Multidisciplinary care team

多学科护理团队
  • 文章类型: Journal Article
    目的:探讨临床药师融入临床多学科护理团队的影响因素,以临床药师和医师之间的跨专业合作为重点。方法:通过分层随机抽样,我们于2022年7月至8月对中国二级和三级医院的临床药师和医师进行了横断面问卷调查.问卷,包括反映协作水平的医师-药剂师协作指数(PPCI)量表和衡量影响因素的组合量表,为临床药剂师和医生提供了两个版本。采用多元线性回归分析合作水平与影响因素之间的关联,以及不同等级医院显著因素的异质性。结果:纳入了474名临床药师和496名配对医师的有效自我报告数据,他们在31个省的281家医院服务。就参与者相关因素而言,标准化培训和学位,分别,对临床药师和医师的感知协作水平产生了显著的正向影响。就语境特征而言,经理支持和系统建设是提高协作的主要因素。就交换特征而言,具有良好沟通能力的临床药师,医生信任他人的专业能力和价值观,双方有着一致的期望,对合作产生了显著的积极影响。结论:本研究提供了关于临床药师与中国和其他有相关卫生系统的国家的其他专业人员合作的当前水平和相关因素的基线数据集。为个人提供参考,大学,医院,促进临床药学和多学科模式的发展,进一步完善以患者为中心的综合疾病治疗系统。
    Objectives: To investigate the factors influencing clinical pharmacists\' integration into the clinical multidisciplinary care team, using interprofessional collaboration between clinical pharmacists and physicians as the focus. Methods: Through stratified random sampling, a cross-sectional questionnaire survey was conducted among clinical pharmacists and physicians in secondary and tertiary hospitals in China from July to August 2022. The questionnaire, comprising the Physician-Pharmacist Collaborative Index (PPCI) scale to reflect the collaboration level and a combined scale to measure influencing factors, was made available in two versions for clinical pharmacists and physicians. Multiple linear regression was adopted to analyze the association between the collaboration level and influencing factors, as well as the heterogeneity of the significant factors in hospitals of different grades. Results: Valid self-reported data from 474 clinical pharmacists and 496 paired physicians were included, who were serving in 281 hospitals from 31 provinces. In terms of participant-related factors, standardized training and academic degree, respectively, exerted significant positive effects on the perceived collaboration level by clinical pharmacists and physicians. In terms of context characteristics, manager support and system construction were the main factors for improving collaboration. In terms of exchange characteristics, clinical pharmacists having good communication skills, physicians trusting others\' professional competence and values, and both parties having consistent expectations had significant positive effects on collaboration. Conclusion: The study provides a baseline data set on the current level and associated factors of clinical pharmacists\' collaboration with other professionals in China and other countries with a related health system, providing references for individuals, universities, hospitals, and national policymakers to facilitate the development of clinical pharmacy and multidisciplinary models and further improve the patient-centered integrated disease treatment system.
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