一般医生和药剂师之间的合作讨论,以优化患者的药物治疗:英国初级保健临床试验中的定性研究
Roxanne M Parslow1, Lorna J Duncan1, Barbara Caddick1
1Centre for Academic Primary Care (CAPC), Bristol Medical School, University of Bristol, Bristol.
概括
一般医生和药剂师重视面对面的合作讨论,以优化多药患者的药物使用. 这些专业间讨论的保护时间改善了工作关系,提高了管理复杂案件的信心.
科学领域:
- 一般的做法一般的做法
- 药理学 药理学是指药理学的学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在英国的全科医院药剂师中进行了大量投资,以加强安全有效的药物使用.
- 关于优化全科医生和药剂师在多药房管理中的合作的证据有限.
研究的目的:
- 探索全科医生和药剂师在面对面,跨专业合作讨论 (IPCDs) 的观点.
- 评估IPCD作为旨在优化初级保健机构多药患者药物使用的复杂干预措施的一部分.
主要方法:
- 在IMPPP试验中进行了一种混合方法的过程评估,该试验是改善在初级保健中多药患者的药物使用 (IMPPP).
- IPCD的音频录音和与全科医生和药剂师的半结构化采访被转录和主题分析.
主要成果:
- 14个实践参与了17个IPCD会议的音频记录,讨论了30名患者.
- 一般医生和药剂师高度重视IPCD,报告加强了关系,增加了对管理复杂患者的信心,以及相互学习.
- 发现的一个主要挑战是难以为IPCD分配足够的时间.
结论:
- IPCD模型为全科医生和药剂师提供了宝贵的受保护时间,以便在整体患者护理方面进行合作.
- 专业间联系和结构化干预的保护时间可以提高初级保健中的患者护理和药物管理.
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