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Updated: Jul 2, 2025

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Diagonal Method to Measure Synergy Among Any Number of Drugs
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协作药物治疗修改 (CDTM):促进者,障碍和对格鲁吉亚个人药剂师参与的看法
Journal of the American Pharmacists Association : JAPhA
|February 17, 2024
概括
格鲁吉亚的药剂师可以利用实践自主性等促进者来实施协作药物治疗修改 (CDTM). 然而,诸如乔治亚州药房委员会法规和缺乏提供者身份等障碍阻碍了CDTM的采用.
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
- 实施科学 实施科学
背景情况:
- 佐治亚州药房委员会规定允许药剂师进行协作药物治疗修改 (CDTM),包括患者评估和药物治疗调整.
- 药剂师主导的CDTM可以改善健康结果并降低医疗保健成本,但其利用率仍然很低 (格鲁吉亚药剂师的<1%有执照).
研究的目的:
- 探索CDTM许可药剂师对CDTM服务提供方便者和障碍者的看法.
- 确定影响格鲁吉亚药剂师主导CDTM实施的关键因素.
主要方法:
- 与九名格鲁吉亚许可的CDTM药剂师进行了定性访谈.
- 以实施研究综合框架为指导的专题分析被用来识别和分类主题.
- 采访是根据先前的电子调查答案开发的,以获得详细的信息.
主要成果:
- 确定了9个主题,分类为CDTM实施的促进者或障碍者.
- 促进主题包括实践自主性 (100%),个人属性 (100%),支持系统 (100%) 和机构物流 (88%).
- 障碍主题包括佐治亚州药房委员会 (100%),药剂师自治 (88%),缺乏提供者身份 (88%),机构限制 (75%) 和个人发展 (22%).
结论:
- 药剂师可以利用已识别的促进者建立成功的CDTM计划.
- 解决与机构限制,乔治亚州药房委员会政策和提供者地位相关的障碍需要政策层面的变化.
- 个人障碍,如药剂师的自主权和个人发展,可能更难以系统地解决.
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