制定成熟度矩阵,评估社区药房实施糖尿病护理指南建议的组织准备情况。

IF 1.5 Q3 PHARMACOLOGY & PHARMACY
Martina Teichert, Kenji Fujita, Jozé Braspenning
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引用次数: 0

摘要

目的:在专业指南中描述了2型糖尿病(DMT2)患者的药学服务。为了应用他们的建议,需要对组织进行更改。我们的目的是首次描述社区药房团队(MM-CP)成熟度矩阵的发展,以评估组织在实施药物DMT2护理指南建议方面的准备情况。方法:MM-CP的制定是在现有工作组药师系统共识的过程中进行的。在三次有准备任务的会议中,为DMT2指南的实施选择了相互排斥的领域。在确定了增长步骤之后,生成的矩阵单元被组织实现活动的示例填充。为了探索领域和增长步骤的普遍性,咨询了“药物监测”和“多剂量药物分配”指南的另外两个工作组。主要发现:我们以“个性化护理”、“团队合作”、“信息系统和数据交换”、“外部协作”和“教育和研究”领域为横轴,以“意识和动力”、“能够”、“执行、评估和改进”和“创新”为纵轴,开发了一个五乘五的矩阵。MM-CP单元中充满了实施DMT2指南核心建议的示例。该矩阵将被药房团队用作形成工具。结论:MM-CP可用于社区药房团队对其组织准备情况进行自我评估。然而,需要进一步的研究来评估其在社区药房实施dmt2指南建议期间刺激有针对性改进的潜力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Development of a maturity matrix to assess organizational readiness of community pharmacies for implementation of guideline recommendations in diabetes care.

Objectives: Pharmaceutical care for people with diabetes mellitus type 2 (DMT2) has been described in professional guidelines. To apply their recommendations, organizational changes are needed. We aimed to describe, for the first time, the development of a maturity matrix for community pharmacy teams (MM-CP) to assess organizational readiness in implementing the guideline recommendations on pharmaceutical DMT2 care.

Methods: MM-CP development was conducted in a systematic consensus process with pharmacists from existing working groups. In three meetings with preparatory assignments, mutually exclusive domains were chosen for the DMT2 guideline implementation. After determining the growth steps, the resulting matrix cells were filled with examples of the organizational implementation activities. To explore the generalizability of domains and growth steps, two other working groups for "medication surveillance" and "multidose drug dispensing" guidelines were consulted.

Key findings: A five-by-five matrix was developed using the domains "personalized care," "teamwork," "information systems and data exchange," "external collaboration," and "education and research" on the horizontal axis, and the growth steps "being aware and motivated," "being able to," "performing, evaluating and improving," and "innovating" on the vertical axis. The MM-CP cells were filled with examples to implement the core recommendations of the DMT2 guideline. The matrix is to be used by pharmacy teams as a formative instrument.

Conclusions: The MM-CP is ready for use by community pharmacy teams for self-assessing their organizational readiness. However, further research is required to evaluate its potential in stimulating targeted improvement during the implementation of the DMT2-guideline recommendations in community pharmacies.

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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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