement but there were concerns about pharmacists performing this. A role was mostly seen to be finding people at-risk and engaging them with further care such as referral to liver services. This was perceived to require developing interprofessional collaborations, remuneration and training for pharmacy staff, and community-based liver testing.

Conclusions: Professionals, patient and public participants recognized a role for pharmacists in the identification of ArLD. This was envisaged to incorporate educating pharmacy users about ArLD risk, and identifying and directly engaging those at-risk with liver and support services through development of interprofessional collaborations. The findings of this study support and can inform future work to develop this role.

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来源期刊
Alcohol and alcoholism
Alcohol and alcoholism 医学-药物滥用
CiteScore
4.70
自引率
3.60%
发文量
62
审稿时长
4-8 weeks
期刊介绍: About the Journal Alcohol and Alcoholism publishes papers on the biomedical, psychological, and sociological aspects of alcoholism and alcohol research, provided that they make a new and significant contribution to knowledge in the field. Papers include new results obtained experimentally, descriptions of new experimental (including clinical) methods of importance to the field of alcohol research and treatment, or new interpretations of existing results. Theoretical contributions are considered equally with papers dealing with experimental work provided that such theoretical contributions are not of a largely speculative or philosophical nature.
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