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社区药房内的健康相关社会需求计划促进者的看法和态度:混合方法研究
Durdana N Iqbal1, Christopher J Daly1, Jessica Anderson2
1University at Buffalo School of Pharmacy and Pharmaceutical Sciences, Department of Pharmacy Practice, 313 Pharmacy Building, 3435 Main Street, Buffalo, New York, USA 14214.
Journal of the American Pharmacists Association : JAPhA
|June 12, 2025
概括
社区药房可以通过专注于培训,领导力支持和解决工作流程挑战来改善与健康相关的社会需求 (HRSN) 计划. 这些因素是成功实施和患者参与的关键.
科学领域:
- 实施科学 实施科学
- 社区药房实践 社区药房实践
- 医疗保健服务研究 医疗服务研究
背景情况:
- 社区药房与健康相关的社会需求 (HRSN) 计划利用药房的可访问性来将患者与资源联系起来.
- 了解影响药店HRSN计划实施的上下文因素至关重要.
- 这项研究探讨了利用实施研究综合框架 (CFIR) 在药房中实施HRSN计划的促进者的看法.
研究的目的:
- 探讨计划方便者对在社区药房设置中实施HRSN计划的看法和态度.
- 使用CFIR框架识别HRSN项目实施的促进者和障碍.
主要方法:
- 一个同时进行的混合方法研究,涉及调查和聚焦小组与计划促进者.
- 从纽约社区药房增强服务网络 (CPESN NY) 中的15家药房收集的数据.
- 分析利用CFIR框架将定性主题映射到相关领域和结构中.
主要成果:
- 12名计划方便者 (药剂师和技术人员) 参与 (75%的响应率).
- 83%的受访者发现,社区卫生工作者 (CHW) 课程的缩写提高了患者对社会需求的参与度.
- 确定了关键主题:培训,领导力参与和患者参与挑战.
结论:
- 实施成功受到CFIR构造的影响,例如获取知识,领导参与,结构特征和复杂性.
- 培训,战略实施和多层领导是HRSN计划的关键推动因素.
- 解决人员配置,工作流程和推系统的问题可以增强基于药房的HRSN计划的整合和可持续性.
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