Perceived needs of pharmaceutical care services among healthcare professionals in South Korea: a qualitative study
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Purpose To explore the need for pharmaceutical care services, key features of desirable pharmacy services, and perceived barriers for advancing the services in hospital environments with doctors and nurses who are key co-workers of the interdisciplinary team care services.Methods Semi-structured, in-depth interviews with eighteen doctors and fifteen nurses employing purposive and snowballing sampling strategies were conducted in ten hospitals in South Korea. Results The level of pharmaceutical care was varied across regions or institutions in South Korea. The concept of pharmaceutical care was insufficiently defined, and tended to be limited to some parts of medication counseling. Through pharmaceutical care services, doctors desired to acquire comprehensive drug information from and to share clinical responsibilities with pharmacists. Nurses wished to lower their burdens of medication counseling services from their daily practices. Doctors and nurses asked for pharmacists providing essential and carefully selected medication information to their patients in a patient-centered manner. The listed barriers to pharmaceutical care included the lack of appropriate systems for reward, insufficient accessibility to patient records by pharmacists, ambiguous role descriptions of pharmacist, and absence of effective communication among professionals. Conclusion A successful pharmaceutical care service model should allow efficient exchange of information among healthcare professionals to build inter-professional trust and to provide a continuity of care both in terms of time and setting. As prerequisites of such system, it was warranted to develop clinical evidence and an appropriate reward system for pharmaceutical care services.
KeywordsIn-depth interview Interdisciplinary team Pharmaceutical care Qualitative study South Korea
We thank researchers and pharmacists from the Drug Treatment Evaluation and Management (DrugTEAM) Group, including Kyung Im Kim, Bae Min Kyung, Nayoung Han, Heejin Na, Hyuneun Chu, Jaehyun Kim, Ji Eun Kang, Joowon Chung, Kyung Sook Choi, Minji Sohn, and Seung Hee Han, and all interviewees for their priceless contributions. We also thank Dayoung Lee, College of Pharmacy, Yeungnam University for translating raw data from Korean to English.
This research was supported by a grant of the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health and Welfare, Republic of Korea (Grant Number: HI13C0731).
Conflicts of interests
None of the authors have any potential conflicts of interest concerning this work. The contents of this article are solely the responsibility of the authors and do not necessarily represent the official views of the KHIDI.
- 2.Hepler CD, Strand LM. Opportunities and responsibilities in pharmaceutical care. Am J Pharm Educ. 1989;53:7S–15S.Google Scholar
- 5.Chang M, Cho E, Noh H, Lee J. Studies on the perception on clinical pharmaceutical care and clinical pharmaceutical sciences. Korean J Clin Pharm. 2014;24(3):169–82.Google Scholar
- 8.Lee J, Sohn H, Shin H. Quality evaluation of medication counseling in Korean community pharmacies. Korean J Clin Pharm. 2009;19(2):131–42.Google Scholar
- 13.Suh DC, Kang H-Y, Kwon JW, Kim SJ, Suh HS, Lee S, et al. Institutionalization of cognitive services in hopital pharmacy. Seoul: Korean Association of Pharmacy Education; 2013.Google Scholar
- 23.American Pharmacist Association. The pursuit of provider status. What pharmacists need to know 2013. www.pharmacist.com. Accessed 4 Jan 2016.
- 24.Bae H, Hahn J, Lee YH, Kim H, Lee HS, S-h Lee, et al. Polypharmacy in patients discharged from oncology department. Korean J Clin Pharm. 2013;23(1):42–8.Google Scholar
- 25.Han S, Lee G, Han N, Oh JM, editors. Analysis of drug related problems and evaluation of clinical pharmacist’s intervention on chronic kidney disease patients. 2014 ACCP Annual Meeting; 2014; Austin, Taxas: Pharmacotherapy.Google Scholar
- 26.Shin EJ, Ha HJ, Shin WG, Park KJ. Analysis of drug use reviews in pediatric inpatients. Korean J Clin Pharm. 2005;15(1):27–33.Google Scholar
- 27.Choi J, Choi K, Lee K, Rhie S. Initiation of pharmaceutical care service in medical intensive care unit with drug interaction monitoring program. Korean J Clin Pharm. 2015;25(3):138–44.Google Scholar
- 28.An S, Bang J, La H-O. Early-stage diagnosis of bladder carcinoma by a clinical pharmacist’s effective anti-coagulation service in a patient with anticoagulants. Korean J Clin Pharm. 2010;20(1):85–7.Google Scholar
- 30.Lee I-H. National Health Insurance and pharmacy. In: Social Pharmacy Committee in Korean Association of Pharmacy Education, editor. Administrative and managerial pharmacy. Seoul: PanMun Education; 2013. p. 233–65. ISBN 978-89-97140-93-0.Google Scholar
- 31.Sohn H, Kim S-O, Joo K-M, Park H, Han E, Ahn HT, et al. Pharmacists’ perceptions of barriers to providing appropriate pharmaceutical services in community pharmacies. Korean J Clin Pharm. 2015;25(2):94–101.Google Scholar
- 32.Centers for disease control and prevention. current status of chronic diseases and issues in Korea. Chronic disease Factbook Seoul: Centers for disease control and prevention; 2015. www.cdc.go.kr. Accessed 23 Dec 2015.
- 33.Cooney D, Moon H, Liu Y, Miller RT, Perzynski A, Watts B, et al. A pharmacist based intervention to improve the care of patients with CKD: a pragmatic, randomized, controlled trial. BMC Nephrol. 2015;16(56):15–52.Google Scholar
- 35.Johns TS, Yee J, Smith-Jules T, Campbell RC, Bauer C. Interdisciplinary care clinics in chronic kidney disease. BMC Nephrol. 2015;16(161):15–158.Google Scholar
- 37.Surveys Denscombe M. The good research guide for small-scale social research projects. 3rd ed. Maidenhead: Open University Press; 2007. p. 1–34. ISBN 978-033522022-9.Google Scholar
- 41.OECD. Health at a Glance 2013: OECD Indicators, Korean. OECD Korea Policy Centre; 2013.Google Scholar
- 42.Korean Nurses Association. Nursing statistics: Korean Nurses Association; 2015. http://www.koreanurse.or.kr/resources/statistics.php. Accessed 21 Jan 2016.
- 45.World Health Organization. The World Health Report 2008- primary health care. http://www.who.int/whr/2008/en/. Accessed 27 Jun 2016.
- 50.Department of Health. Design for patient safety. London: Department of Health Publications; 2003. p. 50.Google Scholar
- 51.Beardsley RS, Kimberlin CL, Tindall WN. Patient-centered communication in pharmacy practice. Communication skills in pharmacy practice. 6th ed. Philadelphia: Lippincott Williams & Wilkins; 2012. p. 1–13. ISBN 978-1-60831-602-1.Google Scholar
- 52.Britten N, editor. Qualitative interviews. 3rd ed. Oxford: Blackwell Publishing Ltd.; 2006. ISBN 1-4051-3512-3.Google Scholar