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首页> 外文期刊>Journal of interprofessional care >The challenge of integrating community pharmacists into the primary health care team: a case study of local pharmaceutical services (LPS) pilots and interprofessional collaboration.
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The challenge of integrating community pharmacists into the primary health care team: a case study of local pharmaceutical services (LPS) pilots and interprofessional collaboration.

机译：将社区药剂师整合到初级卫生保健团队中的挑战：本地制药服务（LPS）飞行员和专业间合作的案例研究。

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The aim of this paper is to investigate interprofessional collaboration between general practitioners (GPs) and pharmacists involved in the delivery of enhanced pharmacy services under the local pharmaceutical services (LPS) contract in England. Previous research suggests that a number of interprofessional barriers exist between community pharmacists and GPs which hinders the integration of community pharmacists into the primary health care team (PHCT). One of the aims of the LPS contract, introduced in England in 2002 as an alternative to national contractual arrangements, was to enable pharmacists to work more closely with other health care professionals. A two-stage survey was distributed to all pharmacists involved in the first wave of LPS and in-depth interviews undertaken with pharmacists and GPs at six of the LPS sites. Overall the level to which the LPS pharmacists felt integrated into the PHCT did not substantially increase with the introduction of LPS, although co-location was reported to have facilitated integration. New relationships were formed with GPs and existing ones strengthened. A good existing working relationship with GPs was found to be an important factor in the successful operation of the pilots as many were dependent on GPs for patient referrals. The findings suggest that establishing interprofessional collaboration between GPs and pharmacists is a piecemeal process, with a reliance on goodwill and trust-based relationships.
机译：本文的目的是调查在英格兰的地方药品服务（LPS）合同下，从事提供增强药房服务的全科医生（GPs）与药剂师之间的专业间合作。先前的研究表明，社区药剂师和GP之间存在许多专业间的障碍，这阻碍了社区药剂师融入初级卫生保健团队（PHCT）。 LPS合同的目的之一是使药剂师与其他医疗保健专业人员更紧密地合作，该协议于2002年在英格兰引入，以代替国家合同安排。向参与第一批LPS的所有药剂师进行了两阶段调查，并在六个LPS站点对药剂师和GP进行了深入访谈。总体而言，尽管引入了LPS，但随着LPS的引入，LPS药剂师认为与PHCT整合的水平并未显着提高。与GP建立了新的关系，现有的关系得到了加强。已发现与GP保持良好的工作关系是飞行员成功操作的重要因素，因为许多人依赖GP进行患者转诊。研究结果表明，在全科医生和药剂师之间建立专业间的合作是一个零碎的过程，依赖于善意和基于信任的关系。

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