确定开发,运营和维持门诊护理药房计划的实施因素:质量研究
Nabeel Qureshi1,2,3, Michelle S Keller4,5
1RAND Corporation, Santa Monica, CA, USA. Nabeel.Qureshi@cshs.org.
Journal of general internal medicine
|August 24, 2023
概括
实施门诊药房计划需要领导支持和集成的工作流程. 外部政策和激励措施对其在医疗保健系统中的可持续性和成功有重大影响.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 药房实践 在药房实践.
- 实施科学 实施科学
背景情况:
- 药剂师主导的项目越来越多地融入初级和专科护理.
- 影响门诊药房模式实施的因素尚不清楚.
研究的目的:
- 确定提供者和卫生系统驱动器,以实施和维持门诊药房主导的项目.
- 了解成功整合药房服务的关键因素.
主要方法:
- 使用半结构面试对领导和前线角色的19名关键信息人进行定性研究.
- 采访采用实施研究综合框架 (CFIR) 来编码.
主要成果:
- 药房计划的整合有所不同;领导力倡导和利益相关者协调对建立至关重要.
- 经证明的价值,集成的工作流程和收入流/间接价值的持续计划.
- 外部政策和激励措施在很大程度上影响了计划设计和可持续性.
结论:
- 外部政策,报销和质量指标对于门诊药房计划的成功至关重要.
- 在质量指标中证明药房的价值对于计划的增长和支持至关重要.
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