Hassell Karen, Rogers Anne, Noyce Peter
School of Pharmacy and Pharmaceutical Sciences, andNational Primary Care Research and Development Centre, University of Manchester, Manchester UK.
Health Soc Care Community. 2000 Jan;8(1):40-49. doi: 10.1046/j.1365-2524.2000.00222.x.
A number of different models exist to help explain health care utilization behaviour, though none have been applied to the use of community pharmacy. In policy terms pharmacy utilization is an important one to address as Government is keen to support a shift in GPs' workload to community pharmacy. The paper begins by outlining the different health utilization models. We then draw on the different frameworks to help explore the nature of community pharmacy use. Using data from two separate pharmacy studies that included observational work, interviews and a literature review, we identify what key influences are important in conceptualizing pharmacy utilization. Previous research has tended to focus on factors associated with socio-demographic characteristics of service users, but the current research on which the paper draws, highlights the importance of factors associated with need and demand issues in shaping how pharmacies are utilized. Process factors and the impact of internal and external organizational factors are also highlighted as important.
有许多不同的模型可用于帮助解释医疗保健利用行为，尽管尚无模型应用于社区药房的使用情况。从政策角度来看，药房利用是一个重要问题，因为政府迫切希望支持将全科医生的工作量转移到社区药房。本文首先概述了不同的医疗利用模型。然后，我们利用不同的框架来帮助探索社区药房使用的本质。通过两项独立的药房研究数据，包括观察性工作、访谈和文献综述，我们确定了在概念化药房利用方面哪些关键影响因素很重要。以往的研究往往侧重于与服务使用者社会人口特征相关的因素，但本文所依据的当前研究强调了与需求问题相关的因素在塑造药房利用方式方面的重要性。过程因素以及内部和外部组织因素的影响也被强调为重要因素。
