■当患者从一个医疗保健部门过渡到另一个医疗保健部门时,通常会看到与药物相关的问题(DRP)。例如,当患者从医院转移到全科医生(GP)时。这种过渡为药物变化和后续计划的信息丢失创造了机会。制定了跨部门的医院药剂师干预措施,并在大型GP诊所进行了试点测试。干预包括用药史,药物和解,药物审查,后续电话,识别可能的DRP和与GP的通信。尚不清楚干预是否可转移到其他GP诊所。该研究的目的是探索GP诊所在描述性数据和干预可接受性方面的异同。
■使用会聚混合方法研究设计。干预措施在四个具有不同特征的GP诊所中进行了测试。关于全科医生诊所的定量数据,收集患者和药剂师活动。通过与全科医生的焦点小组访谈收集可接受性的定性数据,护士和药剂师。使用了可接受性的理论框架。
■总的来说,所有人都认为干预是可以接受和相关的。全科医生诊所在规模上存在差异,日常医生工作表格及其使用药剂师的临时任务。GP诊所的患者特征相似。因此,该干预措施与所有诊所同样相关.在这两个部门中,共享就业并独特地获取健康记录对于识别和解决DRP很重要。经济是进一步执行的障碍。
■所有人都认为干预是可以接受和相关的;因此,它被认为可以转移到其他GP诊所.医院药剂师被认为是在全科医生中使用的相关医疗保健专业人员,在医院和患者的跨部门过渡中。
在医院和全科医生之间过渡的患者中,药剂师活动的可接受性为什么进行了这项研究?与药物相关的问题经常出现在跨医疗保健部门过渡的患者中。在大型全科医生(GP)诊所中开发并进行了药剂师活动的试点测试。尚不清楚该活动是否可转移到其他GP诊所。药剂师的活动包括与患者讨论他们通常的药物和相应的调整处方。药剂师活动还包括对他们的药物进行审查,在药物相关问题的情况下,给患者打电话并与全科医生沟通。该研究的目的是测试不同GP诊所的活动,并探索描述性数据和可接受性的异同。研究人员做了什么?该活动在同一地理区域内的四个GP诊所进行了三个月的测试。关于全科医生诊所的描述性数据,收集患者和药剂师的活动。有关活动可接受性的数据是通过与全科医生的焦点小组访谈收集的,护士和医院药剂师。将这些定性数据与描述性数据相结合,以探索GP诊所之间的异同。研究人员发现了什么?总的来说,这项活动被所有人认为是可以接受和相关的。全科医生诊所在规模上存在差异,日常医生工作表格及其使用药剂师的临时任务。GP诊所的患者之间存在相似之处,例如在药物数量或药物相关问题方面。发现该活动与每个诊所同等相关。在这两个部门中共享就业并获得健康记录对于确定和解决与毒品有关的问题很重要。药剂师有可能在医院和全科医生诊所之间来回解决问题。经济是进一步执行的障碍。调查结果是什么意思?这项活动被所有人认为是可以接受和相关的;因此,它被认为可以转移到其他GP诊所.医院药剂师被认为是在全科医生中使用的相关医疗保健专业人员,在医院和患者的跨部门过渡中。
UNASSIGNED: Drug-related problems (DRPs) are often seen when a patient is transitioning from one healthcare sector to another, for example, when a patient moves from the hospital to a General Practice (GP) setting. This transition creates an opportunity for information on medication changes and follow-up plans to be lost. A cross-sectoral hospital pharmacist intervention was developed and pilot-tested in a large GP clinic. The intervention included medication history, medication reconciliation, medication review, follow-up telephone calls, identification of possible DRPs and communication with the GP. It is unknown whether the intervention is transferable to other GP clinics. The aim of the
study was to explore similarities and differences between GP clinics in descriptive data and intervention acceptability.
UNASSIGNED: A convergent mixed methods
study design was used. The intervention was tested in four GP clinics with differing characteristics. Quantitative data on the GP clinics, patients and pharmacist activities were collected. Qualitative data on the acceptability were collected through focus group interviews with general practitioners, nurses and pharmacists. The Theoretical Framework of Acceptability was used.
UNASSIGNED: Overall, the intervention was found acceptable and relevant by all. There were differences between the GP clinics in terms of size, daily physician work form and their use of pharmacists for ad hoc tasks. There were similarities in patient characteristics across GP clinics. Therefore, the intervention was found equally relevant for all of the clinics. Shared employment with unique access to health records in both sectors was important in the identification and resolution of DRPs. Economy was a barrier for further implementation.
UNASSIGNED: The intervention was found acceptable and relevant by all; therefore, it was considered transferable to other GP clinics. Hospital pharmacists were perceived to be relevant healthcare professionals to be utilized in GP, in hospitals and in the cross-sectoral transition of patients.
Acceptability of a pharmacist activity for patients transitioning between hospital and general practice Why was the
study done? Drug-related problems are often seen in patients transitioning across healthcare sectors. A pharmacist activity was developed and pilot-tested in a large General Practice (GP) clinic. It was unknown whether the activity was transferable to other GP clinics.The pharmacist activity included talking to the patients about their usual medication and adjustment of prescriptions accordingly. The pharmacist activity also included a review of their medications, a follow-up telephone call to the patients and communication with the GP in case of drug-related problems.The aim of the
study was to test the activity in different GP clinics and to explore similarities and differences in descriptive data and acceptability. What did the researchers do? The activity was tested in four GP clinics within the same geographical area for three months.Descriptive data about the GP clinics, the patients and the pharmacist’s activities performed were collected.Data about acceptability of the activity was collected through focus group interviews with general practitioners, nurses and hospital pharmacists.This qualitative data was combined with descriptive data to explore similarities and differences between GP clinics. What did the researchers find? Overall, the activity was found to be acceptable and relevant by all.There were differences between the GP clinics in terms of size, daily physician work form and their use of the pharmacist for ad hoc tasks.There were similarities in patients across GP clinics e.g. in terms of the number of medications or drug-related problems. The activity was found equally relevant for every clinic.Shared employment with access to health records in both sectors was important in the identification and resolution of drug-related problems. The pharmacist had the possibility to bring issues back and forth between the hospital and the GP clinic.Economy was a barrier for further implementation. What do the findings mean? The activity was found acceptable and relevant by all; therefore, it was considered transferable to other GP clinics.Hospital pharmacists were perceived to be relevant healthcare professionals to be utilised in GP, in hospitals and in the cross-sectoral transition of patients.