评估一个药房嵌入社区卫生工作者模型的实施和维持潜力
Journal of the American Pharmacists Association : JAPhA
|October 31, 2025
概括
将社区卫生工作者 (CHW) 纳入农村药房是可行的,可以接受的,无论是CHW还是监督者,都显示出改善农村医疗保健提供和获取的希望.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
- 农村卫生 农村卫生
背景情况:
- 农村社区经历了显著的医疗保健准入和结果差异.
- 社区药房是可访问的环境,可以解决这些差距.
- 将社区卫生工作者 (CHW) 嵌入药房可能会提高服务不足人群的护理协调和健康结果.
研究的目的:
- 评估药房嵌入式CHW模型的实施和维持潜力.
- 评估该模型在农村社区药房中的可接受性,可行性和适当性.
主要方法:
- 顺序解释混合方法设计.
- 在阿肯色州49家农村药房中对医疗保健工作者 (n=47) 和监督员 (n=41) 进行调查.
- 与10家选定的药房的CHW和监督员进行了定性采访.
主要成果:
- 在接受性,可行性和适当性方面,CHW和监管机构都给出了很高的评分.
- 大多数CHW报告满意度 (85%) 并认为该模型工作得很好 (91%).
- 监督人员认可了好处 (83%) 并推了该模型 (79%);促进者包括社区需求和领导力支持,而障碍包括培训需求和有限的农村申请人群.
结论:
- 药房嵌入式CHW模型是可以接受的,可行的,适合农村环境.
- 该模型显示了改善农村医疗保健服务的潜力.
- 建议进行进一步的研究,以评估成本效益,长期成果和实施障碍策略.
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