Needs of Pharmaceutical Care in the Community of Shanghai
Background To satisfy the pharmaceutical care needs of a growing number of patients seeking healthcare in primary care, it is increasingly important to integrate family doctor teams as providers of such care services, while the way bringing the strength of the teams into full play needs to be furthe...
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| Format: | Article |
| Language: | zho |
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Chinese General Practice Publishing House Co., Ltd
2022-10-01
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| Series: | Zhongguo quanke yixue |
| Subjects: | |
| Online Access: | https://www.chinagp.net/fileup/1007-9572/PDF/zx20220075.pdf |
| _version_ | 1827289749505703936 |
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| author | Zhenwei LIU, Wenhui WU, Manhua QIAO, Muhan CHEN, Cao WANG, Qi TANG, Jun LYU, Gang CHEN |
| author_facet | Zhenwei LIU, Wenhui WU, Manhua QIAO, Muhan CHEN, Cao WANG, Qi TANG, Jun LYU, Gang CHEN |
| author_sort | Zhenwei LIU, Wenhui WU, Manhua QIAO, Muhan CHEN, Cao WANG, Qi TANG, Jun LYU, Gang CHEN |
| collection | DOAJ |
| description | Background To satisfy the pharmaceutical care needs of a growing number of patients seeking healthcare in primary care, it is increasingly important to integrate family doctor teams as providers of such care services, while the way bringing the strength of the teams into full play needs to be further explored. Objective To understand the needs of pharmaceutical care services in the community of Shanghai, providing a reference for improving the way of integrating community pharmacists into a family doctor team for delivering such services. Methods This study was conducted from September to December in 2020. Multistage sampling was used to select 349 elderly patients with chronic diseases in the community and 855 main members of family doctor teams〔general practitioners (n=481) , nurses (n=234) , and public health doctors (n=140) 〕 for questionnaire survey. The questionnaire for the patients mainly includes demographics, chronic condition, use of medications, needs and utilization of community-based pharmaceutical care. And the questionnaire for family doctor team members mainly contains demographics, understanding of community-based pharmaceutical care, and pharmaceutical services preferred to be involved in as a provider. Results According to the survey results, the prevalence of three or more chronic diseases, and needing to take medications two or more times a day was 35.8% (125/349) , and 87.4% (305/349) , respectively. Among medication management services, "medication re-prescribing and follow-up" was the most needed〔14.9% (52/349) 〕, and "medication follow-up" was the most used〔14.0% (49/349) 〕. Among medication education services, "universal education on medication cautions for chronic conditions" was the most needed〔70.8% (247/349) 〕, and "healthy lifestyle promotion" was the most used〔9.4% (33/349) 〕. Among family doctor team members, 440 (91.5%) general practitioners, 202 (86.3%) nurses and 112 (80.0%) public health doctors expressed that they had an understanding of pharmaceutical care. In terms of the level of trust in pharmacists, the self-reported level of 302 (62.8%) general practitioners, 183 (78.2%) nurses, and 103 (73.6%) public health doctors was high. The number of general practitioners, nurses, and public health doctors wanting to be involved in "assisting physicians in providing medication selection and use services" was 359 (74.6%) , 112 (47.9%) , and 81 (57.8%) , respectively. The number of general practitioners, nurses, and public health doctors wanting to be involved in "providing nurses with guidance on medication use and management" was 190 (39.5%) , 153 (65.4%) and 57 (40.7%) , respectively. Conclusion Elderly patients with chronic diseases were in urgent need of medication management services, and more medication education services. However, the strength of pharmaceutical professional workforce in the community was weak, and family doctor team members had limited understanding of community-based pharmaceutical services. To efficiently provide residents with such services, it is suggested to train family doctor team members with relevant trainings by pharmaceutical professionals to improve their understanding level and service capability regarding pharmaceutical services at the individual and team levels. |
| first_indexed | 2024-04-24T11:55:22Z |
| format | Article |
| id | doaj.art-4ce7673a366a462eaff5a8124b91d8e7 |
| institution | Directory Open Access Journal |
| issn | 1007-9572 |
| language | zho |
| last_indexed | 2024-04-24T11:55:22Z |
| publishDate | 2022-10-01 |
| publisher | Chinese General Practice Publishing House Co., Ltd |
| record_format | Article |
| series | Zhongguo quanke yixue |
| spelling | doaj.art-4ce7673a366a462eaff5a8124b91d8e72024-04-09T05:09:45ZzhoChinese General Practice Publishing House Co., LtdZhongguo quanke yixue1007-95722022-10-0125283556356110.12114/j.issn.1007-9572.2022.0075Needs of Pharmaceutical Care in the Community of ShanghaiZhenwei LIU, Wenhui WU, Manhua QIAO, Muhan CHEN, Cao WANG, Qi TANG, Jun LYU, Gang CHEN01School of Public Health, Fudan University, Shanghai 200032, China;2China Research Center on Disability Issues, Fudan University, Shanghai 200032, China;3Pharmaceutical Administration Office of Shanghai Municipal Health Commission, Shanghai 200125, China;4National Health Commission Key Laboratory of Health Technology Assessment (Fudan University) , Shanghai 200032, ChinaBackground To satisfy the pharmaceutical care needs of a growing number of patients seeking healthcare in primary care, it is increasingly important to integrate family doctor teams as providers of such care services, while the way bringing the strength of the teams into full play needs to be further explored. Objective To understand the needs of pharmaceutical care services in the community of Shanghai, providing a reference for improving the way of integrating community pharmacists into a family doctor team for delivering such services. Methods This study was conducted from September to December in 2020. Multistage sampling was used to select 349 elderly patients with chronic diseases in the community and 855 main members of family doctor teams〔general practitioners (n=481) , nurses (n=234) , and public health doctors (n=140) 〕 for questionnaire survey. The questionnaire for the patients mainly includes demographics, chronic condition, use of medications, needs and utilization of community-based pharmaceutical care. And the questionnaire for family doctor team members mainly contains demographics, understanding of community-based pharmaceutical care, and pharmaceutical services preferred to be involved in as a provider. Results According to the survey results, the prevalence of three or more chronic diseases, and needing to take medications two or more times a day was 35.8% (125/349) , and 87.4% (305/349) , respectively. Among medication management services, "medication re-prescribing and follow-up" was the most needed〔14.9% (52/349) 〕, and "medication follow-up" was the most used〔14.0% (49/349) 〕. Among medication education services, "universal education on medication cautions for chronic conditions" was the most needed〔70.8% (247/349) 〕, and "healthy lifestyle promotion" was the most used〔9.4% (33/349) 〕. Among family doctor team members, 440 (91.5%) general practitioners, 202 (86.3%) nurses and 112 (80.0%) public health doctors expressed that they had an understanding of pharmaceutical care. In terms of the level of trust in pharmacists, the self-reported level of 302 (62.8%) general practitioners, 183 (78.2%) nurses, and 103 (73.6%) public health doctors was high. The number of general practitioners, nurses, and public health doctors wanting to be involved in "assisting physicians in providing medication selection and use services" was 359 (74.6%) , 112 (47.9%) , and 81 (57.8%) , respectively. The number of general practitioners, nurses, and public health doctors wanting to be involved in "providing nurses with guidance on medication use and management" was 190 (39.5%) , 153 (65.4%) and 57 (40.7%) , respectively. Conclusion Elderly patients with chronic diseases were in urgent need of medication management services, and more medication education services. However, the strength of pharmaceutical professional workforce in the community was weak, and family doctor team members had limited understanding of community-based pharmaceutical services. To efficiently provide residents with such services, it is suggested to train family doctor team members with relevant trainings by pharmaceutical professionals to improve their understanding level and service capability regarding pharmaceutical services at the individual and team levels.https://www.chinagp.net/fileup/1007-9572/PDF/zx20220075.pdfcommunity health services|pharmaceutical services|health services needs and demand|family doctor team|shanghai |
| spellingShingle | Zhenwei LIU, Wenhui WU, Manhua QIAO, Muhan CHEN, Cao WANG, Qi TANG, Jun LYU, Gang CHEN Needs of Pharmaceutical Care in the Community of Shanghai Zhongguo quanke yixue community health services|pharmaceutical services|health services needs and demand|family doctor team|shanghai |
| title | Needs of Pharmaceutical Care in the Community of Shanghai |
| title_full | Needs of Pharmaceutical Care in the Community of Shanghai |
| title_fullStr | Needs of Pharmaceutical Care in the Community of Shanghai |
| title_full_unstemmed | Needs of Pharmaceutical Care in the Community of Shanghai |
| title_short | Needs of Pharmaceutical Care in the Community of Shanghai |
| title_sort | needs of pharmaceutical care in the community of shanghai |
| topic | community health services|pharmaceutical services|health services needs and demand|family doctor team|shanghai |
| url | https://www.chinagp.net/fileup/1007-9572/PDF/zx20220075.pdf |
| work_keys_str_mv | AT zhenweiliuwenhuiwumanhuaqiaomuhanchencaowangqitangjunlyugangchen needsofpharmaceuticalcareinthecommunityofshanghai |