Schindel Theresa J, Breault Rene R, Hughes Christine A
Faculty of Pharmacy and Pharmaceutical Sciences, University of Alberta, 3-171 Edmonton Clinic Health Academy, 11405 87 Avenue NW, Edmonton, AB T6G 1C9, Canada.
Pharmacy (Basel). 2019 Jul 11;7(3):90. doi: 10.3390/pharmacy7030090.
In some jurisdictions, governments and the public look to community pharmacies to provide expanded primary health care services, including care plans with follow-up. Care planning services, covered by the Compensation Plan in Alberta, Canada, require pharmacists to assess an eligible patient's health history, medication history, and drug-related problems to establish goals of treatment, interventions, and monitoring plan. Follow-up assessments are also covered by the Compensation Plan. A comparative case study method facilitated an in-depth investigation of care planning services provided by four community pharmacy sites. Data from 77 interviews, 61 site-specific documents, and 94 h of observation collected over 20 months were analyzed using an iterative constant comparative approach. Using a sociomaterial theoretical framework, the perceived value of care planning services was examined through an investigation of the relationships and interactions between people and information. Patients perceived the value of care planning as related to waiting time to access care and co-creating individualized plans. Physicians and other health care professionals valued collaboration, information sharing, and different perspectives on patient care. Pharmacists valued collaboration with patients and other health care professionals, which renewed their sense of responsibility, increased satisfaction, and gave meaning to their role.
在一些司法管辖区，政府和公众期望社区药房提供扩展的初级卫生保健服务，包括有随访的护理计划。加拿大艾伯塔省的薪酬计划涵盖的护理计划服务要求药剂师评估符合条件的患者的健康史、用药史和药物相关问题，以确定治疗目标、干预措施和监测计划。随访评估也在薪酬计划范围内。一种比较案例研究方法有助于深入调查四个社区药房站点提供的护理计划服务。使用迭代常数比较法对在20个月内收集的77次访谈、61份特定站点文件和94小时观察的数据进行了分析。使用社会物质理论框架，通过调查人与信息之间的关系和互动来审视护理计划服务的感知价值。患者认为护理计划的价值与获得护理的等待时间以及共同制定个性化计划有关。医生和其他医疗保健专业人员重视协作、信息共享以及对患者护理的不同观点。药剂师重视与患者和其他医疗保健专业人员的协作，这重新唤起了他们的责任感，提高了满意度，并赋予了他们的角色意义。
