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药剂师和医生对临床药学服务提供的感知价值:对家庭医学和内科提供者的初步评估。

The perceived value of clinical pharmacy service provision by pharmacists and physicians: an initial assessment of family medicine and internal medicine providers.

作者信息

Wietholter Jon P, Ponte Charles D, Long Dustin M

机构信息

Clinical Pharmacy Department, West Virginia University, School of Pharmacy, WVU-Medicine Ruby Memorial Hospital, Morgantown, WV, USA.

Robert C. Byrd Health Sciences Center, Schools of Pharmacy and Medicine, West Virginia University, Morgantown, WV, USA.

出版信息

Int J Pharm Pract. 2017 Oct;25(5):343-350. doi: 10.1111/ijpp.12322. Epub 2016 Oct 24.

Abstract

BACKGROUND

Few publications have addressed the perceptions of pharmacists and physicians regarding the value of clinical pharmacist services. A survey-based study was conducted to determine whether Internal Medicine (IM) and Family Medicine (FM) pharmacists and physicians differed in their attitudes regarding the benefits of collaboration in an acute care setting.

OBJECTIVES

The primary objective was to evaluate perceived differences regarding self-assessment of value between IM and FM pharmacists. The secondary objective was to evaluate perceived differences of clinical pharmacist benefit between IM and FM physicians.

METHODS

An eight-item questionnaire assessed the attitudes and beliefs of pharmacists and physicians regarding the value of clinical pharmacy services. Surveys were emailed and participants marked their responses using a 7-point Likert scale for each item. Demographic data and overall comments were collected from each participant.

KEY FINDINGS

Overall, 167 surveys were completed. When comparing cumulative physician and pharmacist responses, none of the eight questions showed significant differences. Statistically significant differences were noted when comparing IM and FM clinical pharmacists on five of the eight survey items; for each of these items, FM pharmacists had more favourable perceptions than their IM counterparts. No statistically significant differences were noted when comparing responses of IM and FM physicians.

CONCLUSIONS

This study found that FM pharmacists perceived a greater benefit regarding participation in inpatient acute care rounds when compared to their IM pharmacist counterparts. Future studies are necessary to determine if other medical specialties' perceptions of clinical pharmacy provision differ from our findings and to evaluate the rationale behind specific attitudes and behaviours.

摘要

背景

很少有出版物探讨药剂师和医生对临床药剂师服务价值的看法。开展了一项基于调查的研究,以确定内科(IM)和家庭医学(FM)的药剂师与医生在急性护理环境中对协作益处的态度是否存在差异。

目的

主要目的是评估IM和FM药剂师在自我评估价值方面的感知差异。次要目的是评估IM和FM医生在临床药剂师益处方面的感知差异。

方法

一份包含八个条目的问卷评估了药剂师和医生对临床药学服务价值的态度和信念。通过电子邮件发送调查问卷,参与者对每个条目使用7点李克特量表标记他们的回答。收集了每位参与者的人口统计学数据和总体评论。

主要发现

总体而言,共完成了167份调查问卷。在比较医生和药剂师的累积回答时,八个问题中没有一个显示出显著差异。在比较IM和FM临床药剂师对八个调查条目中的五个条目时,发现了统计学上的显著差异;对于这些条目中的每一个,FM药剂师的看法比IM药剂师更积极。在比较IM和FM医生的回答时,未发现统计学上的显著差异。

结论

本研究发现,与IM药剂师相比,FM药剂师认为参与住院急性护理查房的益处更大。未来有必要开展研究,以确定其他医学专业对临床药学服务的看法是否与我们的研究结果不同,并评估特定态度和行为背后的基本原理。

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