提高社区药房专业服务质量的优先事项是什么? 与多个利益相关者进行名义小组技术讨论
Ali M K Hindi1, Ellen I Schafheutle2, Stephen M Campbell3,4
1Centre for Pharmacy Workforce Studies, Division of Pharmacy and Optometry, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Oxford Road, Manchester, M13 9PT, UK. ali.hindi@manchester.ac.uk.
BMC health services research
|December 19, 2024
概括
利益相关者优先考虑优质的服务设计,持续的资金和整合,以改善社区药房. 提高专业服务需要专注于患者需求和劳动力发展,以获得更好的初级保健.
科学领域:
- 药房实践 在药房实践.
- 医疗保健系统研究 医疗保健系统研究
- 主要护理是指初级护理.
背景情况:
- 全球扩大社区药房服务,以满足患者需求并降低成本.
- 英国的重点是社区药房的综合专业服务.
- 对社区药房设置的护理质量存在持续的担忧.
研究的目的:
- 确定关键利益相关者的优先事项,以提高专业社区药房服务的质量.
- 为制定一个改善社区药房服务的框架提供信息.
- 为了使社区药房服务与更广泛的医疗保健系统目标保持一致.
主要方法:
- 六个名义上的小组讨论 (NGD) 涉及36个不同的利益相关者,包括患者,药剂师,全科医生,监管机构和委员会成员.
- 利用Delbecq的名义小组技术来产生想法,反,讨论和达成共识.
- 使用NVivo12对36名参与者的文字成绩单进行主题分析,并进行定量排名以确定共识优先级.
主要成果:
- 出现了五个关键主题:优质服务设计,持续融资,医疗保健系统整合,社区药房作为患者中心,以及劳动力培训/保留.
- 参与者强调需要长期致力于以患者为中心的服务设计和可预测的资金.
- 排名最高的优先事项是:优质服务设计,持续融资,整合,患者中心和劳动力培训/保留.
结论:
- 该研究确定了为加强社区药房专业服务的框架的关键优先领域.
- 建议支持一个更具响应性和综合性的初级保健主导的医疗保健系统.
- 调查结果强调,需要对服务设计,融资,整合和劳动力发展进行战略投资.
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