关于ESCP最佳实践:在荷兰的初级保健中开发,实施和评估病假指导
Tristan Coppes1, Ellen S Koster2, Daphne Philbert1
1Department of Pharmacoepidemiology and Clinical Pharmacology, Faculty of Science, Utrecht Institute for Pharmaceutical Sciences (UIPS), Utrecht University, PO Box 80082, 3508 TB, Utrecht, The Netherlands.
International journal of clinical pharmacy
|February 25, 2026
概括
为功能受损患者实施病假指导,需要医疗保健专业人员培训和患者教育. 虽然培训有助于调整药物,但仅仅患者教育并不能确保报告,因此需要进一步的支持策略.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 临床药房 临床药房
- 实施科学 实施科学
背景情况:
- 指南建议在患病期间调整高风险药物,以预防功能受损的患者急性损伤.
- 患者和医疗保健专业人员对病日指导的认识目前很低,这阻碍了其实际应用.
研究的目的:
- 开发,实施和评估一项病假指导计划,用于那些使用高风险药物,患有先前存在的功能障碍的患者.
主要方法:
- 一项为期12个月的研究,涉及21家社区药房和附属全科医生.
- 培训材料的开发,包括医疗保健专业人员的电子学习模块和患者信息资源.
- 373名患者接受了关于报告病假的指令;使用"实施研究综合框架" (CFIR) 评估了实施情况.
主要成果:
- 成功实施与适当的培训,团队参与和药房技术人员参与患者信息提供有关.
- 障碍包括缺乏信息系统支持,没有退款,报告的病假数量低 (报告8天,根据患者调查估计超过12天).
结论:
- 培训医疗保健专业人员对于在病假期间调整药物至关重要.
- 仅仅是患者教育不足以使病假报告的一致.
- 涉及非正式护理人员可能会加强患者对病假的信号和管理的支持.
相关概念视频
Methods Of Healthcare Delivery System
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Primary Healthcare Services
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
Secondary Healthcare System
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
Specialized Care Centers and Settings-I
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Methods of Documentation VI: Case Management Model
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
For example, a patient with a chronic illness...
Documentation in Long-Term and Home Healthcare Setting
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities


