Im Spiegel betrachtet: Öffentliche und professionelle Perspektiven auf Patient/innen-zentrierte Versorgung in der kommunalen Arbeit von Apotheker/innen

Autor/innen

  • Frances Rapport Swansea University
  • Marcus A. Doel Swansea University
  • Hayley A. Hutchings Swansea University
  • Gabi S. Jerzembek Cardiff University
  • Dai N. John Cardiff University
  • Paul Wainwright Kingston University and St George's University of London
  • Christine Dobbs Swansea University
  • Stephen Newbury Community Pharmacy
  • Carol Trower Co-operative Pharmacy

DOI:

https://doi.org/10.17169/fqs-11.1.1301

Schlagworte:

Patient/innen-zentrierte Versorgung, Apotheke, UK, öffentliche und professionelle Perspektive, Fotografien, Beratung, Workshops

Abstract

Unser Beitrag stellt die Ergebnisse aus insgesamt fünf Workshops mit 29 Apotheker/innen, Patient/innen und weiteren Akteuren vor, die sich mit "Patient/innen-zentrierter Versorgung" in der Alltagsarbeit und -umgebung von Apotheker/innen befassten. Dieses Konzept ist in der relevanten Literatur nur ungenügend definiert, und ein Ziel der Studie war, dessen situativen Charakter für Patient/innen und im Gesundheitssystem Tätige zu präzisieren. In den Workshops kamen Fotografien aus der Alltagspraxis und spezifische Gruppenarbeitsverfahren zum Einsatz. Im Beitrag werden nach einer Information über die Teilnehmenden die Ergebnisse der thematischen Inhaltsanalyse zusammengefasst, die die folgenden Schwerpunkte erbrachte: Aufbau von Beziehungen mit Patient/innen, Umgang mit externen Einflussgrößen, (räumliche) Umgebungseffekte und Unterschiedlichkeit von Rollen und Erwartungen. Die Ergebnisse zeigen, dass "Patient/innen-zentrierte Versorgung" nicht in einer singulären oder statischen Weise definiert werden kann, sondern am besten nachvollziehbar ist entlang von Beispielen aus der Alltagspraxis und von Alltagsinteraktionen, abhängig davon, wessen Erfahrungen ausgedrückt und wessen Bedürfnisse im Fokus stehen sollen. Dieses Verständnis trifft für eine Vielzahl an Interessen und Akteuren zu, um Praxis zu rekonzeptualisieren, die zugleich auch fragil und strittig ist: Während Patient/innen möglichst schnelle und effektive Dienstleistungen von sachkundigen Apotheker/innen erwarten, wenden diese sich gegen wachsende öffentliche Ansprüche und zunehmend formalisierte Beratungen, die sie von der Art von Arbeit entfernen, die Kern ihrer professionellen Identität ist. URN: urn:nbn:de:0114-fqs100177

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Autor/innen-Biografien

Frances Rapport, Swansea University

Frances RAPPORT is Professor of Qualitative Health Research and Head of the Qualitative Research Unit at the School of Medicine, Swansea University, UK. She has written extensively about the scope of New Qualitative Methodologies for health research and is currently exploring the use of bio-photographic methods to clarify health professionals' reflections on inhabited workspace. Frances is also involved in a study using innovative narrative analyses with Holocaust survivor testimony. The study is exploring how notions of trauma suffering are presented in narrative form and what that tells us about survivor's ongoing healthcare needs.

Marcus A. Doel, Swansea University

Marcus DOEL is Professor of Human Geography and the Head of the School of the Environment and Society at Swansea University. He is also an Associate Director of Swansea University's Centre for Urban Theory and a Fellow of the Royal Geographical Society and Institute of British Geographers. He has written extensively on social and spatial theory, and is the author of Poststructuralist Geography (1999, Edinburgh University Press), and the co-editor of Moving Pictures/Stopping Places (2009, Lexington) and The Consumer Reader (2004, Routledge). He serves on the Editorial Boards of Environment and Planning D: Society and Space and the International Journal of Baudrillard Studies.

Hayley A. Hutchings, Swansea University

Hayley HUTCHINGS is a Senior Lecturer in Health Services Research at Swansea University. She has extensive experience of quantitative research methodologies related to health and has a special interest in respiratory conditions, patient health related quality of life, chronic conditions and the use of routine data.

Gabi S. Jerzembek, Cardiff University

GGabi JERZEMBEK is an ESRC-funded PhD student at the Cardiff Institute of Society, Health and Ethics (CISHE). She has experience in both qualitative and quantitative research methods and is interested in resilience and its link to well-being in the context of public health.

Dai N. John, Cardiff University

Dai JOHN is a senior lecturer in clinical pharmacy, law, ethics & practice at the Welsh School of Pharmacy, Cardiff University, UK. His major research focus explores and evaluates established, developing and novel roles of community pharmacists using qualitative and quantitative methodologies. Dai has, via several interdisciplinary collaborations, published widely on the public's use of medicines and advice from pharmacies.

Paul Wainwright, Kingston University and St George's University of London

Paul WAINWRIGHT qualified as a nurse in Southampton and had a range of jobs in the NHS before moving into Higher Education. He worked in the Centre for Philosophy and Health Care in Swansea University until 2005, which is where he developed his interest in the medical humanities. He is now Professor of Nursing in the Joint Faculty of Health and Social Care Sciences at Kingston University and St George's University of London. His research interests centre on the nature of practices in health care, from a philosophical and an empirical perspective.

Christine Dobbs, Swansea University

Christine DOBBS completed her PhD at Swansea University in the area of social psychology in 2008. Her research interests embrace intergroup relations such as those between the health professional and service user, as well as relationships between different levels of staff in a professional setting. From the organisational psychology perspective, she is interested in the problems that may arise due to role conflict, and operative or organisational stress factors that may impact upon staff well-being.

Stephen Newbury, Community Pharmacy

Stephen NEWBURY is an independent community pharmacist, having his own pharmacy in Mumbles, Swansea, where he is extensively involved in developing innovative patient-centred pharmaceutical care including healthy lifestyle support with health screening, allergy screening and care of the elderly. Having just qualified as an independent prescriber he is commencing an NHS commissioned service to support stable substance misuse clients; an area in which he has extensive experience.

Carol Trower, Co-operative Pharmacy

Carol TROWER is the Professional Development Manager for The Co-operative Pharmacy, a multiple pharmacy chain of almost 800 community pharmacies across the U.K. A qualified pharmacist, with extensive experience in training and development of undergraduate pharmacy students, pre-registration trainee pharmacists, pharmacists and support staff, she has been involved in shaping the future of pharmacy training in the UK. With a keen interest in CPD and the revalidation of practitioners Carol has been part of the ROYAL PHARMACEUTICAL SOCIETY OF GREAT BRITAIN advisory group looking at revalidation of pharmacists in preparation for the introduction of revalidation in the near future.

Veröffentlicht

2009-11-26

Zitationsvorschlag

Rapport, F., Doel, M. A., Hutchings, H. A., Jerzembek, G. S., John, D. N., Wainwright, P., … Trower, C. (2009). Im Spiegel betrachtet: Öffentliche und professionelle Perspektiven auf Patient/innen-zentrierte Versorgung in der kommunalen Arbeit von Apotheker/innen. Forum Qualitative Sozialforschung Forum: Qualitative Social Research, 11(1). https://doi.org/10.17169/fqs-11.1.1301