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苏格兰社区药剂师对电子小病服务看法的横断面调查。

Cross-sectional survey of community pharmacists' views of the electronic Minor Ailment Service in Scotland.

作者信息

Paudyal Vibhu, Hansford Denise, Scott Cunningham I T, Stewart Derek

机构信息

School of Pharmacy and Life Sciences, Faculty of Health and Social Care, The Robert Gordon University, Schoolhill, Aberdeen, UK.

出版信息

Int J Pharm Pract. 2010 Aug;18(4):194-201. doi: 10.1111/j.2042-7174.2010.00042.x.

Abstract

OBJECTIVES

The aim was to investigate community pharmacists' views on the implementation of the electronic Minor Ailment Service (e-MAS) in Scottish community pharmacies and to quantify the barriers and facilitators to service provision.

METHODS

A postal cross-sectional survey of all community pharmacies in Scotland (n = 1138) was conducted. A combination of open, closed and Likert-type questions were used.

KEY FINDINGS

A response rate of 49.5% was achieved. A majority of respondents (over 84%) ranked their level of implementation of e-MAS as 4 or 5 on the five-point scale where point 1 represented 'not at all' and 5 represented 'very high'. A majority also identified opportunities to extend professional roles (83.3%), opportunities for more effective patient treatment (78.5%), opportunities to better meet patient expectations (74.4%) and financial advantage to their pharmacy (52.6%) as benefits of e-MAS. Suspected misuse/overuse of the service by some customers (75.1%) and time required for recording each consultation or supply (61.3%) were two barriers agreed upon by the majority of the respondents.

CONCLUSIONS

A majority of respondents had positive views towards e-MAS. The benefits agreed upon by the majority of the respondents relate to known facilitators of community pharmacy practice change. Major barriers, namely suspected misuse of the service by some customers and timely process for recording consultation or supply, could affect pharmacists' efficiency in service delivery and need to be addressed. These results could inform similar schemes that may be introduced locally in the UK or elsewhere.

摘要

目的

旨在调查社区药剂师对苏格兰社区药房实施电子小病服务(e-MAS)的看法,并量化服务提供过程中的障碍和促进因素。

方法

对苏格兰所有社区药房(n = 1138)进行了邮寄横断面调查。使用了开放式、封闭式和李克特式问题相结合的方式。

主要发现

回复率为49.5%。大多数受访者(超过84%)在五点量表上把他们的e-MAS实施水平评为4或5,其中1分代表“完全没有”,5分代表“非常高”。大多数人还认为,扩展专业角色的机会(83.3%)、更有效治疗患者的机会(78.5%)、更好满足患者期望的机会(74.4%)以及药房的经济优势(52.6%)是e-MAS的好处。大多数受访者认同的两个障碍是一些顾客可能滥用/过度使用该服务(75.1%)以及记录每次咨询或供应所需的时间(61.3%)。

结论

大多数受访者对e-MAS持积极看法。大多数受访者认同的好处与社区药房实践变革中已知的促进因素有关。主要障碍,即一些顾客可能滥用服务以及记录咨询或供应的及时性,可能会影响药剂师的服务效率,需要加以解决。这些结果可为英国本地或其他地方可能推出的类似计划提供参考。

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