药剂师如何设计和实施基于社区药房的结直肠癌查计划
Austin R Waters1,2, Katherine Meehan3, Dana L Atkins4
1Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC 27510, USA.
概括
社区药房可以通过分发便免疫化学测试 (FIT) 来改善对结肠直肠癌 (CRC) 查的公平准入. 药剂师很容易接受这个角色,只要实施考虑他们的工作流程,并为患者护理协调提供必要的支持.
科学领域:
- 实施科学 实施科学
- 公共卫生 公共卫生
- 药房实践 在药房实践.
背景情况:
- 社区药房为医疗服务提供可访问的场所.
- 将结直肠癌 (CRC) 查整合到药房中提出了实施挑战.
- 基于药房的查可能会改善健康公平.
研究的目的:
- 探索社区药剂师关于分发便免疫化学测试 (FIT) 进行CRC查的观点.
- 确定实施基于药房的CRC查计划的促进者和障碍.
主要方法:
- 与华盛顿和北卡罗来纳州的社区药剂师进行了23次半结构面试.
- 基于实施研究综合框架 (CFIR) 的分析指导.
主要成果:
- 药剂师认为FIT分配与他们的实践相容.
- 对资格标准的了解有所不同,但药剂师们对查感到舒适.
- 基本的设计特征包括标准化标准,患者教育和继续教育.
- 药剂师建议适应EHR系统的提醒,并表示需要改进PCP沟通.
结论:
- 当程序与药剂师的知识和背景保持一致时,基于药房的CRC查是可行的.
- 解决多层次因素对于成功实施药房FIT交付至关重要.
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