一个多层次的负担还是一个合适的? 医生对丹麦多剂量药物处方的看法
Stine Søndersted Clausen1, Cille Bülow2, Tina Drud Due3
1Section of General Practice and Research Unit for General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
Scandinavian journal of primary health care
|March 6, 2026
概括
多剂量药物发行 (MDD) 面临着在丹麦的实施挑战,尽管它的好处. 医生报告说,工作量增加和患者适合性不确定性增加,这表明需要一个更灵活的MDD系统.
科学领域:
- 药房实践 在药房实践.
- 医疗保健服务研究 医疗服务研究
- 药物安全 药物安全
背景情况:
- 多剂量药物发行 (MDD) 旨在提高药物安全性和药物坚持性.
- 尽管有好处,但丹麦的MDD采用落后于邻国.
- 整合到共享药物记录 (SMR) 中并没有完全促进MDD的吸收.
研究的目的:
- 探索丹麦全科医生 (GPs) 和医院医生的MDD经验.
- 了解MDD实施后SMR整合的障碍和促进者.
主要方法:
- 使用半结构面试对15名医生 (8名全科医生,7名医院医生) 进行定性研究.
- 在丹麦首都地区和北部地区进行的采访 (2022年11月 - 2023年5月).
- 使用系统的文本凝结分析数据.
主要成果:
- 医生面临着多层次的负担,包括IT问题,复杂的计算和药房沟通挑战.
- 关于患者和药物适用于MDD的不确定性存在.
- 关于MDD对复杂和波动的患者状况的益处的意见各不相同,特别是在住院期间.
结论:
- 数字化,组织和专业间的挑战阻碍了MDD的实施.
- 评估患者的适应性至关重要,但MDD应该被视为适应性.
- 将MDD重新构想为一个灵活的系统可以更好地满足个体患者的需求和临床情况.
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