title: Pharmacist and physician perspectives on diabetes service delivery within community pharmacies in Indonesia: a qualitative study.
abstract: OBJECTIVE
  To explore perspectives of physicians and pharmacists on diabetes service delivery within community pharmacies in Indonesia.
  
  
  METHODS
  In depth interviews were conducted with 10 physicians and 10 community pharmacists in Surabaya, Indonesia, using a semi-structured interview guide. Nvivo version 9 was used to facilitate thematic content analysis to identify barriers/facilitators for community pharmacists to provide diabetes services.
  
  
  RESULTS
  The identified themes indicating barriers/facilitators for diabetes service delivery within Indonesian community pharmacies included: (1) pharmacist factors - i.e. positive views (facilitator) and perceived lack of competence (barrier); (2) pharmacist-physician relationships - i.e. physicians' lack of support and accessibility (barriers); (3) pharmacist-patient relationships - i.e. perceived patients' lack of support and accessibility (barriers); (4) pharmacy environment - i.e. business orientation (barrier), lack of staff and poor pharmacist availability (barriers), and availability of supporting resources, such as counselling areas/rooms, procedures/protocols and IT systems for labelling and patient records (facilitators); and (5) external environment - i.e. a health system to support pharmacist roles, remuneration, marketing and professional assistance (facilitators).
  
  
  CONCLUSIONS
  Issues related to the pharmacist-physician-patient relationships, pharmacy environment and external environment need to be addressed before Indonesian community pharmacists can provide additional pharmacy services for type 2 diabetes patients. Collaboration between the Government, Ikatan Apoteker Indonesia (Indonesian Pharmacists Association) and Ikatan Dokter Indonesia (Indonesian Medical Association) is required to improve the pharmacy professional environment and facilities.
authors.affiliation: Centre for Medicines Information and Pharmaceutical Care (CMIPC), Faculty of Pharmacy, University of Surabaya, Surabaya, East Java, Indonesia.
authors.forename: Yosi
authors.initials: Y
authors.lastname: Wibowo
authors.affiliation: School of Pharmacy, Curtin University, Perth, Western Australia, Australia.
authors.forename: Bruce
authors.initials: B
authors.lastname: Sunderland
authors.affiliation: School of Pharmacy, Curtin University, Perth, Western Australia, Australia.
authors.forename: Jeffery
authors.initials: J
authors.lastname: Hughes
mesh_terms: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D003157:Community Pharmacy Services; D003924:Diabetes Mellitus, Type 2; D005260:Female; D006801:Humans; D007214:Indonesia; D008297:Male; D008875:Middle Aged; D010595:Pharmacists / Q000523:psychology*; D010820:Physicians / Q000523:psychology*; D024382:Professional Role; D036301:Qualitative Research
keywords: Indonesia; barrier; community pharmacist; diabetes service; facilitator