沙特医院主动处方的障碍和促进因素:使用理论领域框架的定性研究
1Department of Clinical Pharmacy, College of Pharmacy, Taif University, Taif 21944, Saudi Arabia.
Healthcare (Basel, Switzerland)
|June 13, 2025
概括
沙特医院的医生面临着处方障碍,包括时间限制和医疗法律问题. 培训和机构支持等干预措施可以通过促进主动药物审查来提高药物安全性.
科学领域:
- 老年医学 老年医学
- 临床药房 临床药房
- 医疗保健服务研究 医疗服务研究
背景情况:
- 多药性 (使用五种或更多药物) 是医院日益关注的问题,与不良事件和成本增加有关.
- 积极的抑郁症旨在通过停止不必要或有害的药物来优化药物使用.
- 由于文化因素和医疗保健系统的转变,沙特阿拉伯为抑郁症提供了一个独特的背景.
研究的目的:
- 探索沙特医院的医生在主动降低处方的障碍和促进因素.
- 利用理论领域框架 (TDF) 来识别影响抑郁症决定的行为因素.
主要方法:
- 与27名经验丰富的医生进行了半结构化采访,这些医生有经验管理多药房.
- 转录和主题分析采访以确定行为决定因素.
- 使用理论领域框架 (TDF) 的14个领域对决定因素进行分类.
主要成果:
- 推动因素包括指导方针,决策支持工具,专业间合作和机构支持.
- 障碍包括时间有限,工作量有限,缺乏协议,医疗法律问题,患者/护理人员的抵抗力和培训不足.
- 环境背景和资源,社会影响和对能力的信念是影响实践的关键TDF领域.
结论:
- 确定了影响沙特医院主动抑郁的关键行为和上下文因素.
- 通过临床医师培训,机构支持和多学科合作来解决障碍,可以增强抑郁症的整合.
- 调查结果为改善药物安全和优化沙特医疗保健处方提供了特定背景的见解.
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