多病人群未满足的医疗保健需求——社区药剂师能缩小差距吗?

IF 1.5 Q3 PHARMACOLOGY & PHARMACY
Catarina Samorinha, Sanah Hasan, Kevin Mc Namara, Amna M Othman, Polly Duncan, Karem Alzoubi, Hamzah Alzubaidi
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引用次数: 0

摘要

目的:确定与多病患者未满足的医疗需求相关的因素,并确定社区药剂师可以提供的支持,以满足这些需求。方法:从社区药房招募患有多种疾病的患者,研究助理接触所有患者并向他们询问问题以确定他们的资格:患有两种或两种以上的慢性疾病,年龄至少18岁,会说阿拉伯语或英语。那些符合标准的人被邀请参加这项研究。同意的参与者完成了一项基于国际指南设计的调查,利用有效的工具来衡量医疗保健需求、生活质量、治疗负担和药物自我效能。使用广义线性模型来确定未满足需求的预测因子。主要发现:224名参与者完成了调查(回复率为81%)。参与者指出了显著的医疗保健需求,特别是在沟通和关系(M = 4.4±0.9)和药物信息(M = 3.8±0.7)等领域。高等教育程度和药物自我效能感与较低的咨询需求相关(B = -0.966;P < 0.001, B = -113;P < 0.001)和沟通(B = -0.547;P < 0.008, B = -0.088;P = 0.003)。结论:这项研究证明了社区药剂师解决多重疾病的潜力。为了优化他们的作用,初级卫生保健服务需要重组,使药剂师能够支持有复杂卫生保健需求的患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Unmet healthcare needs of people with multimorbidity-can community pharmacists close the gap?

Objectives: Identify factors associated with unmet healthcare needs in patients with multimorbidity and determine the support community pharmacists can offer to meet these needs.

Methods: People with multimorbidity were recruited from community pharmacies where research assistants approached all patients and asked them questions to determine their eligibility: having two or more chronic conditions, being at least 18 years old, and speaking either Arabic or English. Those who met the criteria were invited to participate in the study. Consenting participants completed a survey designed based on international guidelines, utilizing validated tools to measure healthcare needs, quality of life, treatment burden, and medication self-efficacy. Generalized linear models were used to identify predictors of unmet needs.

Key findings: Two hundred and twenty-four participants completed the survey (response rate = 81%). Participants indicated significant healthcare needs particularly in areas such as communication and relationships (M = 4.4 ± 0.9) and medication information (M = 3.8 ± 0.7). Higher education and medication self-efficacy were associated with lower needs for counselling (B = -0.966; P < .001 and B = -113; P < .001, respectively) and communication (B = -0.547; P < .008 and B = -0.088; P = .003, respectively).

Conclusions: This study demonstrated community pharmacists' potential to address multimorbidity. To optimize their role, primary healthcare delivery needs to be reorganized to empower pharmacists to support patients with complex healthcare needs.

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来源期刊
CiteScore
2.90
自引率
5.60%
发文量
146
期刊介绍: The International Journal of Pharmacy Practice (IJPP) is a Medline-indexed, peer reviewed, international journal. It is one of the leading journals publishing health services research in the context of pharmacy, pharmaceutical care, medicines and medicines management. Regular sections in the journal include, editorials, literature reviews, original research, personal opinion and short communications. Topics covered include: medicines utilisation, medicine management, medicines distribution, supply and administration, pharmaceutical services, professional and patient/lay perspectives, public health (including, e.g. health promotion, needs assessment, health protection) evidence based practice, pharmacy education. Methods include both evaluative and exploratory work including, randomised controlled trials, surveys, epidemiological approaches, case studies, observational studies, and qualitative methods such as interviews and focus groups. Application of methods drawn from other disciplines e.g. psychology, health economics, morbidity are especially welcome as are developments of new methodologies.
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