临床药房服务在初级医疗保健中的实施:一个范围审查
João Pedro Vasconcelos Paolinelli1, Taiana de Alencar1, Kérilin Stancine Santos Rocha2
1Graduate Program in Pharmaceutical Services and Policies, Federal University of Espirito Santo, Alegre-ES, Brazil.
Journal of evaluation in clinical practice
|September 25, 2025
概括
这一范围审查映射了有关在初级医疗保健中实施临床药房服务的国际研究. 调查结果显示,需要更多的研究,特别是在发展中国家,以了解实施过程.
科学领域:
- 药房实践研究研究 药房实践研究
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
背景情况:
- 临床药房服务 (CPS) 在医疗保健中的实施是复杂的,现有的研究往往集中在住院和门诊机构.
- 在综合CPS的实施过程中存在很大的差距,特别是在初级医疗保健 (PHC) 中.
研究的目的:
- 开展关于在初级卫生保健中实施临床药房服务的研究的国际映射.
- 确定文献中关于在PHC中实施CPS的趋势,方法和结果.
主要方法:
- 根据JBI"证据综合手册"的指导方针进行了全面的范围审查.
- 在2023年5月,在六个数据库,灰色文献和参考列表中进行了系统的搜索.
- 包含了详细介绍在PHC中CPS实施的原始研究,数据被提取并进行描述性分析.
主要成果:
- 包括97项研究,主要来自发达国家 (85.6%).
- 定性和混合方法研究很常见 (46.4%),但很少有研究使用理论模型 (22.7%) 或详细介绍实施阶段 (3.1%).
- 综合药物管理是最常见的服务 (36.8%),可行性是最常被评估的结果 (73.2%).
结论:
- 有许多关于在初级保健中实施药剂师提供的临床服务的出版物.
- 结果可以为未来的实施研究提供信息,特别强调需要更多地关注发展中国家和欠发达国家.
- 需要进一步探索CPS在各种医疗保健环境中的实施过程和结果.
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