在记忆诊所中实施药剂师主导的药物评价研究的障碍和促进因素:使用TDF-COM-B的定性研究
Rishabh Sharma1, Yusra Aslam1,2, Sadaf Faisal1
1School of Pharmacy, University of Waterloo, 10 Victoria St S A, Kitchener, Ontario, Canada.
PloS one
|January 20, 2026
概括
在记忆诊所中对药剂师主导的药物评价进行研究,面临着沟通缺口和资源限制等障碍. 解决这些问题需要更明确的角色,更好的沟通和标准化的培训,以改善痴呆症患者的药物使用.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 药房实践 在药房实践.
背景情况:
- 优化药物使用对于认知障碍和痴呆症患者至关重要.
- 初级保健记忆诊所的药剂师进行药物审查,以解决与药物相关的问题.
- 对这些审查及其实施挑战的影响的研究是有限的.
研究的目的:
- 确定影响初级保健记忆诊所对药剂师主导药物评价研究实施的障碍和促进因素.
- 为成功实施研究产生潜在的干预策略.
主要方法:
- 一项定性研究,利用与18个利益相关方 (药剂师,医生,护理合作伙伴,医疗保健专业人员) 的焦点小组讨论.
- 采用了基于理论领域框架 (TDF) 的半结构化指南.
- 使用TDF-COM-B方法分析障碍物和促进因素.
主要成果:
- 主要障碍包括沟通缺口,不清楚的跨学科角色,参与者负担和有限的资源.
- 促进者包括审查的感知影响,患者参与,程序的知识,药剂师的认可和标准化审查.
- 实施策略包括标准化培训,数字工具,研究协调员,患者参与,工作流重新设计和激励措施.
结论:
- 这项研究确定了在记忆诊所实施药剂师主导药物评价研究的关键障碍和促进因素.
- 政策建议包括澄清跨学科角色,加强沟通,提供资源支持和标准化培训.
- 解决这些因素对于研究可行性,可持续性和改善认知障碍和痴呆症老年人药物使用至关重要.
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