在社区药房实施基于价值的付款者计划的最佳实践和障碍:EPIS框架的应用
Journal of the American Pharmacists Association : JAPhA
|November 6, 2025
概括
社区药剂师寻求新的收入来源,但需要支持实施患者护理服务. 识别最佳实践和克服障碍是社区药房设置可持续变革的关键.
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
- 实施科学 实施科学
背景情况:
- 社区药房对于药物使用优化和患者健康结果至关重要.
- 社区药房增强服务网络 (CPESN) 密西西比州促进了社区药房之间的合作.
- 在社区药房推进临床服务需要有效的工作流程增强.
研究的目的:
- 评估患者护理服务的实施过程中遇到的障碍.
- 确定在社区药房内实施患者护理服务的最佳实践.
- 评估社区药房参与付款人参与的挑战和成功.
主要方法:
- 采用了定性,质量改进研究设计.
- 我们采访了21名CPESN密西西比州药房的所有者或经理.
- 探索,准备,实施,维持 (EPIS) 框架指导了面试指南的开发,以发现障碍和最佳实践.
主要成果:
- 最佳实践出现了四个关键主题:角色专业化,清晰的沟通,领导力支持和患者参与.
- 四个主要主题被确定为障碍:基础设施需求,文档复杂性,员工购买和报销问题.
- 该研究取得了41%的响应率,其中8次采访集中在最佳实践和13次采访集中在障碍上.
结论:
- 社区药剂师有动力通过增强服务寻求其他收入来源.
- 实施支持对于药剂师成功采用新型患者护理服务至关重要.
- 该EPIS框架为制定战略提供了基础,以创造社区药房实践中可持续和可扩展的变化.
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