Pharmaceutical care guidelines aim to provide recommendations for pharmaceutical care, reduce unwanted pharmacy practice variation and ultimately improve the quality of healthcare. This study evaluated community pharmacists' adherence to recommendations for the provision of care to asthma patients with first dispensing and follow-up refill encounters in The Netherlands. Data were pharmacists' self-assessment of adherence to guideline recommendations, independent observations of dispensing encounters and a nationwide questionnaire on pharmacists' views on the desirable (clinical) necessity of applying guideline recommendations to their patient population. The 21 pharmacists who performed self-assessment judged their adherence concerning inhalation instructions as high. The lowest scores were reported for recommendations to collect additional information on the type of lung disease and for asking patients' expectations, wishes and concerns. Sixty-eight dispensing encounters were observed. In 83% of the 35 first dispensing observations, inhalation instruction was provided. This percentage was lower (62%) at refill dispensings. During all encounters, pharmacy staff seldom explored patients' perceptions or responded to patients' expectations, wishes and concerns. One hundred and four pharmacists completed the feasibility questionnaire. Pharmacists judged that all patients should receive inhalation instruction at first dispensing. They regarded it necessary to check on patients' expectations, wishes and concerns regarding the treatment for only up to 70% of the patients. More efforts on guideline implementation are needed, especially on follow-up dispensings and on gaining relevant information from patients and other healthcare professionals. Pharmacists still have opportunities to grow in applying a patient-tailored approach and exploring patients' individual needs, rather than providing practical information.

中文翻译：

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遵守社区药房哮喘护理指南的建议：实际和需要的表现。

药品护理指南旨在为药品护理提供建议，减少不必要的药房实践差异并最终提高医疗质量。这项研究评估了社区药剂师在荷兰首次配药和后续补充治疗时对哮喘患者提供护理建议的依从性。数据是药剂师对准则建议依从性的自我评估，对配药过程的独立观察以及全国范围内关于药剂师对将准则建议应用于其患者群体的必要性（临床）观点的问卷。进行自我评估的21位药剂师对吸入指示的依从性很高。报告得分最低的建议是收集有关肺部疾病类型的其他信息以及询问患者的期望，愿望和疑虑。观察到六十八次点胶。在35项首次配药观察结果中，有83％提供了吸入指导。在补充笔芯时，该百分比较低（62％）。在所有相遇期间，药房工作人员很少探索患者的感受或对患者的期望，愿望和疑虑做出回应。104名药剂师完成了可行性调查表。药剂师认为，所有患者在首次配药时均应接受吸入指导。他们认为有必要检查多达70％的患者对治疗的期望，愿望和担忧。需要在准则实施方面做出更多努力，尤其是在后续配药以及从患者和其他医疗保健专业人员那里获得相关信息方面。药剂师仍然有机会采用患者量身定制的方法并探索患者的个人需求，而不是提供实用的信息。