Research article

Provision of primary care pharmacy operated by hospital pharmacist

  • Received: 22 December 2022 Revised: 10 April 2023 Accepted: 11 April 2023 Published: 24 April 2023
  • A primary care pharmacy (PCP) is operated by hospital pharmacists in Thailand. This study aims to explore the level of PCP provisions operated by hospital pharmacists, to identify health service components that affect PCP operation and to collect opinions from pharmacists regarding factors influencing PCP operation. A postal survey was conducted in northeastern Thailand. A questionnaire included: (1) the PCP checklist (36 items), (2) questions investigating the health service components required for PCP operation (13 items), and (3) queries to pharmacists concerning factors influencing PCP operation (16 items). Questionnaires were mailed to 262 PCP pharmacists. The PCP provision score was calculated with a max score of 36, and reaching at least 28.8 points was deemed as having ‘met expectation’. Multivariate logistic regression with a backward approach was used to determine health service components which affected PCP operation. Most respondents were female (72, 60.0%), aged 36.0 years (IQR 31.0–41.0) and PCP work experience of 4.0 years (IQR 2.0–10.0). Overall, the PCP provision score had met expectation (median = 29.00, Q1–Q3 = 26.50–32.00). Tasks that met expectation involved managing the medicine supply, a home visit with a multidisciplinary team and protecting consumer health. Improving medicine dispensary and promotion of self-care and herbal use were below expectation. PCP operation depended on doctor involvement (OR = 5.63 95% CI 1.07–29.49) and public health practitioner involvement (OR = 3.12 95% CI 1.27–7.69). The pharmacist's responsibility, i.e., a good relationship with the community, likely increased PCP provision. The PCP has been widely instituted in Northeast Thailand. Doctors and public health practitioners should get involved regularly. Further research is needed to monitor the outcomes and value of PCPs.

    Citation: Suratchada Chanasopon, Kritsanee Saramunee, Tanupat Rotjanawanitsalee, Natt Jitsanguansuk, Surasak Chaiyasong. Provision of primary care pharmacy operated by hospital pharmacist[J]. AIMS Public Health, 2023, 10(2): 268-280. doi: 10.3934/publichealth.2023020

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  • A primary care pharmacy (PCP) is operated by hospital pharmacists in Thailand. This study aims to explore the level of PCP provisions operated by hospital pharmacists, to identify health service components that affect PCP operation and to collect opinions from pharmacists regarding factors influencing PCP operation. A postal survey was conducted in northeastern Thailand. A questionnaire included: (1) the PCP checklist (36 items), (2) questions investigating the health service components required for PCP operation (13 items), and (3) queries to pharmacists concerning factors influencing PCP operation (16 items). Questionnaires were mailed to 262 PCP pharmacists. The PCP provision score was calculated with a max score of 36, and reaching at least 28.8 points was deemed as having ‘met expectation’. Multivariate logistic regression with a backward approach was used to determine health service components which affected PCP operation. Most respondents were female (72, 60.0%), aged 36.0 years (IQR 31.0–41.0) and PCP work experience of 4.0 years (IQR 2.0–10.0). Overall, the PCP provision score had met expectation (median = 29.00, Q1–Q3 = 26.50–32.00). Tasks that met expectation involved managing the medicine supply, a home visit with a multidisciplinary team and protecting consumer health. Improving medicine dispensary and promotion of self-care and herbal use were below expectation. PCP operation depended on doctor involvement (OR = 5.63 95% CI 1.07–29.49) and public health practitioner involvement (OR = 3.12 95% CI 1.27–7.69). The pharmacist's responsibility, i.e., a good relationship with the community, likely increased PCP provision. The PCP has been widely instituted in Northeast Thailand. Doctors and public health practitioners should get involved regularly. Further research is needed to monitor the outcomes and value of PCPs.



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    Acknowledgments



    This research did not receive any specific grant from funding agencies in the public, commercial or not-for-profit sectors. However, authors would like to thank Mahasarakham University Development Fund and Faculty of Pharmacy, Mahasarakham University for their support in the form of a travel grant, which enabled us to attend the 2018 International Social Pharmacy Workshop. The authors would like to thank all respondents for their time in providing the survey information presented in this report.

    Availability of data and materials



    The datasets generated and analyzed during the current study are not publicly available because this was not included in the participation information sheet.

    Conflict of interest



    All authors declare no conflict of interest regarding the publication of this paper.

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