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社区药房基于实践的研究招募:挑战与经验教训

Community Pharmacy Recruitment for Practice-Based Research: Challenges and Lessons Learned.

作者信息

Roller Jessica, Pfeiffer Anna, Humphries Courtney, Richard Chloe, Easter Jon, Ferreri Stefanie, Livet Melanie

机构信息

UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.

出版信息

Pharmacy (Basel). 2023 Jul 22;11(4):121. doi: 10.3390/pharmacy11040121.

Abstract

To support the successful integration of community pharmacies into value-based care models, research on the feasibility and effectiveness of novel pharmacist-provided patient care services is needed. The UNC Eshelman School of Pharmacy, supported by the National Association of Chain Drug Stores (NACDS) Foundation, designed the Community-based Valued-driven Care Initiative (CVCI) to (1) identify effective value-based patient care interventions that could be provided by community pharmacists, (2) implement and evaluate the feasibility of the selected patient care interventions, and (3) develop resources and create collaborative sustainability opportunities. The purpose of this manuscript is to describe recruitment strategies for CVCI and share lessons learned. The project team identified pharmacies for recruitment through a mixed data analysis followed by a "fit" evaluation. A total of 42 pharmacy organizations were identified for recruitment, 24 were successfully contacted, and 9 signed on to the project. During recruitment, pharmacies cited concerns regarding the financial sustainability of implementing and delivering the patient care services, challenges with staffing and infrastructure, and pharmacists' comfort level. To foster participation, it was vital to have leadership buy-in, clear benefits from implementation, and assured sustainability beyond the research period.

摘要

为支持社区药房成功融入基于价值的医疗模式,需要对新型药剂师提供的患者护理服务的可行性和有效性进行研究。北卡罗来纳大学埃谢尔曼药学院在全国连锁药店协会(NACDS)基金会的支持下,设计了基于社区的价值驱动型护理计划(CVCI),以(1)确定社区药剂师可以提供的有效的基于价值的患者护理干预措施,(2)实施并评估所选患者护理干预措施的可行性,以及(3)开发资源并创造合作的可持续发展机会。本文的目的是描述CVCI的招募策略并分享经验教训。项目团队通过混合数据分析,然后进行“匹配”评估来确定招募的药房。总共确定了42个药房组织进行招募,成功联系了24个,其中9个签署了该项目。在招募过程中,药房提到了对实施和提供患者护理服务的财务可持续性、人员配备和基础设施方面的挑战以及药剂师的舒适度的担忧。为了促进参与,至关重要的是要有领导层的支持、实施带来的明确益处以及研究期之后有保证的可持续性。

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