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是什么预测了药物治疗管理的完成率?社区药房工作人员的特征以及对药物治疗管理的信念所起的作用。

What predicts medication therapy management completion rates? The role of community pharmacy staff characteristics and beliefs about medication therapy management.

作者信息

Adeoye Omolola A, Lake Leslie M, Lourens Spencer G, Morris Rachel E, Snyder Margie E

出版信息

J Am Pharm Assoc (2003). 2018 Jul-Aug;58(4S):S7-S15.e5. doi: 10.1016/j.japh.2018.03.001. Epub 2018 May 3.

DOI:10.1016/j.japh.2018.03.001
PMID:29731422
Abstract

OBJECTIVES

To model the association between pharmacy technicians' attitudes and planned behaviors toward participating in medication therapy management (MTM) and MTM completion rates. Secondary objectives included 1) to compare pharmacy technician and pharmacist attitudes and planned behaviors toward participating in MTM and 2) to identify respondent and pharmacy demographic factors associated with MTM completion rates.

DESIGN

A 27-item survey, adapted from a previously published survey tool based on the Theory of Planned Behavior (TPB), was used to collect respondent perceptions of MTM. Study procedures were approved by the institutional review board.

SETTING AND PARTICIPANTS

Pharmacy technicians and pharmacists representing 116 Midwestern community pharmacy locations within a national supermarket chain were eligible to complete a telephone survey during February to May 2017.

MAIN OUTCOME MEASURES

MTM completion rates were recorded during the 6-month time frame before survey administration. Unique, nonmeaningful survey codes were used to link responses from respondents to their store's MTM completion rates. Multivariate linear regression analysis was used to model the association between survey responses, pharmacy and staff demographics, and MTM completion rates.

RESULTS

Of the 116 eligible pharmacy technicians and 114 pharmacists, 77 pharmacy technicians and 99 pharmacists completed the survey yielding response rates of 66.4% and 86.8%, respectively. Pharmacy technicians held significantly more positive perceptions about MTM delivery, particularly regarding adequate time and support. However, pharmacy technicians reported having the necessary knowledge and skills significantly less frequently compared with pharmacists. TPB variables for pharmacy technicians were not significant predictors of MTM completion rates. However, pharmacist attitudes, pharmacy technician education, and number of technician hours worked per week were positively associated with MTM completion rates.

CONCLUSION

Pharmacists' attitudes, pharmacy technician level of education, and number of technician hours worked per week were associated with MTM completion rates.

摘要

目的

建立药房技术人员参与药物治疗管理(MTM)的态度和计划行为与MTM完成率之间的关联模型。次要目标包括:1)比较药房技术人员和药剂师参与MTM的态度和计划行为;2)确定与MTM完成率相关的受访者及药房人口统计学因素。

设计

采用一份基于计划行为理论(TPB)的27项调查问卷,该问卷改编自先前发表的调查工具,用于收集受访者对MTM的看法。研究程序经机构审查委员会批准。

地点与参与者

代表一家全国连锁超市内116家中西部社区药房的药房技术人员和药剂师有资格在2017年2月至5月期间完成电话调查。

主要观察指标

在调查实施前的6个月时间范围内记录MTM完成率。使用唯一的、无意义的调查编码将受访者的回答与其所在药房的MTM完成率相关联。采用多元线性回归分析建立调查回答、药房及工作人员人口统计学因素与MTM完成率之间的关联模型。

结果

在116名符合条件的药房技术人员和114名药剂师中,77名药房技术人员和99名药剂师完成了调查,回复率分别为66.4%和8

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