社区药房和初级保健整合:有关利益相关者的意见和干预措施的定性研究
Amaia Urionagüena1, Celia Piquer-Martinez2, Shalom Isaac Benrimoj1,2
1Pharmacy Practice Research Group, Faculty of Pharmacy, University of the Basque Country, UPV/EHU, Vitoria-Gasteiz, Spain.
Journal of pharmaceutical policy and practice
|September 10, 2024
概括
将社区药房整合到初级医疗保健中可以提高效率. 关键干预措施包括加强沟通,使用协议,并让药剂师参与初级保健会议,以改善医疗保健系统的协作.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 药房实践 在药房实践.
- 整合初级保健的整合.
背景情况:
- 全球卫生系统面临巨大的压力,需要提高效率.
- 医疗保健服务的整合是提高系统性能的一个潜在策略.
- 研究将社区药房纳入初级医疗保健,以应对系统压力.
研究的目的:
- 收集利益相关方关于整合社区药房和初级医疗保健的意见.
- 探索和优先考虑社区药房和初级保健之间的初始整合计划的干预措施.
主要方法:
- 在西班牙巴斯克国家采用建设主义方法进行的两阶段定性研究.
- 聚焦小组和半结构面试的主题分析 (第一阶段).
- 命名组技术来优先考虑整合干预措施 (第二阶段).
主要成果:
- 利益相关者将整合视为协作,沟通或合作.
- 对社区药房的积极看法,但对其商业性质的担忧.
- 确定的障碍包括沟通缺口,并建议转向以服务为基础的药剂师报酬.
- 优先干预措施:双向沟通,专业间协议和药剂师参与初级保健会议.
结论:
- 提出了三项干预措施,以启动社区药房和初级保健整合.
- 实施需要与当局进行谈判,然后进行评估.
- 利益相关者的意见对于制定有效的融合战略至关重要.
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