为边缘化社区提供护理:社区药房团队的定性研究
Helen Gibson1, Caroline Sanders1, Thomas Blakeman1
1National Institute for Health and Care Research (NIHR) School for Primary Care Research, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester; NIHR Greater Manchester Patient Safety Research Collaboration, The University of Manchester, Manchester, UK.
概括
社区药房对弱势群体至关重要,但面临着工作量增加和培训不足等挑战. 加强资源和与初级保健整合可以改善对边缘化人口的护理.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 健康的社会决定因素
背景情况:
- 英国的健康不平等正在不断升级,COVID-19大流行加剧了这一现象.
- 社区药房是英格兰最常见的医疗保健服务,其独特的位置是为弱势群体提供服务.
研究的目的:
- 调查社区药房团队在照顾边缘化群体方面的经验和需求.
- 了解这些经验和需求在COVID-19后是如何演变的.
主要方法:
- 在社区药房和初级保健机构中进行了一项定性研究.
- 与社区药房工作人员,初级保健网络 (PCN) 药剂师,全科医生和北英格兰护士进行了半结构化访谈.
主要成果:
- 采访31名参与者 (26名药房工作人员,3名全科医生,2名护士) 显示,由于人数增加和数字访问问题,COVID-19后药房繁忙度增加.
- 报告说,与边缘化社区合作的正式培训有限,以及组织 (例如,缺乏翻译服务) 和组织间的障碍 (例如,分散的护理).
- 尽管面临挑战,但药店提供的一贯护理被认为对边缘化群体获得医疗保健至关重要.
结论:
- 有很大的潜力更好地利用社区药房团队的专业知识.
- 基本的改进包括提供翻译服务等资源,促进社区药房和其他初级保健服务 (如一般实践) 之间的更好的沟通和综合护理.
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