Due to work load pressures in primary care, increasing efforts are being made internationally to implement pharmacists working alongside general practitioners. While there is wide interest in the contributions pharmacists can make within primary care, there is limited research which explores the competencies pharmacists need to safely and effectively provide care in this arena. Therefore, a modified eDelphi study was conducted between July 2019 and January 2020 among pharmacists working in General Practice in Scotland in order to (a) generate a list of competencies required to undertake pharmacotherapy tasks within General Practice using content analysis; and (b) establish consensus regarding the importance of these competencies using a rating scale ranging from 1 (“not important”) to 10 (“very important”). A framework of competencies was developed, containing eight competency categories with a total of 31 individual competency items. Overall, study participants considered all eight competency categories as being important, with a mode of 10 and a median >8; agreement among participants was high, with the majority of individual competency items rated 8 or above by more than 75% of participants. There was, however, variation in responses with regards to specific tasks such as medicines reconciliation and medication compliance reviews. Findings indicate that the GP setting requires a broad set of competencies—covering areas including the use of IT systems; clinical knowledge; and communicating with patients and other healthcare professionals. This implies that further emphasis on clinical and consultation skills should be added to training programmes aimed at GP pharmacists; furthermore, ongoing support is also needed with regards to generic skills such as the use of IT systems, documentation, and general procedures and processes within primary care, some of which might need to be tailored to the specific practice context.

中文翻译：

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提供苏格兰药物治疗服务的全科临床药剂师所需的能力：修改后的 eDelphi 研究

由于初级保健的工作负荷压力，国际上正在加大力度让药剂师与全科医生一起工作。尽管对药剂师在初级保健中可以做出的贡献有广泛的兴趣，但探索药剂师在该领域安全有效地提供护理所需的能力的研究却很有限。因此，在 2019 年 7 月至 2020 年 1 月期间，在苏格兰全科诊所工作的药剂师中进行了一项修改后的 eDelphi 研究，目的是 (a) 使用内容分析生成一份在全科诊所开展药物治疗任务所需的能力清单；(b) 使用从 1（“不重要”）到 10（“非常重要”）的评分量表，就这些能力的重要性达成共识。开发了一个能力框架，其中包含八个能力类别，总共 31 个单独的能力项目。总体而言，研究参与者认为所有八个能力类别都很重要，模式为 10，中位数 >8；参与者之间的一致性很高，超过 75% 的参与者将大多数个人能力项目评为 8 分或以上。然而，对特定任务（例如药物对账和药物依从性审查）的反应存在差异。调查结果表明，GP 设置需要一系列广泛的能力——涵盖领域包括 IT 系统的使用；临床知识；并与患者和其他医疗保健专业人员沟通。这意味着应在针对全科医生药剂师的培训计划中进一步强调临床和咨询技能；此外，还需要对通用技能的持续支持，例如在初级保健中使用 IT 系统、文档和一般程序和流程，其中一些可能需要根据具体的实践环境进行调整。