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社区药店的专业调配:组织视角。

Specialized compounding in community pharmacies: organizational perspective.

机构信息

Faculty of Pharmacy, University of Sydney, Sydney, New South Wales 2006, Australia.

出版信息

J Am Pharm Assoc (2003). 2010 May-Jun;50(3):354-61. doi: 10.1331/JAPhA.2010.09025.

DOI:10.1331/JAPhA.2010.09025
PMID:20452908
Abstract

OBJECTIVE

To compare Australian pharmacies that did and did not provide a specialized or enhanced compounding service using a framework based on organization theory.

DESIGN

Cross-sectional study.

SETTING

Australia, from August 2006 to January 2007.

PARTICIPANTS

465 pharmacist proprietors and compounding pharmacists.

INTERVENTION

Mailed questionnaire.

MAIN OUTCOME MEASURES

Organizational differences between pharmacies providing and not providing compounding as a specialized service.

RESULTS

Questionnaires were returned from 271 of a possible 465 (58%) pharmacies. Specialized compounding pharmacies were more likely to interact with a greater variety of prescribers of compounds and be located in a medical center/central business district setting. The majority of differences were found in the pharmacies' organizational configuration. Specialized compounding staff were more likely to have undertaken further training in compounding and to prepare batches of product using specialized equipment and processes. A greater professional service orientation was apparent in specialized compounding pharmacies.

CONCLUSION

Organization theory provides a useful framework for understanding specialized compounding in community pharmacies. The organizational characteristics of pharmacies providing a specialized compounding service are different from pharmacies that do not provide a specialized service. Proposed changes to regulation and practice standards are likely to affect the organization of pharmacies. More research is needed to characterize this growing specialty practice, in order to enable effective development and implementation of revised standards being considered internationally.

摘要

目的

使用基于组织理论的框架,比较提供和不提供专门或增强型配制服务的澳大利亚药店。

设计

横断面研究。

地点

澳大利亚,2006 年 8 月至 2007 年 1 月。

参与者

465 名药剂师业主和配制药剂师。

干预措施

邮寄问卷。

主要观察指标

提供和不提供专门配制服务的药店之间的组织差异。

结果

从可能的 465 家药店中,有 271 家(58%)返回了问卷。专门的配制药店更有可能与更多种类的化合物开方者进行互动,并位于医疗中心/中央商务区环境中。大多数差异存在于药店的组织配置中。专门的配制人员更有可能接受过进一步的配制培训,并使用专门的设备和工艺来配制产品批次。专门的配制药店表现出更明显的专业服务导向。

结论

组织理论为理解社区药店中的专门配制提供了有用的框架。提供专门配制服务的药店的组织特征与不提供专门服务的药店不同。拟议的监管和实践标准的变化可能会影响药店的组织。需要进行更多的研究来描述这种不断增长的专业实践,以便能够有效地制定和实施正在国际上考虑的修订标准。

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