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[小病服务实施的因素与策略:一项案例研究]

[Factors and strategies for the implementation of a minor ailment service: a case study].

作者信息

Ruiz-Lozano Francisca, Crespo-Sánchez Francisco Eugenio, Amador-Fernández Noelia

机构信息

Farmacéutica comunitaria de San Fulgencio (Alicante) España.

Grupo de Investigación en Atención Farmacéutica de la Universidad de Granada. Universidad de Granada España.

出版信息

Farm Comunitarios. 2023 May 23;15(3):25-30. doi: 10.33620/FC.2173-9218.(2023).19. eCollection 2023 Jul 15.

DOI:10.33620/FC.2173-9218.(2023).19
PMID:39157696
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11328702/
Abstract

Minor ailment service (MAS) is a professional pharmacy service assisting patients to manage minor ailments. MAS involves a structured consultation process with protocols which delineate professional practice. INDICA+PRO is a project, started in 2017, which evaluates the impact and subsequently implementation of MAS in Spanish community pharmacies. This paper reports on the experience of implementing the service in a single pharmacy.Implementation factors (barriers and facilitators) were detected and a series of strategies were developed and used as part of the implementation program of MAS through a practice program, INDICA+PRO. The implementation strategies, such as highlighting the advantages of MAS for the pharmacy, incentives for the provision of the service and/or the distribution of tasks within the team were used to overcome barriers. Facilitators included the availability of a consultation room in the pharmacy, good relationships with nearby health centers and the provision of other professional services in the pharmacy.The advantages obtained from MAS, following the inclusion in the software (SEFAC eXPERT®) of the agreed protocols and clinical information, were improved patient follow-up, increased communication within the team and with patients, the pharmacy having a clinical history of the minor ailments and the ability of being able to prepare standardized reports.

摘要

小病服务(MAS)是一项专业药房服务,旨在协助患者管理小病。MAS涉及一个结构化的咨询流程,该流程有明确专业实践的协议。INDICA+PRO是一个于2017年启动的项目,旨在评估MAS在西班牙社区药房中的影响及后续实施情况。本文报告了在一家单一药房实施该服务的经验。通过INDICA+PRO实践项目,检测了实施因素(障碍和促进因素),并制定了一系列策略作为MAS实施计划的一部分。实施策略,如强调MAS对药房的优势、提供服务的激励措施和/或团队内部分配任务,被用于克服障碍。促进因素包括药房设有咨询室、与附近健康中心的良好关系以及药房提供其他专业服务。在将商定的协议和临床信息纳入软件(SEFAC eXPERT®)后,MAS带来的优势包括改善患者随访、加强团队内部以及与患者之间的沟通、药房拥有小病临床病史以及能够编写标准化报告的能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fdc/11328702/f3ef7db6b57e/FC15-03-04_gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fdc/11328702/2184821d654d/FC15-03-04_gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fdc/11328702/f3ef7db6b57e/FC15-03-04_gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fdc/11328702/2184821d654d/FC15-03-04_gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fdc/11328702/f3ef7db6b57e/FC15-03-04_gf02.jpg

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Implement Sci. 2022 Oct 29;17(1):75. doi: 10.1186/s13012-022-01245-0.
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Strengthening patients' triage in community pharmacies: A cluster randomised controlled trial to evaluate the clinical impact of a minor ailment service.加强社区药店患者分诊:一项评估小病服务临床影响的整群随机对照试验。
PLoS One. 2022 Oct 25;17(10):e0275252. doi: 10.1371/journal.pone.0275252. eCollection 2022.
3
A cost utility analysis alongside a cluster-randomised trial evaluating a minor ailment service compared to usual care in community pharmacy.
一项成本效用分析与一项评估社区药房小病服务与常规护理的集群随机试验同时进行。
BMC Health Serv Res. 2021 Nov 20;21(1):1253. doi: 10.1186/s12913-021-07188-4.
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Using network analysis to explore factors moderating the implementation of a medication review service in community pharmacy.运用网络分析方法探究影响社区药剂师执行药物审查服务的因素。
Res Social Adm Pharm. 2022 Mar;18(3):2432-2443. doi: 10.1016/j.sapharm.2020.12.007. Epub 2020 Dec 19.
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The complexity of implementation factors in professional pharmacy services.专业药学服务实施因素的复杂性。
Res Social Adm Pharm. 2018 May;14(5):498-500. doi: 10.1016/j.sapharm.2017.05.016. Epub 2017 May 29.
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Model for the evaluation of implementation programs and professional pharmacy services.实施计划与专业药学服务评估模型
Res Social Adm Pharm. 2016 May-Jun;12(3):515-22. doi: 10.1016/j.sapharm.2015.08.003. Epub 2015 Aug 15.