在药剂师主导的初级保健诊所中开展专业间合作
Kerry Wilbur1, Debbie Kelly2, Derek Jorgenson3
1Faculty of Pharmaceutical Sciences, the University of British Columbia, Vancouver, BC.
概括
药剂师建立多样化的网络来管理初级环境中的患者护理. 他们克服系统障碍,利用关系克服挑战,突出了扩大实践范围的必要性.
科学领域:
- 药房实践 在药房实践.
- 医疗保健服务研究 医疗服务研究
- 社交网络分析 社交网络分析
背景情况:
- 药剂师在以团队为基础的护理中至关重要,但他们在单一学科的门诊机构的跨专业合作尚未得到充分理解.
- 了解这些协作动态对于优化患者护理提供至关重要.
研究的目的:
- 探索药剂师领导的初级保健诊所中药剂师之间的跨专业合作的性质和组成.
- 确定药剂师如何建立和维护网络以支持患者护理.
主要方法:
- 从3个加拿大大学附属的,由药剂师领导的初级保健诊所招募药剂师.
- 利用社交网络分析,包括半结构面试和社会图 (参与者绘图).
- 通过系统的编码和代的改进分析了采访成绩单.
主要成果:
- 采访了11名药剂师 (78%),产生了28个社会图.
- 药剂师网络包括各种健康专业人员和家庭成员.
- 药剂师通过沟通和药物管理决策保持了关系,尽管有物理分布.
结论:
- 药剂师网络是动态的,对初级保健中药物管理至关重要.
- 药剂师采用策略来克服合作障碍,往往需要患者自我倡导.
- 扩大药剂师的实践范围可能有助于缓解系统障碍.
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