Schultz D M, Deckard G J
Department of Pharmacy Services, Florida Medical Center Hospital, Fort Lauderdale, USA.
Am J Health Syst Pharm. 1995 Oct 1;52(19):2121-4. doi: 10.1093/ajhp/52.19.2121.
Hospital pharmacy directors in Florida were surveyed to determine the effects of patient-focused care on pharmacy practice. In a statewide mail survey in 1994, directors were asked whether their hospital had implemented patient-focused care or was planning to, what factors influenced this, whether and how the pharmacy was involved, what changes in structure and services resulted, and how they perceived the impact of patient-focused care on the practice of hospital pharmacy. They were asked to identify specific programs, interdisciplinary teams, and opportunities associated with patient-focused care programs. Usable surveys were returned by 148 respondents (48.8% response rate). Fifty-three (35.8%) of the respondents had implemented patient-focused care and 50 (34%) were planning to ; 82.5% of these respondents (85 of 103) said pharmacists were involved in the planning efforts. Respondents said hospital administration was most often responsible for initiating patient-focused care, and cost was the top-ranked reason. For pharmacy, patient-focused care brought more interdisciplinary activities and new services. Florida hospital pharmacy directors thought patient-focused care would change the practice of pharmacy and that the change would be positive.
对佛罗里达州的医院药房主任进行了调查,以确定以患者为中心的护理对药房实践的影响。在1994年的一项全州范围内的邮件调查中,向主任们询问了他们的医院是否已经实施或以患者为中心的护理,或者是否计划实施,哪些因素影响了这一点,药房是否以及如何参与其中,结构和服务产生了哪些变化,以及他们如何看待以患者为中心的护理对医院药房实践的影响。他们被要求确定与以患者为中心的护理计划相关的具体项目、跨学科团队和机会。148名受访者(回复率为48.8%)返回了可用的调查问卷。其中53人(35.8%)已经实施了以患者为中心的护理,50人(34%)计划实施;这些受访者中有82.5%(103人中的85人)表示药剂师参与了规划工作。受访者表示,医院管理部门最常负责启动以患者为中心的护理,成本是首要原因。对药房来说,以患者为中心的护理带来了更多的跨学科活动和新服务。佛罗里达州的医院药房主任们认为,以患者为中心的护理将改变药房的实践,而且这种改变将是积极的。