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医疗保健专业人员对支持适当处方的工具的态度,障碍和促进者:一个横截面研究
Monia Donati1, Valentina Giunchi1, Giulia Grillini1
1Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
European journal of clinical pharmacology
|May 31, 2025
概括
意大利的医疗保健专业人员对适当的处方工具的采用有限,面临时间和知识差距等障碍. 提高患者安全需要更好的教育和综合数字解决方案.
科学领域:
- 老年人药理学 老年人药理学
- 医疗保健服务研究 医疗服务研究
- 临床药房实践 临床药房实践
背景情况:
- 可能不合适的处方会增加老年人的风险,包括药物相互作用和不良事件.
- 有工具可以帮助适当的处方,但它们的使用和障碍尚未得到充分理解.
- 本研究探讨了意大利医疗保健专业人员对这些工具的了解和采用情况.
研究的目的:
- 评估意大利医疗保健专业人员对适当处方工具的认识.
- 确定阻碍这些处方支持工具的采用障碍.
- 探索不同专业群体在工具使用和感知障碍的差异.
主要方法:
- 开发了一个问卷来评估与适当性工具相关的知识,采用和障碍.
- 通过文献审查和专家共识确定了工具.
- 用传统的内容分析分析了开放式的答案,重点是专业间的差异.
主要成果:
- 从药剂师,护士,全科医生,老年医生/内科医生和其他医生收集了657份答复.
- 比尔斯标准 (38%) 和STOPP/START标准 (34%) 是最常用的工具,主要由老年医生和其他医生使用.
- 主要障碍包括缺乏时间 (14%) 和知识 (10%),而培训 (38%) 和集成软件 (29%) 是促进者.
结论:
- 在意大利的医疗保健专业人员中,采用适当的处方工具是有限的,根据专业有显著的差异.
- 提高处方实践和患者安全需要集中精力在教育,专业间合作和用户友好的数字工具上.
- 政策制定者和机构应优先考虑开发和实施可访问和有效的处方支持系统.
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