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确定斯洛伐克社区药剂师与全科医生在协作实践方面观点的跨专业一致性。

Identifying the interprofessional agreement between community pharmacists and general practitioners views on collaborative practice in Slovakia.

作者信息

Dubán Ladislav, Fazekaš Tomáš, Fulmeková Magdaléna, Snopková Miroslava, Oleárová Anna, Kuželová Magdaléna

出版信息

Ceska Slov Farm. 2017 Spring;66(2):67-75.

Abstract

BACKGROUND

The collaboration of community pharmacists (CPs) and general practitioners (GPs) has a positive effect on healthcare outcomes. There are still many countries, where no efforts have been made to enhance this type of teamwork. There is no evidence of how GPs and CPs collaborate in Slovakia. The objective of this study is to identify the current level of GPs and CPs teamwork in Slovakia and to identify the key factors, where these professions agree.

METHODS

Two parallel electronic surveys were prepared and sent out by e-mail to CPs and GPs in Slovakia. The questions in the multi-choice questionnaires were divided into 6 sections: teamwork experience, attitudes to collaborative practice, preferred method of communication, preferred tasks done by CPs, anticipated areas of future collaboration and perceived barriers to collaborative practice. The results were analyzed separately by the proportion of agreements within each group.

RESULTS

From the total of 670 questionnaires, which were sent out (434 to GPs and 236 to CPs) 347 were completed and returned by GPs (79.95%) and 181 by CPs (76.7%). The overall response rate was 78.33%. The perfect match of agreements between the CPs and the GPs answers was identified in: their preference to collaborate face-to-face (p = 0.0001) perception of the role of the community pharmacist (p < 0.0001) barriers to collaboration (p < 0.0001) areas for future collaboration (p = 0.0468) The majority of respondents confirmed (without proportional agreement) that their collaboration improves patient outcomes (71.3% of CPs, 60.5% of GPs), however, only 15.5% CPs and 17.6% GPs indicated, that they would consider team-working in the future.

CONCLUSION

The responding health professionals agreed about the current role of CPs in Slovakia. Both professions reported their willingness to collaborate in the following areas: 1. patient counselling and 2. patient adherence improvement. Face-to-face communication was preferred by both groups of respondents, as a potential key factor to improve their relationships (general trust). However, in order to create a sustainable collaborative environment, the identified barriers need to be taken into account.Key words: agreement barriers collaboration community pharmacist general practitioner.

摘要

背景

社区药剂师(CPs)与全科医生(GPs)的合作对医疗保健结果有积极影响。仍有许多国家尚未努力加强这种团队合作。在斯洛伐克,尚无关于全科医生和社区药剂师如何合作的证据。本研究的目的是确定斯洛伐克全科医生和社区药剂师团队合作的当前水平,并确定这些职业达成共识的关键因素。

方法

准备了两份平行的电子调查问卷,并通过电子邮件发送给斯洛伐克的社区药剂师和全科医生。多项选择题问卷中的问题分为6个部分:团队合作经验、对合作实践的态度、首选沟通方式、社区药剂师首选的任务、未来合作的预期领域以及合作实践的感知障碍。结果按每组内的共识比例分别进行分析。

结果

在总共发出的670份问卷中(434份发给全科医生,236份发给社区药剂师),347份由全科医生完成并返回(79.95%),181份由社区药剂师完成并返回(76.7%)。总体回复率为78.33%。在以下方面发现社区药剂师和全科医生的答案达成了完美匹配:他们面对面合作的偏好(p = 0.0001)、对社区药剂师角色的认知(p < 0.0001)、合作障碍(p < 0.0001)、未来合作领域(p = 0.0468)。大多数受访者(无比例共识)确认他们的合作改善了患者结果(71.3%的社区药剂师,60.5%的全科医生),然而,只有15.5%的社区药剂师和17.6%的全科医生表示他们未来会考虑团队合作。

结论

回复的医疗专业人员对斯洛伐克社区药剂师的当前角色达成了共识。两个职业都表示愿意在以下领域合作:1. 患者咨询和2. 提高患者依从性。两组受访者都更喜欢面对面沟通,将其作为改善他们关系(普遍信任)的潜在关键因素。然而,为了创造一个可持续的合作环境,需要考虑已确定的障碍。关键词:共识;障碍;合作;社区药剂师;全科医生

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