患者对综合药物评估经验的看法:持续质量改进的框架
Melissa Castora-Binkley1, Shalini Selvarajah1, Mariana Felix2
1Pharmacy Quality Alliance, Alexandria, VA.
Journal of managed care & specialty pharmacy
|November 29, 2024
概括
患者发现综合药物评价 (CMR) 根据药物评价内容,药房专业特征和电话互动最有意义. 纳入患者的观点对于改善这种医疗保险D部分服务至关重要.
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.
- 以患者为中心的护理
背景情况:
- 综合药物审查 (CMR) 是医疗保险D部分受益人的年度服务.
- 了解患者对CMR的看法对于改善服务至关重要.
- 从患者的角度来看,关于CMRs最有意义的方面目前的知识是有限的.
研究的目的:
- 探索患者对综合药物评估 (CMR) 服务的见解.
- 通过了解患者经验,指导CMR的质量改进工作.
- 确定使CMR对患者有意义的关键主题.
主要方法:
- 与42名最近接受了电话CMR的患者进行了半结构面试.
- 一个面试指南专注于整体经验,药物知识,担忧,管理,满意度和互动.
- 专题分析了采访成绩单,以确定患者的关键观点.
主要成果:
- 制定了一个有意义的CMR方面框架,包括内容,药房专业特征和电话互动.
- 患者的体验是由内在因素 (如先前的体验) 构成的.
- 确定的主要主题是药物审查内容,药房专业人员的专业性和电话交互质量.
结论:
- 患者对CMR的看法对于质量改善举措至关重要.
- 确定的主题为使用结构-流程-结果模型增强CMR服务提供了基础.
- 未来的质量改进活动应积极纳入患者的反和经验.
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