药房内部:一项定性研究揭示了社区药剂师对帕克斯洛维德处方的经验
Sura O AlMahasis1, Bonyan Qudah2, James H Ford1
1Social and Administrative Sciences Division, School of Pharmacy, University of Wisconsin-Madison, Madison, WI.
社区药剂师在Paxlovid获取方面发挥着关键作用,但在患者数据和报销方面面临着挑战. 改善电子健康记录的访问和提供者身份可以提高其有效性.
科学领域:
- 实施科学 实施科学
- 医疗保健服务研究 医疗服务研究
- 药房实践 在药房实践.
背景情况:
- 社区药剂师现在向符合条件的患者开处方Paxlovid (nirmatrelvir/ritonavir).
- 了解药剂师的经验对于优化患者获得这种抗病毒药物的机会至关重要.
研究的目的:
- 描述社区药房Paxlovid的处方过程.
- 确定影响药剂师处方Paxlovid的障碍和促进因素.
主要方法:
- 使用半结构化虚拟访谈对威斯康星州药剂师进行定性探索性研究.
- 通过实施研究综合框架 (CFIR) 进行的采访.
- 由CFIR指导的主题分析,以确定关键主题.
主要成果:
- 患者获得有限的健康信息和不充分的补偿是主要障碍.
- 促进者包括决策支持工具,感知相容性和远程查/咨询能力.
- 根据电子健康记录 (EHR) 访问,资格查时间从5分钟到45分钟不等.
结论:
- 社区药剂师对于Paxlovid接入至关重要,但需要更好地整合和报销EHR.
- 倡导提供者身份和让药剂师参与公共卫生计划设计可以改善结果.
- 优化药剂师角色可以提高资源分配和公共卫生效率.
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