RESUMO
RATIONALE, AIMS, AND OBJECTIVES: Pharmaceutical care involves patient-centred pharmacist activity to improve medicines management by patients. The implementation of this service in a comprehensive manner, however, requires considerable organisation and effort, and indeed, it is often not fully implemented in care settings. The main objective was to assess how pharmaceutical care provision within community pharmacy has evolved over time in Europe. METHOD: A cross-sectional questionnaire-based survey of community pharmacies, using a modified version of the Behavioural Pharmaceutical Care Scale (BPCS) was conducted in late 2012/early 2013 within 16 European countries and compared with an earlier assessment conducted in 2006. RESULTS: The provision of comprehensive pharmaceutical care has slightly improved in all European countries that participated in both editions of this survey (n = 8) with progress being made particularly in Denmark and Switzerland. Moreover, there was a wider country uptake, indicating spread of the concept. However, due to a number of limitations, the results should be interpreted with caution. Using combined data from participating countries, the provision of pharmaceutical care was positively correlated with the participation of the community pharmacists in patient-centred activities, routine use of pharmacy software with access to clinical data, participation in multidisciplinary team meetings, and having specialized education. CONCLUSIONS: The present study demonstrated a slight evolution in self-reported provision of pharmaceutical care by community pharmacists across Europe, as measured by the BPCS. The slow progress suggests a range of barriers, which are preventing pharmacists moving beyond traditional roles. Support from professional bodies and more patient-centred community pharmacy contracts, including remuneration for pharmaceutical care services, are likely to be required if quicker progress is to be made in the future.
Assuntos
Serviços Comunitários de Farmácia/organização & administração , Farmacêuticos/organização & administração , Qualidade da Assistência à Saúde/organização & administração , Adulto , Serviços Comunitários de Farmácia/normas , Estudos Transversais , Europa (Continente) , Feminino , Pesquisa sobre Serviços de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Farmacêuticos/normas , Papel Profissional , Qualidade da Assistência à Saúde/normasRESUMO
En la presente publicación se incluye de una manera cronológica cómo se originó el Proyecto Pharmaceutical Care Network Europe- Behavioural Pharmaceutical Care Scale 2, la metodología y procedimientos utilizados, los resultados obtenidos y cómo éstos se enviaron para asociarse con los del resto de países europeos participantes. Este estudio, en nuestra opinión, resulta un claro ejemplo de colaboración entre el ámbito profesional de la farmacia asistencial y la Universidad (AU)
This publication includes, in chronological order, how was started the Pharmaceutical Care Network Europe-Behavioral Pharmaceutical Care Scale 2 project. In addition, it also refers to the methodology and procedures used and to the results obtained. These results were sent in order to associate them with the ones from the other European countries that took part in the project. This study, in our opinion, is a clear example of collaboration between the professional field of pharmacy practice and the University (AU)