Challenges in the management of chronic noncommunicable diseases by Indonesian community pharmacists
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Redalyc
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| Natura: | Artículo científico |
| Lingua: | en |
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Centro de investigaciones y Publicaciones Farmacéuticas
2015
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| _version_ | 1876438463113330688 |
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| author | Hanni P. PUSPITASARI |
| author_facet | Hanni P. PUSPITASARI |
| contents | Challenges in the management of chronic noncommunicable diseases by Indonesian community pharmacists Hanni P. PUSPITASARI Parisa ASLANI Ines KRASS Medicina Indonesia Qualitative Research Professional Practice Community Pharmacy Services Attitude of Health Personnel Objectives: We explored factors influencing Indonesian primary care pharmacists’ practice in chronic noncommunicable disease management and proposed a model illustrating relationships among factors. Methods: We conducted in-depth, semistructured interviews with pharmacists working in community health centers (Puskesmas, n=5) and community pharmacies (apotek, n=15) in East Java Province. We interviewed participating pharmacists using Bahasa Indonesia to explore facilitators and barriers to their practice in chronic disease management. We audiorecorded all interviews, transcribed ad verbatim, translated into English and analyzed the data using an approach informed by “grounded-theory”. Results: We extracted five emergent themes/factors: pharmacists’ attitudes, Puskesmas/apotek environment, pharmacy education, pharmacy professional associations, and the government. Respondents believed that primary care pharmacists have limited roles in chronic disease management. An unfavourable working environment and perceptions of pharmacists’ inadequate knowledge and skills were reported by many as barriers to pharmacy practice. Limited professional standards, guidelines, leadership and government regulations coupled with low expectations of pharmacists among patients and doctors also contributed to their lack of involvement in chronic disease management. We present the interplay of these factors in our model. Conclusion: Pharmacists’ attitudes, knowledge, skills and their working environment appeared to influence pharmacists’ contribution in chronic disease management. To develop pharmacists’ involvement in chronic disease management, support from pharmacy educators, pharmacy owners, professional associations, the government and other stakeholders is required. Our findings highlight a need for systematic coordination between pharmacists and stakeholders to improve primary care pharmacists’ practice in Indonesia to achieve continuity of care. 2015 artículo científico 1885-642X https://www.redalyc.org/articulo.oa?id=69041179003 https://www.redalyc.org/journal/690/69041179003/ https://www.redalyc.org/journal/690/69041179003/html/ https://www.redalyc.org/journal/690/69041179003/69041179003.epub https://www.redalyc.org/journal/690/69041179003/movil en http://www.redalyc.org/revista.oa?id=690 Pharmacy Practice application/pdf Centro de investigaciones y Publicaciones Farmacéuticas Pharmacy Practice (España) Num.3 Vol.13 |
| format | Artículo científico |
| id | redalyc_69041179003 |
| institution | Redalyc |
| language | en |
| publishDate | 2015 |
| publisher | Centro de investigaciones y Publicaciones Farmacéuticas |
| spellingShingle | Challenges in the management of chronic noncommunicable diseases by Indonesian community pharmacists Hanni P. PUSPITASARI Medicina Indonesia Qualitative Research Professional Practice Community Pharmacy Services Attitude of Health Personnel Challenges in the management of chronic noncommunicable diseases by Indonesian community pharmacists Hanni P. PUSPITASARI Parisa ASLANI Ines KRASS Medicina Indonesia Qualitative Research Professional Practice Community Pharmacy Services Attitude of Health Personnel Objectives: We explored factors influencing Indonesian primary care pharmacists’ practice in chronic noncommunicable disease management and proposed a model illustrating relationships among factors. Methods: We conducted in-depth, semistructured interviews with pharmacists working in community health centers (Puskesmas, n=5) and community pharmacies (apotek, n=15) in East Java Province. We interviewed participating pharmacists using Bahasa Indonesia to explore facilitators and barriers to their practice in chronic disease management. We audiorecorded all interviews, transcribed ad verbatim, translated into English and analyzed the data using an approach informed by “grounded-theory”. Results: We extracted five emergent themes/factors: pharmacists’ attitudes, Puskesmas/apotek environment, pharmacy education, pharmacy professional associations, and the government. Respondents believed that primary care pharmacists have limited roles in chronic disease management. An unfavourable working environment and perceptions of pharmacists’ inadequate knowledge and skills were reported by many as barriers to pharmacy practice. Limited professional standards, guidelines, leadership and government regulations coupled with low expectations of pharmacists among patients and doctors also contributed to their lack of involvement in chronic disease management. We present the interplay of these factors in our model. Conclusion: Pharmacists’ attitudes, knowledge, skills and their working environment appeared to influence pharmacists’ contribution in chronic disease management. To develop pharmacists’ involvement in chronic disease management, support from pharmacy educators, pharmacy owners, professional associations, the government and other stakeholders is required. Our findings highlight a need for systematic coordination between pharmacists and stakeholders to improve primary care pharmacists’ practice in Indonesia to achieve continuity of care. 2015 artículo científico 1885-642X https://www.redalyc.org/articulo.oa?id=69041179003 https://www.redalyc.org/journal/690/69041179003/ https://www.redalyc.org/journal/690/69041179003/html/ https://www.redalyc.org/journal/690/69041179003/69041179003.epub https://www.redalyc.org/journal/690/69041179003/movil en http://www.redalyc.org/revista.oa?id=690 Pharmacy Practice application/pdf Centro de investigaciones y Publicaciones Farmacéuticas Pharmacy Practice (España) Num.3 Vol.13 |
| title | Challenges in the management of chronic noncommunicable diseases by Indonesian community pharmacists |
| topic | Medicina Indonesia Qualitative Research Professional Practice Community Pharmacy Services Attitude of Health Personnel |
| url | https://www.redalyc.org/articulo.oa?id=69041179003 https://www.redalyc.org/journal/690/69041179003/ https://www.redalyc.org/journal/690/69041179003/html/ https://www.redalyc.org/journal/690/69041179003/69041179003.epub https://www.redalyc.org/journal/690/69041179003/movil |