影响荷兰临床实践中CombiConsultation实施的因素:一种混合方法研究
Valérie A M Meijvis1,2, Mette Heringa1, Henk-Frans Kwint1
1SIR Institute for Pharmacy Practice and Policy, 2331 JE Leiden, The Netherlands.
实施CombiConsultation,为慢性疾病提供临床药房服务,需要解决药剂师的能力,机会和动机. 关键因素包括专业知识,合作和成功整合的报销.
科学领域:
- 药房实践 在药房实践中
- 医疗保健服务研究 医疗服务研究
背景情况:
- 综合咨询是一个新的临床药房服务,专为患有慢性疾病的患者设计.
- 社区药剂师越来越多地参与直接的患者护理,而不仅仅是药物发行.
研究的目的:
- 确定影响荷兰社区药房实践中实施CombiConsultation服务的因素.
- 了解药剂师对这一新服务的障碍和推动者的看法.
主要方法:
- 一种混合方法的方法,结合了定性访谈和定量问卷.
- 与理论领域框架 (TDF) 和COM-B模型相关的采访数据的专题分析.
- 对27名社区药剂师的调查,使用19个陈述来评估已识别的实施因素的相关性.
主要成果:
- 药剂师发现需要加强药物治疗专业知识 (13%) 和咨询技能培训 (35%).
- 关键的机会包括与全科医生/实践护士的密切合作,以及获得全面的医疗数据.
- 主要的激励因素是工作满意度,充足的报酬 (83%) 和改善的专业间合作 (78%).
结论:
- 能力,机会和动机对于成功实施CombiConsultation至关重要.
- 实施成功取决于个人药剂师,当地组织和更广泛的卫生系统层面的因素.
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