综合药物管理服务逻辑模型的开发与验证
Development and validation of a logic model for comprehensive medication management services.
作者信息
Sousa Samuel R A E, Shoemaker Sarah Joyce, do Nascimento Mariana M G, Costa Marianne S, Ramalho de Oliveira Djenane
机构信息
School of Pharmacy, Federal University of Minas Gerais (FAFAR/UFMG), Belo Horizonte, Minas Gerais, Brazil.
Abt Associates, Cambridge, MA, USA.
出版信息
Int J Pharm Pract. 2018 Jun;26(3):250-257. doi: 10.1111/ijpp.12392. Epub 2017 Aug 10.
OBJECTIVES
To develop and validate a theoretical logic model for comprehensive medication management (CMM) services.
METHODS
The components of a logic model were constructed after a literature review and interviews with 4 CMM professionals. To validate the logic model, a panel of 17 CMM experts participated in three online Delphi method rounds to achieve consensus on the model. The consensus between the experts on each component of the logic model was evaluated using the Content Validity Index and Inter-rater Agreement in each of the rounds.
KEY FINDINGS
A logic model for CMM services containing 51 items was constructed and validated. Both the items of each component of the model and the linkage between the main components were agreed upon among the experts.
CONCLUSIONS
A logic model for CMM services was developed and validated. It is an innovative tool that, if used as a theoretical framework for the implementation of CMM, can ensure greater reproducibility of CMM services in different scenarios of practice and levels of care.
目标
开发并验证一个用于综合药物管理（CMM）服务的理论逻辑模型。
方法
在文献综述以及与4位CMM专业人员进行访谈之后构建逻辑模型的组成部分。为验证该逻辑模型，一个由17位CMM专家组成的小组参与了三轮在线德尔菲法，以就该模型达成共识。在每一轮中，使用内容效度指数和评分者间一致性来评估专家们在逻辑模型各组成部分上的共识。
主要发现
构建并验证了一个包含51项内容的CMM服务逻辑模型。模型各组成部分的项目以及主要组成部分之间的联系均得到了专家们的认可。
结论
开发并验证了一个CMM服务逻辑模型。它是一种创新工具，如果用作实施CMM的理论框架，可确保CMM服务在不同实践场景和护理水平下具有更高的可重复性。
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