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患有多种疾病的老年人合理用药的障碍：一项改良的德尔菲研究。

Barriers to appropriate prescribing in older adults with multimorbidity: A modified Delphi study.

作者信息

Lun Penny, Tang Jia Ying, Lee Jia Qi, Tan Keng Teng, Ang Wendy, Ding Yew Yoong

机构信息

Geriatric Education And Research Institute Limited Singapore Singapore.

Department of Pharmacy Tan Tock Seng Hospital Singapore Singapore.

出版信息

Aging Med (Milton). 2021 Jul 20;4(3):180-192. doi: 10.1002/agm2.12169. eCollection 2021 Sep.

DOI:10.1002/agm2.12169
PMID:34553115
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8444963/
Abstract

OBJECTIVES

We aimed to understand the barriers experienced by physicians when prescribing for older adults with multimorbidity in specialist outpatient clinics in Singapore.

METHODS

A modified Delphi study was conducted via email with 20 panel experts in the field of geriatric medicine. Barriers identified from an earlier scoping review were presented as statements to the panel.

RESULTS

Eleven barrier statements reached consensus with high importance according to the Delphi panel. Of these statements, seven (64%) belong to the domain of in the Theoretical Domains Framework (TDF), while the remaining barriers belong to the domains of . The barriers are further linked to intervention functions in the Behaviour Change Wheel (BCW).

CONCLUSION

Linking the TDF domains to intervention functions revealed strategic directions for the development of an intervention to address the barriers and optimize prescribing.

摘要

目的

我们旨在了解新加坡专科门诊中，医生在为患有多种疾病的老年人开处方时所面临的障碍。

方法

通过电子邮件对20名老年医学领域的专家小组进行了一项改良的德尔菲研究。早期范围审查中确定的障碍以陈述形式呈现给专家小组。

结果

根据德尔菲小组的意见，11条障碍陈述达成了高度重要性的共识。在这些陈述中，有7条（64%）属于理论领域框架（TDF）中的领域，而其余障碍属于领域。这些障碍进一步与行为改变轮（BCW）中的干预功能相关联。

结论

将TDF领域与干预功能联系起来，揭示了开发干预措施以解决障碍并优化处方的战略方向。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8525/8444963/3bd650632920/AGM2-4-180-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8525/8444963/3bd650632920/AGM2-4-180-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8525/8444963/3bd650632920/AGM2-4-180-g001.jpg

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