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转型中的药学:使用智能手机技术的社区药剂师工作抽样研究。

Pharmacy in transition: A work sampling study of community pharmacists using smartphone technology.

机构信息

Utrecht Institute for Pharmaceutical Sciences (UIPS), Department of Pharmacoepidemiology & Clinical Pharmacology, Utrecht University, Utrecht, The Netherlands; BENU Apotheken BV, Maarssen, The Netherlands.

Utrecht Institute for Pharmaceutical Sciences (UIPS), Department of Pharmacoepidemiology & Clinical Pharmacology, Utrecht University, Utrecht, The Netherlands.

出版信息

Res Social Adm Pharm. 2019 Jan;15(1):70-76. doi: 10.1016/j.sapharm.2018.03.004. Epub 2018 Mar 9.

Abstract

INTRODUCTION

The nature of community pharmacy is changing, shifting from the preparation and distribution of medicines to the provision of cognitive pharmaceutical services (CPS); however, often the provision of traditional services leaves little time for innovative services. This study investigated the time community pharmacists spend on the tasks and activities of daily practice and to what extent they are able to implement CPS-related services in daily practice.

METHODS

Self-reporting work sampling was used to register the activities of community pharmacists. A smartphone application, designed specifically for this purpose, alerted participants to register their current activity five times per working day for 6 weeks. Participants also completed an online survey about baseline characteristics.

RESULTS

Ninety-one Dutch community pharmacists provided work-sampling data (7848 registered activities). Overall, 51.5% of their time was spent on professional activities, 35.4% on semi-professional activities, and 13.1% on non-professional activities. The proportion of time devoted to CPS decreased during the workweek, whereas the time spent on traditional task increased.

DISCUSSION AND CONCLUSION

This study shows it is feasible to collect work-sampling data using smartphone technology. Community pharmacists spent almost half of their time on semi-professional and non-professional activities, activities that could be delegated to other staff members. In practice, the transition to CPS is hampered by competing traditional tasks, which prevents community pharmacists from profiling themselves as pharmaceutical experts in daily practice.

摘要

简介

社区药房的性质正在发生变化,从药品的制备和分发转向提供认知药物服务(CPS);然而,传统服务的提供往往几乎没有时间提供创新服务。本研究调查了社区药剂师在日常实践中完成任务和活动所花费的时间,以及他们在日常实践中实施与 CPS 相关服务的程度。

方法

自我报告工作抽样用于记录社区药剂师的活动。专门为此目的设计的智能手机应用程序提醒参与者在 6 周内每工作日登记五次当前活动。参与者还完成了一份关于基线特征的在线调查。

结果

91 名荷兰社区药剂师提供了工作抽样数据(注册了 7848 项活动)。总体而言,他们 51.5%的时间用于专业活动,35.4%用于半专业活动,13.1%用于非专业活动。在工作周内,CPS 所花费的时间比例下降,而传统任务所花费的时间增加。

讨论与结论

本研究表明,使用智能手机技术收集工作抽样数据是可行的。社区药剂师几乎一半的时间都花在半专业和非专业活动上,这些活动可以委托给其他工作人员。在实践中,向 CPS 的过渡受到传统任务的竞争的阻碍,这阻止了社区药剂师在日常实践中将自己定位为药物专家。

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