在多学科环境下,对社区药房中临床药物审查的实施进行调查
S Hogervorst1,2, M C Adriaanse1,2, M Vervloet3
1Department of Health Sciences, Faculty of Science, Vrije Universiteit, Amsterdam, The Netherlands.
BMC health services research
|May 3, 2024
概括
荷兰社区药房的临床药物审查 (CMR) 由于时间限制和与医疗专家的合作不足而未得到充分利用. 改善这些领域是提高药物治疗质量和药物坚持的关键.
科学领域:
- 药房实践 在药房实践.
- 实施科学 实施科学
- 药物治疗 药物治疗
背景情况:
- 多药性增加了慢性药物使用者与药物相关问题的风险.
- 临床药物审查 (CMR) 在2012年在荷兰引入,以减轻这些风险.
- 在社区药房实施有限可能会阻碍CMR的有效性.
研究的目的:
- 描述荷兰社区药房目前的CMR实施情况.
- 确定阻碍CMRs有效实施的障碍.
主要方法:
- 基于实施研究综合框架 (CFIR) 的在线问卷被开发出来.
- 调查问卷包括58个问题 (开放式,多选项,利克尔特等级).
- 该调查于2021年1月分发给了荷兰1,953家社区药房;应用了描述性统计数据.
主要成果:
- 289家药房 (14.8%) 完成了调查.
- 大多数药剂师承认CMR对药物治疗质量 (91.3%) 和药物坚持 (64.3%) 的积极影响.
- 发现的主要障碍是缺乏时间 (43%) 和与医疗专家合作的困难 (80%).
结论:
- 缺乏时间和与医疗专家的非最佳合作是CMR实施的主要障碍.
- 虽然药剂师认为CMR可以改善与全科医生的关系,但与医疗专家的合作仍然具有挑战性.
- 药房技术人员可以支持CMR,但他们的参与目前在实践中有限.
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