Challenges and solutions across sectors in multi-dose drug dispensing.

IF 1.1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Danish medical journal Pub Date : 2026-03-19 DOI:10.61409/A03250182

Maja Schlünsen, Joo Hanne Poulsen Revell, Eva Holtved, Jens Søndergaard, Frans Brandt, Lene Juel Kjeldsen

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引用次数: 0

Abstract

Introduction: Automated multi-dose drug dispensing (MDD) enhances patient safety and adherence and releases staff resources, but it also causes frustration among healthcare professionals during transitions between general practice and hospital admission. This study explored healthcare professionals' perspectives on the use of MDD during the transition from hospital to general practice.

Methods: In April 2024, a focus group interview was conducted with four hospital-based physicians (HBPs), three general practitioners (GPs) and two clinical pharmacists at the University Hospital of Southern Denmark in Aabenraa, Denmark.

Results: The GPs' attitudes towards MDD were generally more positive than those of HBPs, who found management of medication changes to MDD complex due to insufficient knowledge and lack of support for MDD in evenings and during weekends. Consequently, MDD was discontinued, which increased the workload of GPs after discharge. Proposed solutions included increased involvement of hospital pharmacy staff, the establishment of collaboration with community pharmacies, and regulatory amendments to transfer responsibility for MDD to community pharmacies.

Conclusions: The proposed initiatives to optimise the management of MDDs in hospitals involved pharmacy personnel. Enhanced collaboration and coordination among pharmacies and healthcare providers concerning MDD were essential to strengthening the primary healthcare sector.

Funding: None.

Trial registration: NCT06451692.

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多剂量药物调剂中跨部门的挑战和解决方案。

简介：自动多剂量药物调剂（MDD）提高了患者的安全性和依从性，并释放了人力资源，但它也会在普通医疗和住院之间的过渡期间引起医疗保健专业人员的沮丧。本研究探讨了医疗保健专业人员在从医院到一般实践过渡期间使用重度抑郁症的观点。方法：于2024年4月对丹麦阿本拉市南丹麦大学医院的4名医院内科医生（HBPs）、3名全科医生（gp）和2名临床药师进行焦点小组访谈。结果：全科医生对MDD的态度普遍比HBPs更积极，HBPs发现由于夜间和周末对MDD的认识不足和缺乏支持，药物变化的管理对MDD复杂。因此，MDD停止了，这增加了全科医生出院后的工作量。建议的解决办法包括增加医院药房工作人员的参与，建立与社区药房的合作，以及修订规章，将MDD的责任转移给社区药房。结论：优化医院MDDs管理的措施涉及药学人员。加强药房和保健提供者之间关于MDD的合作与协调对于加强初级保健部门至关重要。资金:没有。试验注册：NCT06451692。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Danish medical journal MEDICINE, GENERAL & INTERNAL-

CiteScore

2.30

自引率

6.20%

发文量

审稿时长

3-8 weeks

期刊介绍： The Danish Medical Journal (DMJ) is a general medical journal. The journal publish original research in English – conducted in or in relation to the Danish health-care system. When writing for the Danish Medical Journal please remember target audience which is the general reader. This means that the research area should be relevant to many readers and the paper should be presented in a way that most readers will understand the content. DMJ will publish the following articles: • Original articles • Protocol articles from large randomized clinical trials • Systematic reviews and meta-analyses • PhD theses from Danish faculties of health sciences • DMSc theses from Danish faculties of health sciences.