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影响免疫记录的因素 在独立社区药房中从免疫信息系统中检索免疫记录:全国调查
Oluchukwu M Ezeala1, Nicholas P McCormick1, Christopher L Meininger1
1Auburn University Harrison College of Pharmacy, 4306 Walker Building, Auburn, AL, 36849, USA.
社区药房通常不会从免疫信息系统 (IIS) 中检查患者免疫记录. 提高 IIS 流程效率和领导力支持是提高药房检索疫苗记录的关键.
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 药房实践 在药房实践中
背景情况:
- 社区药房从免疫信息系统 (IIS) 中一致地检索患者免疫记录是不一致的.
- 这种不一致性影响了全面的疫苗接种策略和患者护理.
- 了解影响IIS使用的因素对于改善疫苗记录访问至关重要.
研究的目的:
- 确定与社区药房在IIS中检索疫苗记录相关的关键因素.
- 确定社区药剂师 IIS 使用率高低的预测因素.
主要方法:
- 在全国社区药剂师协会的9446名成员中进行了横截面调查,其中包括202名参与者.
- 参与者自我报告的IIS记录检索频率是依赖变量,分为高或低IIS用户.
- 独立变量包括基于实施研究综合框架的药房特征和感知,使用探索性因子分析和多变量后勤回归分析.
主要成果:
- 大约65%的受访者是高IIS用户,而35%是低用户.
- 两变量分析显示了基于职位,国家要求和与IIS相关的八个感知尺度的显著差异.
- 多变量后勤回归确定了流程优化 (p=0.009) 和领导力支持 (p=0.018) 作为高IIS利用率的重要预测因素.
结论:
- 旨在增加社区药房从IIS中检索疫苗记录的干预措施应优先考虑提高IIS流程的效率.
- 加强药房内的领导支持也是鼓励一致使用IIS的关键因素.
- 这些有针对性的干预措施可以通过确保更完整的免疫记录来加强公共卫生.
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