在社区药房中识别和描述药物治疗管理的工作流模型
Rachel A Stafford1,2, Megan G Smith1
1Department of Pharmacy Practice, University of Arkansas for Medical Sciences College of Pharmacy.
社区药剂师努力将药物治疗管理 (MTM) 服务纳入日常工作流程. 这项研究确定了三个委托策略:共享团队工作,委托团队工作和单一委托,为未来的MTM整合研究提供了洞察力.
科学领域:
- 药房实践 在药房实践.
- 医疗保健服务研究 医疗服务研究
- 工作流分析工作流分析
背景情况:
- 社区药剂师面临着将药物治疗管理 (MTM) 服务与分发和其他药房运营相结合的挑战.
- 目前的MTM服务集成方法缺乏标准化模型,导致各种各样的实施策略.
研究的目的:
- 识别和描述社区药房内的药物治疗管理 (MTM) 工作流模型.
- 了解MTM活动如何在现有的药房工作流程中集成或委托.
主要方法:
- 对来自一家大型药房连锁店的社区药剂师进行了13次半结构面试.
- 用一种诱导性定性方法对转录的采访进行主题分析.
- 专注于一个特定的地理区域来描述工作流模型.
主要成果:
- 观察到MTM任务在分配工作流程中的整合有限.
- 确定了委托MTM活动的三个主要策略:共享团队工作,委托团队工作和单一委托.
- 药物采集期间的患者采访是MTM工作流中集成的最常见的任务;大多数其他MTM任务发生在主要工作流之外.
结论:
- 社区药房MTM工作流程的特点是独特的委托策略,而不是深入整合到发行.
- 需要进一步的研究来定义和测试这些已识别的工作流模型的实施策略.
- 这些发现为在社区药房设置中开发和评估MTM服务交付模型提供了基础.
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