与大型三级儿童医院未收集的儿科处方相关的主题:一项回顾性观察性研究
Chloe Elizabeth Charlotte Williams1,2, Louise Bracken3, Andrea Gill3
1Royal Liverpool and Broadgreen Hospitals NHS Trust, Liverpool, UK.
BMJ paediatrics open
|July 8, 2024
概括
许多儿童因未收到处方而错过了必需的药物. 护理人员面临的障碍,包括距离和社会经济因素,需要紧急干预,以确保儿童获得必要的治疗.
科学领域:
- 儿科药理学 儿科药理学
- 获得医疗保健和公平的机会.
- 药物治疗的坚持 药物治疗的坚持
背景情况:
- 未收到的处方代表了儿童药物获取的重大障碍.
- 识别系统性主题对于理解护理人员的挑战至关重要.
研究的目的:
- 在儿科环境中量化未收集的处方.
- 识别诱导因素和系统主题,作为儿童药物收集障碍的障碍.
主要方法:
- 在三级儿科中心,在2个月的时间内回顾性数据收集.
- 对处方细节的分析:药物类型,处方者专业和患者邮政编码.
- 使用多重贫困指数 (IMD) 评估社会经济因素.
主要成果:
- 确定了124个未收集的处方,涉及94名患者.
- 胃肠道和皮肤药物最常见的是未收集的 (分别为21%和19%).
- 患者居住距离医院很远,其中许多人居住在低社会经济水平的地区 (42%位于最低IMD分位数).
结论:
- 护理人员在收集儿科处方时存在重大障碍.
- 迫切的干预是必要的,以解决这些障碍.
- 建议进行进一步的前性研究,以开发有针对性的解决方案.
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