允许药剂师处方:在新斯科舍省使用行为变化理论学习的经验教训
Amy Grant1, Natalie Kennie-Kaulbach2, Andrea Bishop3
1Maritime SPOR SUPPORT Unit (MSSU), Halifax, Nova Scotia.
概括
新斯科舍省的药剂师处方在COVID-19期间激增. 关键的促进因素包括知识和支持性环境,而障碍则涉及环境背景和对负面结果的恐惧,突出了对优化实践的需求.
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:
- 由于患者需求增加,实践范围扩大和政府资助,COVID-19大流行加速了新斯科舍省对药剂师处方的需求.
- 这就迫切需要了解影响这种实践转变的因素.
研究的目的:
- 调查影响新斯科舍省药剂师处方的障碍和促进因素.
- 为优化和全面实施药剂师处方的战略提供信息.
主要方法:
- 进行了一项连续的解释性混合方法研究.
- 利用一个横截面调查和与社区药剂师进行半结构化的定性访谈.
- 采用了行为变化轮,包括行为变化的能力机会动机模型 (COM-B) 和理论领域框架版本2 (TDFv2).
主要成果:
- 药剂师的处方频率显著增加,从49%增加到80%的处方在疫情期间每月15次以上.
- 促进者包括药剂师的知识,社会影响,感知到的奖励,处方决策工具和支持性的组织文化.
- 障碍包括环境环境,对负面结果的恐惧,以及在繁忙的环境中满足患者需求的压力.
结论:
- 药剂师处方已经出现了大幅增长.
- 环境支持,政府资助,同行支持和公众意识对于优化和有效实施这些实践变化至关重要.
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