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国际药学基础小病服务回顾及拟议服务设计模式。

A review of international pharmacy-based minor ailment services and proposed service design model.

机构信息

Graduate School of Health, University of Technology Sydney, PO Box 123 Broadway, 2007, Sydney, New South Wales, Australia.

出版信息

Res Social Adm Pharm. 2018 Nov;14(11):989-998. doi: 10.1016/j.sapharm.2017.12.004. Epub 2018 Jan 5.

DOI:10.1016/j.sapharm.2017.12.004
PMID:29444752
Abstract

BACKGROUND

The need to consider sustainable healthcare solutions is essential. An innovative strategy used to promote minor ailment care is the utilisation of community pharmacists to deliver minor ailment services (MASs). Promoting higher levels of self-care can potentially reduce the strain on existing resources.

AIM

To explore the features of international MASs, including their similarities and differences, and consider the essential elements to design a MAS model.

METHODS

A grey literature search strategy was completed in June 2017 to comply with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses standard. This included (1) Google/Yahoo! search engines, (2) targeted websites, and (3) contact with commissioning organisations. Executive summaries, table of contents and title pages of documents were reviewed. Key characteristics of MASs were extracted and a MAS model was developed.

RESULTS

A total of 147 publications were included in the review. Key service elements identified included eligibility, accessibility, staff involvement, reimbursement systems. Several factors need to be considered when designing a MAS model; including contextualisation of MAS to the market. Stakeholder engagement, service planning, governance, implementation and review have emerged as key aspects involved with a design model.

CONCLUSION

MASs differ in their structural parameters. Consideration of these parameters is necessary when devising MAS aims and assessing outcomes to promote sustainability and success of the service.

摘要

背景

考虑可持续医疗解决方案是必要的。一种用于促进小病护理的创新策略是利用社区药剂师提供小病服务(MASs)。促进更高水平的自我护理可以潜在地减轻现有资源的压力。

目的

探索国际 MASs 的特点,包括它们的相似之处和不同之处,并考虑设计 MAS 模型的基本要素。

方法

为符合系统评价和荟萃分析的首选报告项目标准,我们于 2017 年 6 月完成了灰色文献搜索策略。这包括(1)Google/Yahoo!搜索引擎,(2)目标网站,以及(3)与委托组织联系。我们审查了文件的执行摘要、目录和标题页。提取了 MASs 的关键特征,并开发了 MAS 模型。

结果

共有 147 篇文献纳入综述。确定的关键服务要素包括资格、可及性、员工参与、报销制度。在设计 MAS 模型时需要考虑几个因素;包括将 MAS 与市场进行背景化。利益相关者参与、服务规划、治理、实施和审查已成为设计模型所涉及的关键方面。

结论

MASs 在结构参数上有所不同。在设计 MAS 目标和评估结果以促进服务的可持续性和成功时,需要考虑这些参数。

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