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澳大利亚社区药房服务:慢性病患者及其护理人员的实际使用情况与他们认为重要的服务内容的调查。

Australian community pharmacy services: a survey of what people with chronic conditions and their carers use versus what they consider important.

作者信息

McMillan Sara S, Kelly Fiona, Sav Adem, King Michelle A, Whitty Jennifer A, Wheeler Amanda J

机构信息

Griffith Health Institute, Griffith University, Meadowbrook, Queensland, Australia Griffith Health Institute, School of Pharmacy, Griffith University, Southport, Queensland, Australia.

Griffith Health Institute, Griffith University, Meadowbrook, Queensland, Australia School of Pharmacy, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.

出版信息

BMJ Open. 2014 Dec 8;4(12):e006587. doi: 10.1136/bmjopen-2014-006587.

Abstract

OBJECTIVE

To explore the purpose/s for which people with chronic conditions and their carers use Australian community pharmacies, and compare this to what pharmacy services they consider important, from the perspectives of both consumers and pharmacists.

DESIGN

An exploratory study involving a survey, which asked participants to indicate the pharmacy services they had ever used, and rate the importance of 22 pharmacy services to them, or the person they care for, or for their consumers if a pharmacist.

SETTING

Four regions of Australia: Logan-Beaudesert and Mt Isa/North West region, Queensland, Northern Rivers, New South Wales, and the Greater Perth area, Western Australia.

PARTICIPANTS

Surveys were undertaken with 602 consumers and 91 community pharmacists.

RESULTS

Community pharmacy is predominantly used to obtain advice about medication and whether a doctor's visit is necessary, as well as for monitoring and screening services. Pharmacy services that were patient centric were important, such as individualised medication advice and respectful care, as well as tools or procedures to facilitate streamlined medication access. Less important services included adult vaccinations and health and wellness programmes. Carers identified services that assisted them with their specific role/s to be important. Overall, community pharmacists had a good understanding of the services that were important to people with chronic conditions and their carers.

CONCLUSIONS

People with chronic conditions and their carers not only care about what services are delivered, but how they are delivered; they sought services that generally improved their access to medication and information, but in a way that was patient centred. Ultimately, pharmacists understood the importance of patient-centred care for people with chronic conditions and their carers, perhaps indicating a greater acceptance of integrating patient-centred care into their everyday practice.

摘要

目的

从消费者和药剂师的角度,探讨慢性病患者及其护理人员使用澳大利亚社区药房的目的,并将其与他们认为重要的药房服务进行比较。

设计

一项探索性研究,包括一项调查,要求参与者指出他们曾经使用过的药房服务,并对22项药房服务对他们自己、他们所照顾的人或(如果是药剂师)对其消费者的重要性进行评分。

地点

澳大利亚的四个地区:昆士兰州的洛根 - 博德斯代尔和伊萨山/西北地区、新南威尔士州的北里弗斯以及西澳大利亚州的大珀斯地区。

参与者

对602名消费者和91名社区药剂师进行了调查。

结果

社区药房主要用于获取用药建议以及是否需要看医生的建议,以及监测和筛查服务。以患者为中心的药房服务很重要,例如个性化用药建议和贴心护理,以及有助于简化用药流程的工具或程序。不太重要的服务包括成人疫苗接种和健康促进项目。护理人员认为有助于他们履行特定职责的服务很重要。总体而言,社区药剂师对慢性病患者及其护理人员认为重要的服务有很好的理解。

结论

慢性病患者及其护理人员不仅关心提供哪些服务,还关心服务的提供方式;他们寻求的服务通常能改善他们获取药物和信息的途径,但方式是以患者为中心的。最终,药剂师理解了以患者为中心的护理对慢性病患者及其护理人员的重要性,这可能表明他们更愿意将以患者为中心的护理融入日常实践中。

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