Abstract:
BACKGROUND:In Scotland, there has been significant investment in pharmacy teams in general medical practices over recent years, aligned to current government policy. OBJECTIVES:To characterize the national pharmacy workforce including activities undertaken, perceived competence and confidence, as well as perception of integration of the intervention. METHODS:A cross-sectional survey of all pharmacists and pharmacy technicians in general practices. Survey items were demographics, activities undertaken and experiences. The NoMAD tool (Improving the Normalization of Complex Interventions) was included as a measure of perspectives of implementation. Post-piloting, a questionnaire link was sent to all pharmacists (n = 471) and pharmacy technicians (n = 112). A total NoMAD score was obtained by assigning 1 (strongly disagree) to 5 (strongly agree) to each item. RESULTS:Responses were received from 393 (83.4%) pharmacists and 101 (91.8%) pharmacy technicians. Three quarters of pharmacists (74.6%) and pharmacy technicians (73.3%) had been qualified for over 10 years. Two-thirds of pharmacists (68.4%) were independent prescribers, with three quarters (72.3%) currently prescribing. Respondents worked in a median of two practices and were providing a range of activities including medication/polypharmacy reviews, medicines reconciliation, prescribing efficiencies and training. Respondents reported high levels of competence and confidence (median 8, scale 0-10 highest). Median NoMAD total score (scale 20-100 highest, Cronbach's alpha 0.89) was 80 for pharmacists and 75 for pharmacy technicians, P ≤ 0.001. CONCLUSIONS:The general practice pharmacy workforce in Scotland is experienced, well-qualified and integrated within general practices, delivering a range of activities. These findings have implications for workforce planning and future education and training.
journal_name
Fam Practjournal_title
Family practiceauthors
Stewart D,Maclure K,Newham R,Gibson-Smith K,Bruce R,Cunningham S,Maclure A,Fry S,Mackerrow J,Bennie Mdoi
10.1093/fampra/cmz052subject
Has Abstractpub_date
2020-03-25 00:00:00pages
206-212issue
2eissn
0263-2136issn
1460-2229pii
5571843journal_volume
37pub_type
杂志文章相关文献
FAMILY PRACTICE文献大全abstract:Aim:Multimorbidity is a growing phenomenon in primary care, and knowledge of the influence of social determinants on its evolution is vital. The aim of this study was to understand the relationship between multimorbidity and immigration, taking into account length of residence in the host country and area of origin of ...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmx048
更新日期:2017-11-16 00:00:00
abstract:BACKGROUND:In China, the government has encouraged the participation of private sector facilities in primary care to improve health care quality. OBJECTIVE:We compare health care utilization patterns among patients who select private versus public community health centres (CHCs) for reimbursed outpatient services. ME...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmaa058
更新日期:2020-11-28 00:00:00
abstract:OBJECTIVE:The aim of the present study was to find out if a training programme adapted to family physicians with several years of clinical experience changes their behaviour when they deal with fibromyalgic patients in the sense of introducing the communication skills that define the 'patient-centred' approach. METHOD...
journal_title:Family practice
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1093/fampra/18.1.60
更新日期:2001-02-01 00:00:00
abstract:BACKGROUND:Most individuals with current epilepsy are solely under the care of the primary care team for follow-up care. Government working party recommendations, expert epilepsy panels and patients have also stressed the central role of the GP in follow-up care. Problems in the provision of care in the community have,...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/15.5.437
更新日期:1998-10-01 00:00:00
abstract::A method of computerized cough sound analysis is described. The sounds of nocturnal and post-exercise coughs from a child with asthma were compared with those from a child without asthma. The spectrographic patterns of voluntary cough at rest from the two children were similar. The pattern seen after exercise from the...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/6.2.83
更新日期:1989-06-01 00:00:00
abstract:BACKGROUND:The ankle-brachial index (ABI), i.e. the ratio of the ankle to brachial systolic blood pressure, is the golden standard for the diagnosis of peripheral arterial disease (PAD) and is a highly specific method for the assessment of vascular risk in otherwise asymptomatic patients. OBJECTIVE:To assess the diagn...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmn035
更新日期:2008-08-01 00:00:00
abstract:BACKGROUND:Regular aspirin is beneficial after myocardial infarction (MI). Community-based surveys appear to show unsatisfactory uptake of aspirin after MI. This could be due to over-the-counter (OTC) use not being recorded. In a pilot study in one practice, 39% of patients on aspirin after MI used OTC preparations. In...
journal_title:Family practice
pub_type: 杂志文章,多中心研究
doi:
更新日期:1998-04-01 00:00:00
abstract:BACKGROUND:Skin diseases are a common reason for consulting a GP. This regular occurrence happens despite most GPs' lack of knowledge and training in skin disease. OBJECTIVES:We aimed to explore different diagnostic approaches of GPs in patients presenting with a dermatological problem. In addition, we aimed to identi...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmv056
更新日期:2015-10-01 00:00:00
abstract:BACKGROUND AND OBJECTIVE:A cross-sectional survey was conducted amongst patients who consulted for upper respiratory tract infections (URTI) at 22 private practitioners' offices. METHOD:A total of 505 adult patients and 504 guardians (parents or grandparents of child patients) completed a self-administered questionnai...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/13.3.229
更新日期:1996-06-01 00:00:00
abstract:BACKGROUND:Relatives who are bereaved by suicide likely consult their GP when they feel the need for professional help. GPs may play a key role in establishing who is at risk for adverse consequences of the loss as they are familiar with relatives' possible psychiatric vulnerabilities. The availability of evidence-base...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmp046
更新日期:2009-10-01 00:00:00
abstract:OBJECTIVES:The aim of this study was to estimate the frequency of albuminuria in patients with and without diabetes mellitus, answering the question: 'How relevant for general practice are epidemiological findings that albuminuria is a significant risk indicator for the development of cardiovascular syndromes?'. METHO...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/16.6.580
更新日期:1999-12-01 00:00:00
abstract::Cancer of the colon is the second most common malignancy in North America and screening methods are needed for diagnosing the lesions at an early stage. Faecal occult blood screening is a method of secondary prevention which is particularly adaptable to the family practice setting. In order to test the feasibility of ...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/3.4.246
更新日期:1986-12-01 00:00:00
abstract::With current moves towards an emphasis on the 'whole' patient rather than fragmenting the person into organ systems research methods need to be developed which reflect that emphasis and direct us in our endeavour as clinicians. It is possible to have a descriptive science of human behaviour which can be based upon cli...
journal_title:Family practice
pub_type: 临床试验,杂志文章,评审
doi:10.1093/fampra/4.4.311
更新日期:1987-12-01 00:00:00
abstract:BACKGROUND:In general practice, acute sinusitis is frequently diagnosed and treated with antibiotics. OBJECTIVE:This study aimed to determine the evidence for the effectiveness of antibiotic treatment in acute maxillary sinusitis in adults by assessing the methodological quality of placebo-controlled double-blind rand...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/14.2.124
更新日期:1997-04-01 00:00:00
abstract::The present study was performed to investigate the predictive value of casual blood pressure recordings for mortality in a geographically defined population (n = 1917), for which the primary health care services are responsible. Isotonic regression of blood pressure on age was used to define groups with low, medium an...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/3.1.3
更新日期:1986-03-01 00:00:00
abstract:BACKGROUND:Though influenza is a serious health problem for elderly people, their influenza vaccination rate remains low in Switzerland. OBJECTIVE:Our aim was to assess the impact of an intervention combining multiple strategies to promote influenza vaccination of elderly patients in primary care. METHODS:We conducte...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/19.4.383
更新日期:2002-08-01 00:00:00
abstract:BACKGROUND:Uncomplicated lower urinary tract infection (LUTI) is one of the most common infections treated in general practice. Although nationwide treatment guidelines for LUTI are increasingly available, most European countries, including Slovenia, have not yet set such guidelines. OBJECTIVES:Our aim was to describe...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmg421
更新日期:2003-08-01 00:00:00
abstract:OBJECTIVES:The aim of the study was to validate a new case-finding instrument for common mental disorders (CMDQ). METHODS:A cross-sectional, stratified, two-phase study was carried out in 28 general practices in Aarhus County, Denmark. 1785 consecutive patients, 18-65 years old, consulting 38 GPs with a new health pro...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmi025
更新日期:2005-08-01 00:00:00
abstract:BACKGROUND:In Brazil, there continues to be an excessive use of emergency services by patients with elective medical problems. Those patients who report having a primary care physician are less likely to utilize the emergency department for non-urgent consultations. OBJECTIVE:The objective of this study was to compare...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/19.2.207
更新日期:2002-04-01 00:00:00
abstract:BACKGROUND:New information and communication technologies such as email and text messaging have been shown to be useful in some aspects of primary care service delivery. Little is known about Scottish GPs' attitudes towards the adoption of these technologies as routine consultation tools. OBJECTIVES:To explore GPs' pe...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmr087
更新日期:2012-06-01 00:00:00
abstract:BACKGROUND:Chronic diseases continue to be a significant cause of morbidity and mortality despite modifiable risk factors. This suggests that current primary healthcare provision needs to delve beyond patient education, to understand the motivators that drive patients to undertake chronic disease self-management. Under...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmaa072
更新日期:2020-11-28 00:00:00
abstract:BACKGROUND:There has been a continued trend towards undertaking primary care-based research but the characteristics and generalizability of practices that participate in such research are not well known. OBJECTIVE:To compare research active and non-active practices in terms of practice demographics, disease prevalence...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmm065
更新日期:2008-02-01 00:00:00
abstract:BACKGROUND:The use of mHealth technology is an innovative approach for screening low-income mothers for depression. Past studies show that the use of technology removes barriers such as literacy issues, language challenges, concerns about privacy and lack of transportation and can also increase reliability. However, li...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmu083
更新日期:2015-04-01 00:00:00
abstract:BACKGROUND:in the western medical world, computers form part of the standard equipment in the consulting rooms of most GPs. As the use of a computer requires time and attention from GPs, this may well interfere with the communication process. Yet, the information accessed on the computer may also enhance communication....
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmq058
更新日期:2010-12-01 00:00:00
abstract:BACKGROUND:In many European countries, primary care surveillance networks play a role in public health surveillance. OBJECTIVES:To update an inventory of surveillance networks, to describe them and to report on their organization and function in a standardized way. To investigate whether and under what conditions thei...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmi118
更新日期:2006-04-01 00:00:00
abstract:BACKGROUND:Diagnosing acute coronary syndrome (ACS) in a primary care setting poses a diagnostic dilemma for physicians. OBJECTIVE:We directly compared the diagnostic accuracy of a clinical decision rule (CDR) based on history taking and physical examination in suspected ACS with the risk estimates of the attending GP...
journal_title:Family practice
pub_type: 杂志文章,多中心研究
doi:10.1093/fampra/cmq116
更新日期:2011-06-01 00:00:00
abstract:BACKGROUND:Self-report information about pain and pain beliefs are often collected during initial consultation for musculoskeletal pain. These data may provide utility beyond the initial encounter, helping provide further insight into prognosis and long-term interactions of the patient with the health system. OBJECTIV...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmz046
更新日期:2020-02-19 00:00:00
abstract:BACKGROUND:Palliative care services have developed mostly in urban areas. Rural areas typically are characterized by the lack of well-organized services, with primary care professionals, specifically GPs and community nurses, having to undertake most of the palliative care. Little is known, however, either of their vie...
journal_title:Family practice
pub_type: 杂志文章,评审
doi:10.1093/fampra/cmg312
更新日期:2003-06-01 00:00:00
abstract:BACKGROUND:Some studies have demonstrated an association between poor continuity of care, high likelihood of 'inappropriate' use of emergency departments (EDs) and avoidable hospitalization. However, we lack data concerning primary care use after an ED visit. OBJECTIVE:Identify the determinants of a visit to the gener...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmy054
更新日期:2019-03-20 00:00:00
abstract:BACKGROUND:Academic physician burnout is concerning. Too little is known about factors associated with residency programme director burnout. Continued uncertainty risks adverse outcomes including graduate medical education leadership turnover and negative impact on recruiting and retaining under-represented minority re...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmaa075
更新日期:2020-11-28 00:00:00