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医疗保健专业人员与患者的关系:从社区药房视角对理论模型的系统评价

Healthcare professional-patient relationships: Systematic review of theoretical models from a community pharmacy perspective.

作者信息

Sabater-Galindo Marta, Fernandez-Llimos Fernando, Sabater-Hernández Daniel, Martínez-Martínez Fernando, Benrimoj Shalom Isaac

机构信息

Graduate School of Health, Pharmacy, University of Technology, Building 7, Level 4, 64 Jones St., PO Box 123, Ultimo, Sydney, NSW 2007, Australia; Faculty of Pharmacy, University of Granada, Campus de Cartuja, s.n., 18071 Granada, Spain.

Research Institute for Medicines (iMed.ULisboa), Department of Social Pharmacy, Faculty of Pharmacy, University of Lisbon, Lisbon, Portugal.

出版信息

Patient Educ Couns. 2016 Mar;99(3):339-347. doi: 10.1016/j.pec.2015.09.010. Epub 2015 Oct 9.

DOI:10.1016/j.pec.2015.09.010
PMID:26475728
Abstract

OBJECTIVE

To identify health care professional-patient relationship theoretical models and individual factors that may have an influence on this relationship and be relevant to community pharmacy practice.

METHODS

Using the recommended methodology by Prisma Statement, a search was undertaken in PubMed for health care professional-patient relationship theoretical models that included individual factors.

RESULTS

Eight theoretical models met the inclusion criteria. These models were classified based on their aim, their focus on the interaction process, external factors influencing the process, and their practical applications. The most common influential modifiable factors were knowledge, needs, values, expectations, beliefs and perceptions.

CONCLUSION

'The Theory of Goal Attainment' (TGA) appears to be the most useful model for community pharmacy practice. The perceptions and expectations of both patients and pharmacists could be the two most interesting modifiable factors to apply in pharmacy practice. These modifiable influential factors could be altered by specific training such as behavioral aspects.

PRACTICE IMPLICATIONS

No theoretical model has been specifically developed for analyzing the community pharmacist-patient relationship. TGA may be appropriate for community pharmacy practice, since it takes into consideration both, attaining patients health outcomes, as well as improving patient-pharmacist relationship.

摘要

目的

识别可能影响医疗保健专业人员与患者关系且与社区药房实践相关的理论模型和个体因素。

方法

采用Prisma声明推荐的方法,在PubMed中搜索包含个体因素的医疗保健专业人员与患者关系理论模型。

结果

八个理论模型符合纳入标准。这些模型根据其目标、对互动过程的关注、影响该过程的外部因素及其实际应用进行分类。最常见的有影响力的可改变因素是知识、需求、价值观、期望、信念和认知。

结论

“目标达成理论”(TGA)似乎是社区药房实践中最有用的模型。患者和药剂师的认知与期望可能是在药房实践中应用的两个最有趣的可改变因素。这些有影响力的可改变因素可通过行为方面等特定培训加以改变。

实践意义

尚未专门开发用于分析社区药剂师与患者关系的理论模型。TGA可能适用于社区药房实践,因为它既考虑了实现患者健康结果,也考虑了改善患者与药剂师的关系。

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