Bhattacharya Debi, Wright David J, Purvis John R
School of Chemical Sciences & Pharmacy, University of East Anglia, Norwich NR4 7TJ, UK.
Pharm World Sci. 2008 Jan;30(1):9-16. doi: 10.1007/s11096-007-9133-z. Epub 2007 May 22.
To characterize Pharmacist Domiciliary Visiting Services (PDVSs) in England.
Primary Care Organizations (PCOs) in England which are groups providing primary care services to populations of similar health needs within defined geographical areas.
A questionnaire was designed and posted to all PCOs in England in order to identify the number that had provided or were presently providing a PDVS and determine the nature of the services. PDVS characteristics that were related to long term continuation or termination were then identified.
To quantify and describe the format of operational and terminated PDVSs across England and identify similarities and differences between operational and terminated PDVSs.
A response rate of 81.5% was achieved (247/303) with 70% of PCOs reporting that to the best of their terminated services did so at or before 1 year of operation, several citing a lack of referrals as a contributing factor. PDVSs varied widely in design however, the only significant differences between operational and terminated PDVSs were that operational PDVSs incorporated a greater number of referral sources in the PDVS design which were more likely to be social services, general medical practitioners and community nurses.
Most PDVSs had numerous characteristics in common however no two PDVSs were identical. Characteristics involved in the creation of service demand such as number and type of referral sources, are more likely to be associated with PDVS continuation.
描述英格兰的药剂师上门服务（PDVSs）。
英格兰的初级保健组织（PCOs），即在特定地理区域内为有相似健康需求人群提供初级保健服务的团体。
设计了一份问卷并寄给英格兰所有的PCOs，以确定提供过或目前正在提供PDVS的数量，并确定服务的性质。然后确定与长期持续或终止相关的PDVS特征。
量化并描述英格兰各地正在实施和已终止的PDVS的形式，确定正在实施和已终止的PDVS之间的异同。
回复率达到81.5%（247/303），70%的PCOs报告称，就其所知，其已终止的服务在运营1年或1年之前就终止了，有几个提到缺乏转诊是一个促成因素。PDVS在设计上差异很大，然而，正在实施和已终止的PDVS之间唯一显著的差异是，正在实施的PDVS在设计中纳入了更多的转诊来源，这些来源更有可能是社会服务机构、全科医生和社区护士。
大多数PDVS有许多共同特征，但没有两个PDVS是完全相同的。创造服务需求所涉及的特征，如转诊来源的数量和类型，更有可能与PDVS的持续实施相关。
