一项定量研究,探索和比较爱尔兰医疗保健环境中药物管理的关键因素
Bernadine O'Donovan1, Ciara Kirke2, Muriel Pate2
1Data Science Centre, School of Population Health, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
概括
患者和医疗保健专业人员 (HCP) 不同地感知患者的药物知识和能力. 有目的的参与,不频繁,可以减少对药物的过度使用和伤害的恐惧.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者体验 患者体验
- 药物管理 药物管理
背景情况:
- 药物管理中的共享决策依赖于患者寻求信息的行为,包括知识,自我效能和参与.
- 了解这些因素的感知对于有效的患者-提供者沟通至关重要.
研究的目的:
- 为了比较患者,家庭护理人员和医疗保健专业人员 (HCP) 对患者知识,能力和参与的看法.
- 检查这些因素与患者的药物信仰之间的关联.
主要方法:
- 一项涉及爱尔兰患者,家庭护理人员,社区和医院医疗保健工作人员的横截面调查研究.
- 调查评估了药物管理因素和对药物的信仰 (BMQ-General).
- 统计分析包括千二测试和多变量线性回归.
主要成果:
- 患者和家庭护理人员报告了比社区 (24%) 和医院医疗保健人员 (23.3%) 更高的药物知识 (56.7%).
- 患者/护理人员在维护药物清单方面比报告信心较低的医疗保健工作者更有信心.
- 经常向医疗保健工作者询问药物的情况与药物过度使用和危害的信念增加有关.
结论:
- 医疗保健专家和患者/护理人员在药物知识和能力方面存在重大分歧.
- 建议在频繁的互动中,医疗保健工作者和患者之间进行战略性,有目的的参与,以减轻对药物的过度使用和危害的担忧.
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