Consejo Nacional de Ciencia y Tecnología - Infotec, Circuito Tecnopolo Sur 112, Tecnopolo Pocitos, 20313, Aguascalientes, Ags., Mexico.
Hospital General "Dr. Manuel Gea González", Secretaría de Salud, Calzada de Tlalpan 4800, Tlalpan Centro I, 14080, Tlalpan, Ciudad de México, Mexico.
Res Social Adm Pharm. 2019 Mar;15(3):321-329. doi: 10.1016/j.sapharm.2018.04.014. Epub 2018 Apr 22.
In Mexico, the Modelo Nacional de Farmacia Hospitalaria (MNFH, or National Hospital Pharmacy Model), published in 2009, mainly aims to promote the provision of clinical pharmacy services in private and public hospitals. However, there is little scientific documentation about the quality of these services.
To explore healthcare professionals' perceptions related to the quality of clinical pharmacy services provision.
A case-study based on a qualitative approach was performed at the pharmaceutical services unit at a public hospital located in Mexico City, which operates under the administrative control of the Ministry of Health. Donabedian's conceptual model was adapted to explore health care professionals' perceptions of the quality of clinical pharmacy services provision. Semi-structured interviews were carried out with pharmacists, physicians and nurses and then transcribed and analyzed via discourse analysis and codification techniques, using the software package Atlas. ti.
Limitations in pharmaceutical human resources were identified as the main factor affecting coverage and quality in clinical pharmacy services provision. However, the development in pharmacy staff of technical competences and skills for clinical pharmacy service provision were recognized. Significant improvements in the rational use of medicines were associated with clinical pharmacy services provision.
The perception analysis performed in this study suggested that it is necessary to increase pharmacy staff in order to improve interprofessional relationships and the quality of clinical pharmacy services provision.
2009 年发布的墨西哥国家医院药房模式（MNFH）主要旨在促进私营和公立医院提供临床药学服务。然而，关于这些服务质量的科学文献却很少。
探讨医疗保健专业人员对临床药学服务提供质量的看法。
在墨西哥城一家公立医院的药剂科进行了一项基于案例研究的定性研究，该医院受卫生部行政控制。采用 Donabedian 的概念模型来探讨医疗保健专业人员对临床药学服务提供质量的看法。对药剂师、医生和护士进行了半结构化访谈，然后使用 Atlas.ti 软件包进行话语分析和编码技术对转录内容进行分析。
制药人力资源的限制被确定为影响临床药学服务提供覆盖范围和质量的主要因素。然而，药剂工作人员在提供临床药学服务方面的技术能力和技能得到了发展。与临床药学服务提供相关的药物合理使用得到了显著改善。
本研究中的感知分析表明，有必要增加药剂师人数，以改善专业间的关系和临床药学服务提供的质量。
