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Supporting self management of type 2 diabetes: is?there a role for the community pharmacist?

机译：支持2型糖尿病的自我管理：社区药剂师是否有作用？

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Background:?Evidence supports the efficacy of pharmacy services in type 2 diabetes (T2D). However, little is known about consumer perspectives on the role of community pharmacists in diabetes care. The objectives of this study were to identify potential unmet needs and explore preferences for pharmacist-delivered support for T2D.Methods:?A qualitative study using focus groups was conducted in Sydney, Australia. Patients with T2D who were members of the Australian Diabetes Council in Sydney, Australia, were recruited through a survey on medication use in T2D. Five focus groups with a total of 32 consumers with T2D were recorded, transcribed, and thematically analyzed.Results:?The key themes were 1) the experiences of diabetes services received, 2) the potential to deliver self-management services, and 3) the suggested role of pharmacist in supporting diabetes management. Gaps in understanding and some degree of nonadherence to self-management signaled a potential for self-management support delivered by pharmacists. However, consumers still perceive that the main role of pharmacists in diabetes care centers on drug management services, with some enhancements to support adherence and continuity of supply. Barriers to diabetes care services included time constraints and a perceived lack of interest by pharmacists.Conclusion:?Given the unmet needs in diabetes self-management, opportunities exist for pharmacists to be involved in diabetes care. The challenge is for pharmacists to upgrade their diabetes knowledge and skills, organize their workflow, and become proactive in delivering diabetes care support.
机译：背景：证据支持药房服务在2型糖尿病（T2D）中的功效。但是，关于消费者对社区药师在糖尿病护理中作用的看法知之甚少。这项研究的目的是确定潜在的未满足需求，并探索偏好由药剂师提供的T2D支持。方法：在澳大利亚悉尼进行了使用焦点小组的定性研究。通过对T2D药物使用情况的调查，招募了澳大利亚悉尼澳大利亚糖尿病委员会成员的T2D患者。记录，转录和主题分析了五个焦点小组，总共32个T2D消费者。结果：主要主题是1）接受糖尿病服务的经验，2）提供自我管理服务的潜力，以及3）建议药剂师在支持糖尿病管理中的作用。理解上的差距以及对自我管理的某种程度的不遵守，预示着药剂师提供自我管理支持的潜力。但是，消费者仍然认为，药剂师在糖尿病护理中的主要作用集中在药物管理服务上，并进行了一些增强以支持依从性和持续供应。糖尿病护理服务的障碍包括时间限制和药剂师缺乏兴趣。结论：鉴于糖尿病自我管理的需求未得到满足，药剂师有机会参与糖尿病护理。药剂师面临的挑战是提升他们的糖尿病知识和技能，组织其工作流程并主动提供糖尿病护理支持。

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