开发药物审查以改善阿鲁巴医疗保健系统:混合方法试点研究
Minke L Copinga1, Ellen A Kok1, Anke J J van Dam2
1Pharmacy Master Programme, School of Science and Engineering, University of Groningen, Antonius Deusinglaan 1, 9713 AV Groningen, The Netherlands.
Pharmacy (Basel, Switzerland)
|July 25, 2024
概括
这项试点研究为阿鲁巴制定了一项药物审查 (MR) 协议,涉及药剂师和全科医生. 量身定制的方法通过解决文化因素和改善药物管理来优化患者护理.
科学领域:
- 药物治疗 药物治疗
- 医疗保健服务研究 医疗服务研究
- 在医疗保健中的文化能力.
背景情况:
- 药物评价 (MR) 对于优化患者的治疗结果至关重要.
- 在不同的文化背景下实施MR需要量身定制的方法.
- 阿鲁巴独特的医疗保健景观需要针对MR的特殊协议.
研究的目的:
- 调查药剂师和全科医生 (GP) 领导的药物评价 (MRs) 的可行性和方法,在阿鲁巴参与患者.
- 在阿鲁巴医疗保健系统中制定一个文化相关的协议,用于在阿鲁巴医疗保健系统中进行MR.
- 在阿鲁巴的背景下,检查医疗保健提供者和患者对MR的观点.
主要方法:
- 一个混合方法试点研究,结合了定性 (采访,调查) 和定量 (观察) 方法.
- 参与社区药剂师,全科医生和阿鲁巴的患者.
- 根据医疗保健提供者,患者的见解和荷兰MR原则,制定了一项协议.
主要成果:
- 医疗保健提供者将优化患者体验和一致性确定为关键的MR目的.
- 药剂师和全科医生对患者选择和对MR的随访的责任有不同的看法.
- 在试点MR咨询中,每个患者发现了3-8个与药物治疗有关的问题;所有患者都认为咨询是有价值的.
- MR 具有节省成本的潜力.
- 为阿鲁巴社区药剂师制定了一个最终的MR格式,并提出了实际建议.
结论:
- 对于阿鲁巴MRs,建议在患者选择和随访方面采用全科医生和药剂师之间的协作方法.
- MR协议应纳入阿鲁巴的文化方面,包括生活方式,健康素养和草药产品的使用.
- 开发的MR格式为阿鲁巴加强药物管理提供了一个有希望的实用模型.
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