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评估宾夕法尼亚州药剂师提供的社区患者护理服务,以建立全州范围的实践网络。

Evaluating Pennsylvania Pharmacists' Provision of Community-based Patient Care Services to Develop a Statewide Practice Network.

作者信息

Osborne Maria A, Snyder Margie E, Hall Deanne L, Coley Kim C, McGivney Melissa Somma

机构信息

Family Practice, UPMC St. Margaret, Pittsburgh, PA.

Pharmacy Practice and Co-Director, Center for Medication Safety Advancement, College of Pharmacy, Purdue University, Indianapolis, IN.

出版信息

Innov Pharm. 2011 Dec 1;2(4):61. doi: 10.24926/iip.v2i4.244.

Abstract

OBJECTIVE

To identify and describe Pennsylvania pharmacists who currently provide or are interested in providing community-based patient care services and are interested in joining a statewide practice network.

DESIGN

Cross-sectional survey.

SETTING

February to June 2009 in Pennsylvania.

PARTICIPANTS

1700 pharmacists.

INTERVENTION

Mailed and electronic survey.

MAIN OUTCOME MEASURES

Number and geographic location of pharmacists providing or interested in providing community-based patient care in Pennsylvania. Description of patient care documentation methods; physical space; services provided; perceived barriers to providing patient care; training needs; and interest in joining a statewide practice network.

RESULTS

The final analysis included data from 1700 pharmacists. Approximately one-third of pharmacists (n=554) were providing patient care services to community-based patients. Most were routinely documenting (67.5%) and many had a semi-private or private space to provide care. MTM and immunizations were the most common services provided. Respondents reported the most significant barrier to providing MTM, diabetes education, and smoking cessation education was time constraints, whereas training was a barrier for immunization provision. Most pharmacists were not being compensated for patient care services. Of the 869 pharmacists interested in joining a statewide network, those providing care were more interested in joining than those who were not (70.8% vs. 43.8%, p < 0.001). CONCLUSION: Pennsylvania pharmacists are interested in providing community-based patient care services and joining a statewide practice network focused on providing community-based patient care services. This research serves as a foundation for building a pharmacist practice network in Pennsylvania.

摘要

目的

识别并描述宾夕法尼亚州目前提供或有兴趣提供社区患者护理服务且有意加入全州实践网络的药剂师。

设计

横断面调查。

地点

2009年2月至6月在宾夕法尼亚州。

参与者

1700名药剂师。

干预措施

邮寄和电子调查。

主要观察指标

宾夕法尼亚州提供或有兴趣提供社区患者护理的药剂师数量及地理位置。患者护理记录方法、物理空间、提供的服务、提供患者护理的感知障碍、培训需求以及加入全州实践网络的兴趣的描述。

结果

最终分析纳入了1700名药剂师的数据。约三分之一的药剂师(n = 554)为社区患者提供患者护理服务。大多数人常规记录(67.5%),许多人有半私人或私人空间提供护理。药物治疗管理(MTM)和免疫接种是最常见的服务。受访者表示,提供MTM、糖尿病教育和戒烟教育的最大障碍是时间限制,而培训是提供免疫接种的障碍。大多数药剂师未因患者护理服务获得报酬。在869名有兴趣加入全州网络的药剂师中,提供护理的药剂师比未提供护理的药剂师更有兴趣加入(70.8%对43.8%,p < 0.001)。结论:宾夕法尼亚州的药剂师有兴趣提供社区患者护理服务并加入专注于提供社区患者护理服务的全州实践网络。本研究为在宾夕法尼亚州建立药剂师实践网络奠定了基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d99/4232935/79d597e9e9ac/nihms611591f1.jpg

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