澳大利亚的老年护理现场药剂师 (ACOP) 计划:一项定性研究,研究在老年护理院成功实施的关键因素
Sara Javanparast1, Daria S Gutteridge2, Peter D Hibbert2,3
1UniSA Allied Health and Human Performance Unit, C/O Level 8, South Australian Health and Medical Research Institute (SAHMRI), University of South Australia, North Terrace, Adelaide, SA, 5000, Australia. sara.javanparast@unisa.edu.au.
International journal of clinical pharmacy
|August 26, 2025
概括
现场护理药剂师计划提高了老年护理院的药物管理. 成功的全国扩张需要解决个人,组织和政策因素的可持续性和改善居民的结果.
科学领域:
- 医疗服务研究
- 药房实践
- 改善老年护理的质量
背景情况:
- 澳大利亚启动了老年护理现场药剂师 (ACOP) 计划,为老年护理院 (RACH) 提供药剂师.
- 在国家范围内扩大ACOP计划需要了解影响其成功实施和RACH药物质量改善的因素.
研究的目的:
- 在RACH中探索利益相关者的药物管理观点.
- 评估各种利益相关者对现场药剂师的看法.
- 确定在RACH中成功实施ACOP计划的关键考虑因素.
主要方法:
- 使用半结构面试 (n=61) 进行的定性研究,对包括居民/家庭,药剂师,医疗从业人员,RACH工作人员和政策制定者在内的各种利益相关者进行了采访.
- 包括来自大都市和农村的参与者.
- 在实施研究综合框架的指导下,对转录的采访进行主题分析.
主要成果:
- 实施因素分为五个主题:个人,创新,流程,内部环境 (组织背景) 和外部环境 (政策背景).
- 利益相关者普遍重视现场药剂师的贡献,强调方案的灵活性可接受性和采用性.
- 确定的关键成功因素包括劳动力,领导力,基础设施,资源和政策支持.
结论:
- 在RACH中改善药物管理是有前途的.
- 大规模实施需要仔细考虑相互关联的个人,组织和政策因素,以确保普及,适用性和可持续性.
- 这些发现对政策制定者和提供者产生影响,以优化ACOP计划的扩展,以改善居民健康结果.
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