健康素养的决定因素 量身定制的沟通实践 法国社区药房的采用:一个理论领域框架 混合方法研究
Marie Rambure1,2, Adèle Perrin1, Noémie Rossello2
1Research on Healthcare Performance (RESHAPE), INSERM U1290 University Claude Bernard Lyon 1 Lyon France.
社区药房工作者 (CPW) 往往缺乏对健康素养 (HL) 的认识. 调整沟通的障碍包括有限的资源和非结构化的评估方法,阻碍了患者在慢性疾病管理中的赋权.
科学领域:
- 药房实践 在药房实践中
- 卫生沟通 卫生沟通
- 患者赋权是患者赋权的一种方式.
背景情况:
- 社区药房工作者 (CPW) 在改善患者对其健康状况的理解和赋权方面发挥着至关重要的作用.
- 健康素养 (HL) 是患者如何管理疾病的关键因素,CPW有能力支持这一点.
- 本研究研究了影响CPW评估和根据患者的HL水平调整沟通能力的挑战和促进者.
研究的目的:
- 探索CPW行为在评估患者健康素养 (HL) 水平方面的障碍和推动因素.
- 调查CPW如何根据患者的HL水平调整他们的沟通策略.
- 确定加强社区药房中HL定制沟通的决定因素.
主要方法:
- 一个使用理论领域框架 (TDF) 的连续解释性混合方法研究.
- 在线调查问卷分发给法国的药剂师和药房技术人员.
- 半结构面试以进一步探索调查结果.
主要成果:
- 显著的大多数 (84%) 的CPW最初不知道HL的概念.
- 职工报告了非正式的,主观的方法来评估HL和调整沟通.
- 关键的障碍包括缺乏环境线索,时间,资源,既定的例行程序和跨专业的合作.
结论:
- 医疗保健工作人员在评估和适应患者的健康素养水平方面面临重大障碍.
- 干预措施应针对已识别的决定因素,以改善针对HL的沟通实践.
- 基于理论的干预措施可以增强CPW的沟通策略,以获得更好的患者结果.
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