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农村卫生系统管理员对药剂师在协作药物治疗管理中的作用的看法
Suzanne Whitten1, Sharmon P Osae2, Russ Palmer3
1PGY2 Ambulatory Care Pharmacy Resident, University of Georgia College of Pharmacy, Department of Clinical and Administrative Pharmacy, Athens, GA.
Journal of the American Pharmacists Association : JAPhA
|September 25, 2025
概括
乔治亚州的协作药物治疗管理 (CDTM) 尚未得到充分利用,管理人员对药剂师的能力表现出不一致的理解. 解决这些知识差距和感知障碍是扩大药剂师领导的患者护理服务的关键.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 药房实践 在药房实践.
- 医疗保健管理局的管理.
背景情况:
- 格鲁吉亚的协作药物治疗管理 (CDTM) 允许药剂师在医生监督下调整药物,改善结果并降低成本.
- 尽管有好处,但只有不到1%的格鲁吉亚药剂师拥有CDTM许可证.
- 管理员对CDTM下药剂师角色的理解有限,这阻碍了服务的扩展.
研究的目的:
- 收集来自格鲁吉亚农村医疗保健管理人员关于增加CDTM服务的反.
- 通过药剂师主导的CDTM,确定扩大患者护理获取的战略.
主要方法:
- 质量探索性面试设计,采用完整的目标人群抽样.
- 七名卫生系统管理人员接受了关于他们对药剂师领导的CDTM的知识,感知到的好处和障碍的采访.
- 使用诱导编码和常量比较分析来确定关键主题.
主要成果:
- 管理员在CDTM中表现出对药剂师知识,技能和能力的不一致理解.
- 感知到的好处包括改善患者护理,增强基于价值的指标和更好的医生和药剂师合作.
- 障碍包括对医生接受,药剂师能力和收入损失的担忧.
结论:
- 卫生系统管理人员是CDTM实施的关键利益相关者.
- 提高管理员和提供者对药剂师能力的认识至关重要.
- 解决感知到的好处和障碍可以促进药剂师领导的CDTM服务在格鲁吉亚的扩展.
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