作为一种新的跨专业模式,非开放性药剂师融入全科医院:对全科医生经验和观点的定性评估
A C M Hazen1, V M Sloeserwij2, E de Groot2
1Department of General Practice, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht (UMCU), Utrecht University, Universiteitsweg 100 3584 CG Utrecht. Postal address STR 6.131, P.O. Box 85500, 3508 GA, Utrecht, The Netherlands. a.c.m.hazen@umcutrecht.nl.
将非开放药剂师纳入全科医疗团队可以提高护理质量. 成功取决于调整专业身份和承认跨专业性,而不仅仅是增加知识.
科学领域:
- 医疗保健管理的管理
- 专业间合作 专业间合作
- 初级保健药房 药房 初级保健药房
背景情况:
- 一个新的跨专业模式涉及非处方药师在一般实践团队中,以提高药物护理质量.
- 了解影响该模型成功的上下文因素对于更广泛的实施至关重要.
- 现有的理论强调药物治疗知识的转移,但需要对跨专业模式的建立有更深入的见解.
研究的目的:
- 探索使非开放药剂师成功融入全科医疗团队的机制和上下文因素.
- 了解如何在现有的医疗保健组织中建立新的跨专业模式.
主要方法:
- 通过使用现实知情评估方法进行了定性面试研究.
- 来自9家与非开药药师合作的全科医生接受了采访 (共18次采访).
- 采访数据通过研究小组讨论进行了主题分析.
主要成果:
- 一般医生承认需要改进和愿意合作是关键的上下文因素.
- 非处方药师贡献新的知识,通过对话,两位专业人士重新定义了他们的角色和专业身份.
- 专业身份的协调成为一个关键机制,通过开放的沟通和反思来促进这一机制.
结论:
- 这种跨专业模式的成功取决于药剂师知识的增加和全科医生和药剂师之间的专业身份的协调.
- 这与传统模式形成鲜明对比,即药剂师和全科医生在独立的组织中运作.
- 承认跨专业性鼓励对专业角色的探索和反思,促进身份一致,提高药物护理质量.
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