在社区药房中实施药物审查:通过名义组技术,就利益相关者对变化机制的建议达成共识
Dorothee E Michel1, Antonella P Tonna1, Dorothee C Dartsch2
1School of Pharmacy and Life Sciences, Robert Gordon University, Garthdee Road, Aberdeen, AB10 7GJ, Scotland.
International journal of clinical pharmacy
|March 15, 2024
概括
利益相关者确定了包括软件和流程支持在内的关键机制,以改善德国社区药房的药物审查 (MR). 优先考虑这些要素对于成功实施国家MR服务至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 药房实践 在药房实践中
- 实施科学 实施科学
背景情况:
- 自2022年以来,德国的社区药房有资格为使用五种或更多药物的患者提供药物评价 (MR).
- 缓慢采用MR服务需要利益相关者的投入,以制定有效的国家实施战略.
- 外部促进和改变激励措施被确定为成功实施的关键策略.
研究的目的:
- 收集利益相关者关于实施MRs的变革机制的建议.
- 在支持实施战略的实际机制上达成共识.
主要方法:
- 名称组技术 (NGT) 讨论与药房所有者和药房室员工分别进行.
- 相对重要性 (rI) 是根据总计的选票来计算的.
- 内容分析将高级机制置于上下文中,并将其与实施结果联系起来.
主要成果:
- 适合目的的软件 (rI=154.7),详细的流程支持 (rI=104.9) 和专家支持线 (rI=77.7) 是排名最高的机制.
- 财务可行性 (rI=40.0) 也是两组参与者优先考虑的.
- 软件,流程支持和材料 (rI=34.3) 在两个实施策略中都受到青.
结论:
- 确定了利益相关方在社区药房实施药物审查的优先事项.
- 专注于优先考虑的机制可能会推进国家实施计划,特别是在早期阶段.
- 这项研究提供了一份路线图,通过有针对性的干预措施来加强药物审查服务.
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