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Care ideologies reflected in 4 conceptions of pharmaceutical care
Ingeborg K Björkman1, Cecilia B Bernsten, Margareta A Sanner
1Department of Public Health and Caring Sciences, Uppsala University, Uppsala Science Park, 751 85 Uppsala, Sweden. ingeborgbjorkman@hotmail.com
Research in Social & Administrative Pharmacy : RSAP
|December 10, 2008
Summary
Different pharmaceutical care models exist, each with unique ideologies. The Strand model emphasizes patient-centered care, while Granada-II, PCNE, and Apoteket use an evidence-based approach, impacting how therapy goals and patient needs are defined.
Area of Science:
- Pharmaceutical care practice
- Health services research
- Social sciences in pharmacy
Background:
- Diverse pharmaceutical care practices necessitate varied classification systems for drug-related problems (DRPs).
- These systems reflect distinct underlying conceptions and ideologies of pharmaceutical care.
- Understanding these ideologies is crucial for a deeper insight into pharmaceutical care practice.
Purpose of the Study:
- To investigate diverse conceptions of pharmaceutical care.
- To identify the underlying care ideologies guiding these conceptions.
- To analyze how these ideologies influence practice and patient interaction.
Main Methods:
- Face-to-face interviews with representatives of four distinct pharmaceutical care conceptions (Strand, Granada-II, PCNE v5.0, Apoteket).
- Interviews focused on pharmaceutical care and drug-related problems (DRPs).
- Inductive analysis of interview transcripts, inspired by grounded theory.
Main Results:
- The Strand model involves patients more actively in care compared to Granada-II, PCNE v5.0, and Apoteket.
- Pharmacists' use of specialized knowledge varies across models.
- Strand establishes therapy goals collaboratively with patients; other models do not explicitly discuss goals.
Conclusions:
- Pharmaceutical care conceptions are rooted in distinct care ideologies.
- Ideologies manifest in defining therapy goals and patient needs.
- Strand employs a patient-centered ideology, while Granada-II, PCNE, and Apoteket utilize an evidence-based medicine approach.
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