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BMC Health Services Research
Published in: BMC Health Services Research 1/2024

Open Access 01-12-2024 | Research

“Access to pharmacy services is difficult in China”: a qualitative study from the perspective of transplant recipients to explore their expectations

Authors: Zhao Yin, Wan Zhang, Xuedong Jia, Xi Yang, Wenzhi Guo, Hang Fu, Shuzhang Du, Xiaojian Zhang, Fangying Si, Jun Li

Published in: BMC Health Services Research | Issue 1/2024

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Abstract

Purpose

To gain an in-depth and comprehensive understanding of Chinese organ transplant recipients’ perceptions, expectations, and suggestions of pharmacy services to hospital pharmacists.

Methods

This qualitative study was conducted in central China, from February to December 2020. Participants were collected with a purposive and snowball sampling method. Focus group discussions were conducted with organ transplant recipients and content analysis was applied to identify themes and subthemes.

Results

21 recipients participated in the qualitative study. Four themes and thirteen subthemes were identified: (1) perceptions of clinical pharmacists and pharmacy services; (2) expectations for pharmacy service content; (3) expectations for pharmacy service form; and (4) difficulties as a special group.

Conclusion

The pharmacy services provided by Chinese healthcare institutions are inadequate to meet the needs of organ transplant recipients. However, the acceptance and expectation of pharmacy services by transplant recipients are high. Therefore, China should learn from the experience of developed countries and focus on the actual needs of patients to establish a better pharmacy service system for organ transplantation.
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Literature
1.
Black CK, Termanini KM, Aguirre O, Hawksworth JS, Sosin M. Solid organ transplantation in the 21(St) century. Annals Translational Med. 2018;6(20):409.CrossRef
2.
Ling S, Jiang G, Que Q, Xu S, Chen J, Xu X. Liver transplantation in patients with liver failure: twenty years of experience from China. Liver International: Official J Int Association Study Liver. 2022;42(9):2110–6.CrossRef
3.
Voora S, Adey DB. Management of kidney transplant recipients by General nephrologists: Core Curriculum 2019. Am J Kidney Diseases: Official J Natl Kidney Foundation. 2019;73(6):866–79.CrossRef
4.
Einsfeld L, Hastenteufel LCT, Taber D, Clausell N, Goldraich LA. Challenges for expansion of thoracic transplant clinical pharmacy in a developing country: comparison with U.S. accredited centres and call for action. J Clin Pharm Ther. 2022;47(5):588–91.PubMedCrossRef
5.
Sharma P, Sui Z, Zhang M, Magee JC, Barman P, Patel Y, Schluger A, Walter K, Biggins SW, Cullaro G, et al. Renal outcomes after simultaneous liver-kidney transplantation: results from the US Multicenter simultaneous liver-kidney transplantation Consortium. Liver Transplantation: Official Publication Am Association Study Liver Dis Int Liver Transplantation Soc. 2021;27(8):1144–53.CrossRef
6.
Pilch NA, Bowman LJ, Taber DJ. Immunosuppression trends in solid organ transplantation: the future of individualization, monitoring, and management. Pharmacotherapy. 2021;41(1):119–31.PubMedCrossRef
7.
Maldonado AQ, Hall RC, Pilch NA, Ensor CR, Anders S, Gilarde JA, Tichy EM. ASHP Guidelines on Pharmacy Services in Solid Organ Transplantation. Am J health-system Pharmacy: AJHP: Official J Am Soc Health-System Pharmacists. 2020;77(3):222–32.CrossRef
8.
Sam S, Guérin A, Rieutord A, Belaiche S, Bussières JF. Roles and impacts of the transplant pharmacist: a systematic review. Can J Hosp Pharm. 2018;71(5):324–37.PubMedPubMedCentral
9.
Li J, Li Z. Differences and similarities in clinical pharmacy practice in China and the United States: a narrative review. Eur J Hosp Pharmacy: Sci Pract. 2018;25(1):2–5.CrossRef
10.
Fatani S, Bakke D, D’Eon M, El-Aneed A. Qualitative assessment of patients’ perspectives and needs from community pharmacists in substance use disorder management. Subst Abuse Treat Prev Policy. 2021;16(1):38.PubMedPubMedCentralCrossRef
11.
Tegegn HG, Abdela OA, Mekuria AB, Bhagavathula AS, Ayele AA. Challenges and opportunities of clinical pharmacy services in Ethiopia: a qualitative study from healthcare practitioners’ perspective. Pharm Pract. 2018;16(1):1121.
12.
Isleem N, Shoshaa S, AbuGhalyoun A, Khatib M, Naseralallah LM, Ibn-Mas’ud Danjuma M, Saad M. Critical care tele-pharmacy services during COVID-19 pandemic: a qualitative exploration of healthcare practitioners’ perceptions. J Clin Pharm Ther. 2022;47(10):1591–9.PubMedCrossRef
13.
Al Aloola N, Alsaif R, Alhabib H, Alhossan A. Community needs and preferences for community pharmacy immunization services. Vaccine. 2020;38(32):5009–14.PubMedCrossRef
14.
Sherif B, Awaisu A, Kheir N. Refugee healthcare needs and barriers to accessing healthcare services in New Zealand: a qualitative phenomenological approach. BMC Health Serv Res. 2022;22(1):1310.PubMedPubMedCentralCrossRef
15.
Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health care: J Int Soc Qual Health Care. 2007;19(6):349–57.CrossRef
16.
Yao X, Jia X, Shi X, Liu G, Li Y, Zhang X, Du S, Li J, Yin Z. Exploring the experiences and expectations of pharmacist interns in large general hospitals in China: from the perspective of interns. BMC Med Educ. 2022;22(1):528.PubMedPubMedCentralCrossRef
17.
Zhang W, Jia X, Yao X, Zhang X, Liang Y, Zhang Y, Zhang X, Su P, Zhang X, Du S, et al. Exploring the perceptions and barriers of nurses working in remote areas on tele-educational delivery of pharmacy knowledge in Henan, China: a qualitative study. BMJ open. 2022;12(2):e051365.PubMedPubMedCentralCrossRef
18.
Vaismoradi M, Turunen H, Bondas T. Content analysis and thematic analysis: implications for conducting a qualitative descriptive study. Nurs Health Sci. 2013;15(3):398–405.PubMedCrossRef
19.
Amin MEK, Nørgaard LS, Cavaco AM, Witry MJ, Hillman L, Cernasev A, Desselle SP. Establishing trustworthiness and authenticity in qualitative pharmacy research. Res Social Administrative Pharmacy: RSAP. 2020;16(10):1472–82.CrossRef
20.
Qu J, Zuo W, Wang S, Du L, Liu X, Gao Y, Li J, Pan H, Du X, Mei D, et al. Knowledge, perceptions and practices of pharmacists regarding generic substitution in China: a cross-sectional study. BMJ open. 2021;11(10):e051277.PubMedPubMedCentralCrossRef
21.
Hu M, Yee G, Zhou N, Yang N, Jiang X, Klepser D. Development and current status of clinical pharmacy education in China. Am J Pharm Educ. 2014;78(8):157.PubMedPubMedCentralCrossRef
22.
Xi X, Huang Y, Lu Q, Ung COL, Hu H. Community pharmacists’ opinions and practice of pharmaceutical care at chain pharmacy and independent pharmacy in China. Int J Clin Pharm. 2019;41(2):478–87.PubMedCrossRef
23.
Adam B, Keers RN. Exploring the views of Healthcare Professionals Working in a Mental Health Trust on pharmacists as future approved clinicians. Pharm (Basel Switzerland) 2022, 10(4).
24.
Moukafih B, Abahssain H, Mrabti H, Errihani H, Rahali Y, Taoufik J, Chaibi A. Impact of clinical pharmacy services in a hematology/oncology ward in Morocco. J Oncol Pharm Practice: Official Publication Int Soc Oncol Pharm Practitioners. 2021;27(2):305–11.CrossRef
25.
Sun Q, Chen L, Huang Y, Xi X. Association of education background with clinical pharmacists’ clinical pharmacy workload in tertiary hospitals of China. BMC Med Educ. 2022;22(1):769.PubMedPubMedCentralCrossRef
26.
Brunet M, van Gelder T, Åsberg A, Haufroid V, Hesselink DA, Langman L, Lemaitre F, Marquet P, Seger C, Shipkova M, et al. Therapeutic drug monitoring of Tacrolimus-Personalized Therapy: second Consensus Report. Ther Drug Monit. 2019;41(3):261–307.PubMedCrossRef
27.
Chinen J, Buckley RH. The immunology of solid organ transplantation. J Allergy Clin Immunol. 2010;125(2 Suppl 2):324–35.CrossRef
28.
Olson JC. Immunosuppressive drugs and associated complications in abdominal organ transplantation. Curr Opin Crit Care. 2022;28(2):208–15.PubMedCrossRef
29.
Salvador NGA, Wee SY, Lin CC, Wu CC, Lu HI, Lin TL, Lee WF, Chan YC, Lin LM, Chen CL. Clinical outcomes of tuberculosis in recipients after living Donor Liver Transplantation. Ann Transplant. 2018;23:733–43.PubMedPubMedCentralCrossRef
30.
Yang H, Li L, Hu X, Wang W, Yang X, Liu H, Ren L, Zhang X, Liu L. Impact of pharmacist-led post-transplant medication management for kidney transplant recipients: a retrospective pre- and post-intervention study. J Clin Pharm Ther. 2019;44(4):603–10.PubMed
31.
Duwez M, Chanoine S, Lepelley M, Vo TH, Pluchart H, Mazet R, Allenet B, Pison C, Briault A, Saint-Raymond C, et al. Clinical evaluation of pharmacists’ interventions on multidisciplinary lung transplant outpatients’ management: results of a 7-year observational study. BMJ open. 2020;10(11):e041563.PubMedPubMedCentralCrossRef
32.
Mulder MB, Borgsteede SD, Darwish Murad S, Landman CS, Metselaar HJ, Hunfeld NGM. Medication-related problems in liver transplant recipients in the outpatient setting: a Dutch cohort study. Front Pharmacol. 2021;12:637090.PubMedPubMedCentralCrossRef
33.
Dodds Ashley E, Davis SL, Heil EL, LaPlante KL, Chahine EB, Bosso JA. Best care for patients achieved through multidisciplinary stewardship. Clin Infect Diseases: Official Publication Infect Dis Soc Am. 2018;67(10):1637.CrossRef
34.
Han N, Han SH, Chu H, Kim J, Rhew KY, Yoon JH, Je NK, Rhie SJ, Ji E, Lee E, et al. Service design oriented multidisciplinary collaborative team care service model development for resolving drug related problems. PLoS ONE. 2018;13(9):e0201705.PubMedPubMedCentralCrossRef
35.
Kremer D, Pieters TT, Verhaar MC, Berger SP, Bakker SJL, van Zuilen AD, Joles JA, Vernooij RWM, van Balkom BWM. A systematic review and meta-analysis of COVID-19 in kidney transplant recipients: lessons to be learned. Am J Transplantation: Official J Am Soc Transplantation Am Soc Transpl Surg. 2021;21(12):3936–45.CrossRef
36.
Fu L, Xu K, Liu F, Liang L, Wang Z. Regional disparity and patients mobility: benefits and Spillover effects of the Spatial Network Structure of the Health Services in China. Int J Environ Res Public Health 2021, 18(3).
37.
Poonsuph R. The design blueprint for a large-scale telehealth platform. Int J Telemedicine Appl. 2022;2022:8486508.
Metadata
Title
“Access to pharmacy services is difficult in China”: a qualitative study from the perspective of transplant recipients to explore their expectations
Authors
Zhao Yin
Wan Zhang
Xuedong Jia
Xi Yang
Wenzhi Guo
Hang Fu
Shuzhang Du
Xiaojian Zhang
Fangying Si
Jun Li
Publication date
01-12-2024
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2024
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-024-10733-6

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