社区药房新型医疗服务中视频通信的态度——一项定性试点研究。
Attitudes towards video communication for New Medicine Service at community pharmacies - A qualitative pilot study.
作者信息
Lynnerup Camilla, Nørreslet Mikkel, Graabæk Trine
机构信息
Clinical Pharmacology and Pharmacy, Department of Public Health, University of Southern Denmark, Odense, Denmark.
Aarhus Marselisborg Pharmacy, Denmark.
出版信息
Explor Res Clin Soc Pharm. 2022 Jan 10;5:100103. doi: 10.1016/j.rcsop.2022.100103. eCollection 2022 Mar.
BACKGROUND
New Medicine Service (NMS) is a community pharmacy service that can increase adherence among patients with a newly diagnosed chronic disease. NMS must be carried out by a pharmacist, which is a barrier for some pharmacy units with no pharmacist physically present. Video communication might be a way to overcome this barrier.
OBJECTIVE
This study aims to explore both patients' and community pharmacy staff's attitudes of video-based NMS in a community pharmacy setting.
METHODS
Semi-structured, telephone interviews were conducted with patients who have participated in video-based NMS. Focus groups with pharmacists who have carried out the video-based NMS and with staff that referred patients to the video-based NMS were conducted at community pharmacies. Thematic inductive analysis was used to analyse the interviews and focus groups.
RESULTS
In total, 10 patient interviews were conducted, along with one focus group with four pharmacists and one focus group with 10 referring staff. Three main themes emerged during the analysis: (i) Talking to a screen, (ii) content of the NMS, and (iii) tackling the technique. Patients reported that their questions for the pharmacists were the same as if the NMS had been face-to-face. Pharmacists felt that they appeared more professional on video and that non-medical related conversation was reduced compared with ordinary face-to-face NMS. The referring staff either preferred referring to a video-based NMS over an ordinary face-to-face NMS or had no preferences.
CONCLUSIONS
Both patients and pharmacy staff had a positive attitude towards the video-based NMS, the content of the NMS and the performance of the IT-system. The consulting time was reduced for video-based NMS compared to face-to-face NMS, but that did not affect the medical related content of the NMS, which indicates that video-based NMS is possible without compromising the health related content.
背景
新药服务（NMS）是一项社区药房服务，可提高新诊断慢性病患者的依从性。NMS必须由药剂师实施，这对一些没有药剂师实际在场的药房单位来说是一个障碍。视频通信可能是克服这一障碍的一种方式。
目的
本研究旨在探讨社区药房环境中患者和社区药房工作人员对基于视频的NMS的态度。
方法
对参与基于视频的NMS的患者进行半结构化电话访谈。在社区药房对实施基于视频的NMS的药剂师以及将患者转诊至基于视频的NMS的工作人员进行焦点小组访谈。采用主题归纳分析法对访谈和焦点小组进行分析。
结果
总共进行了10次患者访谈，以及一个由4名药剂师组成的焦点小组和一个由10名转诊工作人员组成的焦点小组。分析过程中出现了三个主要主题：（i）对着屏幕交谈，（ii）NMS的内容，以及（iii）应对技术问题。患者报告称，他们向药剂师提出的问题与NMS面对面进行时相同。药剂师认为，与普通面对面NMS相比，他们在视频中显得更专业，且与医疗无关的对话减少了。转诊工作人员要么更喜欢将患者转诊至基于视频的NMS而非普通面对面NMS，要么没有偏好。
结论
患者和药房工作人员对基于视频的NMS、NMS的内容以及信息技术系统的性能都持积极态度。与面对面NMS相比，基于视频的NMS的咨询时间减少了，但这并未影响NMS与医疗相关的内容，这表明基于视频的NMS在不损害与健康相关内容的情况下是可行的。
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