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全球药物研发目标需求评估:21 个国家的解释性混合方法研究。

Needs assessment of global pharmaceutical development goals: an explanatory mixed-methods study of 21 countries.

机构信息

International Pharmaceutical Federation, Andries Bickerweg 5, 2517 JP The Hague, The Netherlands.

Department of Practice and Policy, UCL School of Pharmacy, 29-39 Brunswick Square, London, WC1N 1AX, United Kingdom.

出版信息

Int J Pharm Pract. 2024 Feb 15;32(1):29-38. doi: 10.1093/ijpp/riad078.

Abstract

OBJECTIVES

Investment in the development of the pharmacy workforce has been recognized as crucial for achieving universal health coverage. The 21 International Pharmaceutical Federation (FIP) Development Goals (DGs) have been used when conducting national needs assessments in several countries to provide evidence-based policy on workforce development. This study aimed to explore factors contributing to education and training in a FIP sample of mainly low- to middle-income countries (LMICs), and current national policy initiatives and priorities, mapped against the FIP DGs.

METHODS

The study employed a mixed-methods approach, including an online survey questionnaire and interviews with representatives from 26 national professional organizations from 21 countries. A Multiple Correspondence Analysis (MCA), descriptive analysis, and thematic analysis were carried out to analyse the data.

KEY FINDINGS

A total of 26 national professional organizations from 21 countries participated in this study. The quantitative MCA results indicated categorical correlations with variables related to the maintenance of licensed pharmacy practice and mechanisms for personal career development and advancement, such as the availability of competency development frameworks. Six themes emerged from the qualitative analysis of ongoing national programmes in the sampled countries: strengthening initial education and training, competency and career development programmes, initiatives related to pharmacists' role in patient safety, communicable diseases, and antimicrobial stewardship, pharmaceutical care and medicines access, strengthening research to improve pharmacists' impact, and outcomes and policy review and development.

CONCLUSION

This study provided an evidence-based needs assessment exploring factors contributing to workforce development and identifying pharmaceutical development priorities mapped to the FIP DGs across a cohort of nations.

摘要

目的

人们已经认识到,投资于药剂师队伍的发展对于实现全民健康覆盖至关重要。在几个国家进行国家需求评估时,使用了 21 个国际药学联合会(FIP)发展目标(DG),为制定关于劳动力发展的循证政策提供了依据。本研究旨在探讨 FIP 样本中主要的中低收入国家(LMICs)的教育和培训因素,以及当前的国家政策举措和优先事项,以符合 FIP DG 的要求。

方法

该研究采用混合方法,包括对 21 个国家的 26 个国家专业组织的在线问卷调查和访谈。采用多元对应分析(MCA)、描述性分析和主题分析对数据进行分析。

主要发现

共有来自 21 个国家的 26 个国家专业组织参与了这项研究。定量 MCA 结果表明,与与维持许可的药房实践相关的变量以及与个人职业发展和晋升相关的机制存在分类相关性,例如能力发展框架的可用性。从抽样国家正在进行的国家方案的定性分析中得出了六个主题:加强初始教育和培训、能力和职业发展方案、与药剂师在患者安全、传染病和抗菌药物管理方面的作用相关的举措、药物治疗和药品获取、加强研究以提高药剂师的影响力、以及成果和政策审查与制定。

结论

本研究提供了一项循证需求评估,探讨了劳动力发展的促成因素,并确定了与 FIP DG 相对应的制药业发展重点。

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