一般医生,药剂师和实践护士实施CombiConsultation的障碍和促进因素:一个定性面试研究
Valérie A M Meijvis1,2, Mette Heringa3, Henk-Frans Kwint3
1SIR Institute for Pharmacy Practice and Policy, 2331 JE, Leiden, The Netherlands. v.meijvis@sirstevenshof.nl.
International journal of clinical pharmacy
|May 30, 2023
概括
实施CombiConsultation需要药剂师,全科医生和实践护士的行为改变. 关键的促进者包括药剂师的专业知识和数据访问,而障碍则涉及技能,人员和报销.
科学领域:
- 医疗保健提供 医疗保健提供
- 临床药房 临床药房
- 专业间合作 专业间合作
背景情况:
- 综合咨询是药剂师领导的慢性病管理服务,与初级保健整合在一起.
- 成功实施需要改变医疗保健提供者的工作流程和行为.
研究的目的:
- 识别影响行为变化的障碍和促进者,以实现CombiConsultation.
- 专注于参与研究的药剂师,全科医生和实践护士.
主要方法:
- 与10名药剂师,5名实践护士和5名全科医生进行了采访.
- 理论领域框架 (TDF) 指导了障碍物和促进者的探索.
- 用内容分析来评估14个TDF域的发现.
主要成果:
- 在13个TDF领域中确定了12个障碍和23个促进者,具有强大的共识.
- 促进者包括药剂师药物治疗专业知识,获得医疗数据和专业接近.
- 障碍包括药剂师咨询/临床技能不足,人员不足,报销问题和协调挑战.
结论:
- 医疗保健提供者有动力实施CombiConsultation.
- 具有明确药剂师角色的协作实践对于成功至关重要.
- 建议对咨询技能的培训,清晰的物流和报销是有效实施的.
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