探索利益相关者对在基层医疗机构实施药剂师主导的抗凝诊所的看法:一项横断面研究。

IF 3.3 Q1 HEALTH POLICY & SERVICES
Journal of Pharmaceutical Policy and Practice Pub Date : 2024-09-06 eCollection Date: 2024-01-01 DOI:10.1080/20523211.2024.2395529
Safaa Alshihab, Mohamed Izham Mohamed Ibrahim, Muhammad Abdul Hadi, Abdullah Syed, Abdul Rahman Arabi, Awad Al-Qahtani, Hanan Al Mujalli, Ihsan Rafie, Mohamed Gaith Al-Kuwari, Mujeeb Kandy, Manal Al-Zaidan
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引用次数: 0

摘要

背景:抗凝治疗对于控制各种心血管和血栓性疾病至关重要;然而,在初级保健中实现最佳治疗效果仍具有挑战性。以药剂师为主导的抗凝服务已成为在基层医疗机构加强患者护理和提高治疗效果的潜在策略。了解主要利益相关者的观点对于成功实施至关重要:本研究旨在探讨参与在基层医疗机构实施药剂师主导的抗凝诊所的主要利益相关者的看法:方法:在 2023 年 8 月至 10 月期间,使用经过试点测试的结构化问卷开展了一项横断面研究。接受华法林治疗的患者、药剂师和在各初级医疗保健中心工作的医生受邀完成在线调查。每组利益相关者都收到了个性化问卷,以评估他们对在基层医疗机构发展药剂师主导的抗凝诊所的看法和期望。数据分析采用了描述性统计方法:调查的回复率分别为:医生 29.4%、患者 10.4%、药剂师 48.6%。受访者对药剂师主导的抗凝门诊表示了积极的看法,认为其好处包括改善了医疗服务的可及性、加强了用药管理并增加了对患者的教育。受访者对药剂师担任这一角色的专业知识和技能充满信心。然而,医疗服务提供者强烈认为,药剂师应接受更多专门针对抗凝管理的培训。建立标准化方案和促进跨专业合作被认为是实际实施的主要促进因素:药剂师主导的基层医疗机构抗凝门诊得到了广泛的支持,但要想成功实施,还需要解决药剂师培训和问责制方面的问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Exploring stakeholder perceptions of implementing a pharmacist-led anticoagulation clinic in primary care settings: a cross-sectional study.

Background: Anticoagulation therapy is crucial for managing various cardiovascular and thrombotic conditions; however, optimal delivery remains challenging in primary care. Pharmacist-led anticoagulation services have emerged as a potential strategy for enhancing patient care and outcomes in such settings. Understanding the perspectives of key stakeholders is critical for successful implementation.

Objectives: This study aimed to explore the perceptions of key stakeholders involved in the implementation of pharmacist-led anticoagulation clinics in primary care settings.

Methods: A cross-sectional study was conducted using structured, pilot-tested questionnaires between August and October 2023. Patients receiving warfarin, pharmacists, and physicians working across various primary healthcare centres were invited to complete an online survey. Each group of stakeholders had individualised questionnaires to assess their perceptions and expectations with regard to developing pharmacist-led anticoagulation clinics in primary care. Descriptive statistics were used to analyze the data.

Results: The response rates for the survey were 29.4% for physicians, 10.4% for patients, and 48.6% for pharmacists. Participants expressed positive perceptions toward pharmacist-led anticoagulation clinics, acknowledging benefits such as improved access to care, enhanced medication management, and increased patient education. The respondents expressed confidence in the expertise and skills of pharmacists in this role. However, healthcare providers strongly agree that pharmacists should receive additional training specific to anticoagulation management. Establishing standardised protocols and fostering interprofessional collaboration were identified as the main facilitators for practical implementation.

Conclusions: Broad support exists for pharmacist-led anticoagulation clinics in primary care, though additional pharmacist training and accountability concerns need to be addressed for successful implementation.

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来源期刊
Journal of Pharmaceutical Policy and Practice
Journal of Pharmaceutical Policy and Practice Health Professions-Pharmacy
CiteScore
4.70
自引率
9.50%
发文量
81
审稿时长
14 weeks
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