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处方作为波兰社区药店药学服务质量指标。

Prescriptions as quality indicators of pharmaceutical services in Polish community pharmacies.

机构信息

Department of Humanities and Social Medicine, Medical University of Lublin, ul. Chodźki 7, 20-093, Lublin, Poland.

出版信息

BMC Health Serv Res. 2022 Mar 22;22(1):373. doi: 10.1186/s12913-022-07772-2.

DOI:10.1186/s12913-022-07772-2
PMID:35317797
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8939172/
Abstract

BACKGROUND

Assessment of community pharmacies' quality of service is a very difficult task, resulting from the multiplicity and variety of provided services as well as patient-related factors (i.e. their health condition, expectations, education level or cultural and social background). Although proceedings of pharmaceutical professionals are to a great extend legally determined and described in various acts and regulations, work diligence should be one of the most characteristic traits of a professional pharmacy employee. Many publications addressing the quality of services provided by pharmaceutical employees focus on patient satisfaction, here the authors focused on more objective methods i.e. prescription analysis.

OBJECTIVE

The main aim of the study was to assess whether post-inspection National Health Fund reports would constitute a reliable source of quality assessment of pharmaceutical services provided by community pharmacies.

METHODS

The study is an in-depth quality and quantity analysis of 28 post-inspection quarterly reports conducted by the National Health Fund between 2013 and 2019.

RESULTS

Vast majority of inspections ended in stating a variety of irregularities.

CONCLUSIONS

The analysis of irregularities contained in the National Health Fund's post-inspection reports does not seem an appropriate indicator of assessing the quality of pharmaceutical services provided in community pharmacies, because of its targeted character. Inappropriate performance of professional duties by staff members is the main source of irregularities in the implementation of prescriptions for reimbursable medications. There is a need to improve staffs' professional competence and ultimately the quality of pharmaceutical services.

摘要

背景

评估社区药店的服务质量是一项非常困难的任务,这是由于所提供服务的多样性以及患者相关因素(即他们的健康状况、期望、教育水平或文化和社会背景)造成的。虽然药剂师的执业行为在很大程度上是由各种法案和法规来确定和描述的,但工作勤勉应该是专业药剂师最具特色的特征之一。许多关于药剂师提供的服务质量的出版物都关注患者满意度,而本文作者则关注更客观的方法,即处方分析。

目的

本研究的主要目的是评估国家卫生基金(National Health Fund)的检查后报告是否能成为评估社区药店提供的药学服务质量的可靠依据。

方法

这是一项对国家卫生基金在 2013 年至 2019 年期间进行的 28 次季度检查后的报告进行的深入质量和数量分析。

结果

绝大多数检查结果都指出了各种违规行为。

结论

从国家卫生基金的检查后报告中分析违规情况似乎不是评估社区药店提供的药学服务质量的合适指标,因为其具有针对性。工作人员不适当履行职责是实施可报销药物处方违规的主要原因。有必要提高员工的专业能力,最终提高药学服务质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5834/8939172/83a18ff95672/12913_2022_7772_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5834/8939172/83a18ff95672/12913_2022_7772_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5834/8939172/83a18ff95672/12913_2022_7772_Fig1_HTML.jpg

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Dispensing errors in community pharmacies in the United Arab Emirates: investigating incidence, types, severity, and causes.阿拉伯联合酋长国社区药房的配药错误:调查发生率、类型、严重程度及原因。
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Int J Clin Pharm. 2016 Aug;38(4):870-9. doi: 10.1007/s11096-016-0301-x. Epub 2016 Apr 23.
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