奥地利药剂师主导的处方:关于临床准备和法律框架的混合方法研究
Olaf Rose1,2, Clarissa Egel1, Johanna Pachmayr1,2
1Institute of Pharmacy, Pharmaceutical Biology and Clinical Pharmacy, Paracelsus Medical University, 5020 Salzburg, Austria.
Pharmacy (Basel, Switzerland)
|September 22, 2025
概括
奥地利药剂师表现出对扩大临床角色的准备,社区药剂师经常在紧急情况下使用判断力. 系统性支持和培训对于更广泛的参与和改善患者护理至关重要.
科学领域:
- 药房实践 在药房实践中
- 医疗保健服务研究 医疗服务研究
- 临床药房 临床药房
背景情况:
- 奥地利的社区药剂师可以在紧急情况下分发处方药.
- 医院药剂师在医生批准下定义了治疗适应中的角色.
- 了解药剂师对这些框架的解释和应用对于优化医疗保健提供至关重要.
研究的目的:
- 探索奥地利药剂师对现有的分发和治疗调整框架的解释和应用.
- 评估药剂师对扩大临床角色的准备程度.
- 确定加强临床参与所需的系统性条件.
主要方法:
- 一个采用横截面设计的混合方法研究.
- 两项在线调查分发给社区和医院药剂师.
- 15个半结构面试 (10个社区,5个医院) 和使用三角分析的定量/质量数据分析.
主要成果:
- 社区药剂师经常在紧急情况下使用临床判断,以克服监管的模两可.
- 超过88%的药剂师支持扩大角色,包括避孕管理,慢性疾病护理和感染治疗点检测.
- 医院药剂师报告说,由于机构因素和有限的数据访问,在实施其框架方面存在挑战,对临床决策的信心很低.
结论:
- 奥地利的药剂师已经为扩大临床责任做好了准备,特别是在社区环境中.
- 对医院药剂师来说,解决机构惯性,改善数据获取和提供有针对性的培训至关重要.
- 政策支持和加强培训对于促进更广泛的临床参与和优化奥地利制药护理至关重要.
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