在一般实践中,药剂师主导的以患者为中心的药物审查中的新程序理论 - - 定性试点研究
Susanne Kaae1, Sara Sommer Holst2, Johanne Mølby Hansen3
1Department of Pharmacy, University of Copenhagen, Copenhagen, Denmark.
Research in social & administrative pharmacy : RSAP
|July 31, 2025
概括
一个新的以患者为中心的药物审查 (MR) 模型,涉及药剂师和全科医生 (GPs),改善了患者和GP的满意度. 关键机制包括对齐的理解,关系工作和灵活性,支持初级保健中的合理处方.
科学领域:
- 初级医疗保健医学 一级医疗保健医学
- 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:
- 药剂师越来越多地融入一般实践,以优化处方和减少工作负载.
- 一个新的以患者为中心的药物评价 (MR) 模型是为初级保健多药房患者开发的.
- 这种模式强调患者参与,通过初始问题检测和联合GP-药剂师会议.
研究的目的:
- 试点测试一种新的以患者为中心的药物评价 (MR) 模型.
- 为了补充现有的关于初级保健中药剂师-GP合作的程序理论.
主要方法:
- 在两个丹麦的一般实践中进行了定性描述性的非参与性观察.
- 与全科医生,患者和药剂师进行半结构面试.
- 使用现实的评估原则来推断链接上下文,干预和结果的机制.
主要成果:
- 新的MR模型在患者和全科医生之间产生了很高的满意度.
- 确定了三个核心机制:药剂师和全科医生之间的MR理解的协调,对关系工作的投资和模型灵活性.
- 灵活性使该模型能够适应不同的GP经验,工作方式和患者知识.
结论:
- 该试点展示了药剂师如何有效地支持一般医生在初级保健机构.
- 有效的合作取决于药剂师和全科医生之间关于多药房管理的"共享心理模型".
- 关系工作对于导航不同的观点和发展共同理解至关重要.
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