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便利化影响社区药房实践转型在翻转药房计划中的药房
Arwa A Al-Khatib1, William R Doucette2
1Assistant Professor of Pharmaceutical and Graduate Life Sciences, Manchester University College of Health Professions, Nursing and Pharmacy, 10627 Diebold Rd., Fort Wayne, IN 46845.
成功的药房实践转型与有效的指导和促进策略有关. 关键因素包括具体的促进活动,工具和人员配置,这大大提高了药剂师对实践变革的参与度.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 药房实践转型 药房实践转型
- 系统工程 系统工程
背景情况:
- 翻转药房 (FtP) 计划旨在通过实践促进改善社区药房实践.
- 关于成功促进特征和影响药房实践转型的因素的数据有限.
- 这项研究评估了FTP计划中的实践转型,并确定了关键的促进要素.
研究的目的:
- 评估参与FTP计划的社区药房的实践转型.
- 分析促进策略,活动和工具与实践转型之间的关系.
- 确定有助于成功促进药房实践变革的因素.
主要方法:
- 一个横截面混合模式的调查分发到809个药房在FTP队列1和2.
- 该调查评估了使用患者安全系统工程倡议 (SEIPS) 模型组件,促进策略,活动,工具和药房特征的实践转型.
- 用描述性统计和线性回归来分析数据,以检查促进和实践转型之间的关联.
主要成果:
- 在感知实践转型和辅导促进策略 (β=0.365),促进工具 (β=0.37) 和人员配置 (β=0.193) 之间发现了积极的关联.
- 与队列2相比,队列1的药房报告了较高的实践转型.
- 促进活动 (能力建设,人力资源,工作流程,工作空间,IT使用) 和工具显著预测了SEIPS工作系统组件的实践转型 (βs从0.22到0.33).
结论:
- 辅导员的指导策略和具体活动大大提高了药房实践的转型.
- 促进工具对于吸引药剂师采取实践变革至关重要.
- 该SEIPS模型为评估药房实践转型提供了一个全面的框架.
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