一个混合方法协议,用于对药房第一服务的影响和实施评估,以管理英格兰常见疾病
Rebecca E Glover1, Mirza Lalani1, Kimberley Sonnex2
1Department of Health Service Research and Policy, London School of Hygiene & Tropical Medicine, 15-17 Tavistock Place, London WC1H 9SH, United Kingdom.
The International journal of pharmacy practice
|March 5, 2025
概括
英国的药房第一 (PF) 服务旨在通过使社区药房能够治疗常见疾病来改善初级保健的准入. 该评估评估了其对医疗保健使用,获得公平性和成本的影响.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
- 制药服务 制药服务
背景情况:
- 英国国家卫生服务 (NHS) 面临着高需求,导致长时间等待初级医疗保健.
- 该NHS初级保健恢复计划包括药房第一 (PF) 服务来应对这些挑战.
- PF允许社区药房在咨询药剂师后,为七种常见疾病提供仅需处方药.
研究的目的:
- 评估药房第一 (PF) 服务的实施情况.
- 评估PF对处方量,GP咨询案例组合,医院使用,准入公平性和成本的影响.
- 为了确定PF服务实施的可接受性和忠实性.
主要方法:
- 一个为期36个月的混合方法评估,包括证据综合,采访,重点小组和定量分析.
- 使用中断时间序列分析和常规数据进行影响评估.
- 采用实施研究的综合框架和Proctor的实施成果框架进行综合.
主要成果:
- 本部分应在研究结果可用后填写.
结论:
- 该评估旨在提供证据,证明PF对获得初级医疗保健和抗菌素使用质量的贡献.
- 调查结果将为PF的改进提供信息,并指导决策者加强社区药房的作用.
- 公共可用的方法和代码将支持全球类似的评估.
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