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基层医疗诊所中提供者对临床药师和技术人员服务的感知价值

Providers' Perceived Value of Clinical Pharmacist and Technician Services within Primary Care Clinics.

作者信息

Abbinanti Alan, Slager Stacey, Turner Kyle, Gurney Erin, Berrett Golden Benjamin, Cox Nicholas

机构信息

University of Utah Health, Salt Lake City, UT 84132, USA.

Department of Pharmacotherapy, College of Pharmacy, University of Utah, Salt Lake City, UT 84112, USA.

出版信息

Pharmacy (Basel). 2022 Dec 17;10(6):175. doi: 10.3390/pharmacy10060175.

Abstract

Several studies have demonstrated the benefit of clinical pharmacy services in primary care. However, studies are limited on providers' perceived value of embedded primary care pharmacy teams. The purpose of this project was to determine how primary care clinical pharmacists and technicians provide value to medical providers. Primary care providers in University of Utah health clinics where primary care clinical pharmacists are embedded were invited to participate in one-on-one, semi-structured interviews. Interview sessions were recorded, transcribed, and de-identified. The transcripts were coded and analyzed to determine common themes. Questions were on various topics, including what is of greatest value to them, pharmacy integration into care teams, provider burnout, provider happiness at work, provider workload, and provider retention in the health system. In total, 25 interviews were conducted from nine different clinics (response rates of 19.7% for providers and 81.8% for clinics). Coding revealed themes of increased job satisfaction, enhanced patient care, decreased workload and burnout, and a desire for increased access to clinical pharmacy services. The responses related to clinical pharmacists in primary care were overwhelmingly positive, and providers almost unanimously expressed the need for more pharmacy services in primary care.

摘要

多项研究已证明临床药学服务在初级保健中的益处。然而,关于医疗服务提供者对嵌入式初级保健药学团队的感知价值的研究有限。本项目的目的是确定初级保健临床药师和技术人员如何为医疗服务提供者创造价值。邀请了犹他大学健康诊所中设有初级保健临床药师的初级保健提供者参加一对一的半结构化访谈。访谈过程进行了录音、转录并去除了身份标识。对转录文本进行编码和分析以确定共同主题。问题涉及多个主题,包括对他们最有价值的是什么、药学融入护理团队、医疗服务提供者的职业倦怠、工作中的幸福感、工作量以及在医疗系统中的留任意愿。总共从九个不同诊所进行了25次访谈(医疗服务提供者的回复率为19.7%,诊所的回复率为81.8%)。编码揭示了工作满意度提高、患者护理得到改善、工作量和职业倦怠减少以及希望增加临床药学服务可及性等主题。与初级保健临床药师相关的回复绝大多数是积极的,医疗服务提供者几乎一致表示初级保健中需要更多的药学服务。

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