[MAPEX 计划实施和发展后西班牙医院药房服务中门诊药物护理的演变分析]。

IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES Journal of Healthcare Quality Research Pub Date : 2024-03-01 DOI:10.1016/j.jhqr.2023.11.002
R. Morillo Verdugo , E. Vicente Escrig , M. Murillo Izquierdo , O. Ibarra Barrueta , P. Taberner Bonastre , C.M. Fernández-Llamazares
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引用次数: 0

摘要

简介和目标:2015 年,西班牙医院药学协会(SEFH)推出了门诊药物护理战略地图(MAPEX),旨在使医院药学门诊提供的活动适应新的医疗环境。本研究旨在分析 MAPEX 计划实施和发展后,2016-2021 年期间西班牙医院药房服务中门诊药物护理的演变情况:该项目的实施和发展由西班牙卫生部的一个专家小组负责,包括五个阶段:创建结构、共识会议、形势分析、制定战略举措和演变分析。为分析演变发展情况,专门编制了一份 43 个项目的调查问卷,涉及结构、背景、整合、流程、成果和研究等相关方面,并于 2016 年和 2021 年进行了答复(后者增加了 3 个问题):结果:141 家医院参加了 2016 年的现状调查,138 家医院参加了 2021 年的现状调查。在分析的所有方面都发现了显著差异。在此期间,所评估的各方面均未出现倒退。在总体层面,评价最高的方面是护理模式的改进(65.0%),在地方层面,则是非面对面的药物护理(42.8%)。未来几年,在推广和实际应用项目提出的方法方面取得进一步进展被认为是当务之急:MAPEX 计划的实施和发展对提高西班牙医院药房的门诊药物护理质量产生了积极影响。
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Analisis de la evolución de la atención farmacéutica al paciente externo en los servicios de farmacia hospitalaria en España tras la puesta en marcha y desarrollo de la iniciativa MAPEX

Introduction and objective

In 2015, the Spanish Society of Hospital Pharmacy (SEFH) launched the Strategic Map for Outpatient Pharmaceutical Care (MAPEX), with the purpose of adapting the activity offered in Hospital Pharmacy outpatient clinics to the new healthcare context.

The aim of the present study was to analyse the evolution of outpatient pharmaceutical care in Hospital Pharmacy Services in Spain in the period 2016-2021 after the implementation and development of the MAPEX initiative.

Material and method

The implementation and development of the project was carried out by a group of experts from SEFH and consisted of five phases: creation of the structure, consensus conference, situation analysis, development of strategic initiatives and evolutionary analysis.

To analyse the evolutionary development, a specific 43-item questionnaire was developed that addressed aspects related to structure, context, integration, processes, outcomes and research and was answered in 2016 and 2021 (in the latter case by adding 3 additional questions).

Results

141 hospitals participated in the status survey in 2016 and 138 in 2021. Significant differences were found in all dimensions analysed. None of the aspects assessed suffered a setback in this period.

The most highly rated aspects at the general level were the improvement of the care model (65.0%) and at the local level, the incorporation of non-face-to-face pharmaceutical care (42.8%). Further progress in the coming years in the expansion and practical application of the methodology proposed in the project was considered a priority.

Conclusions

The implementation and development of the MAPEX initiative has had a positive impact in terms of quality of care for outpatient pharmaceutical care in Hospital Pharmacy services in Spain.

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来源期刊
CiteScore
1.70
自引率
8.30%
发文量
83
审稿时长
57 days
期刊介绍: Revista de Calidad Asistencial (Quality Healthcare) (RCA) is the official Journal of the Spanish Society of Quality Healthcare (Sociedad Española de Calidad Asistencial) (SECA) and is a tool for the dissemination of knowledge and reflection for the quality management of health services in Primary Care, as well as in Hospitals. It publishes articles associated with any aspect of research in the field of public health and health administration, including health education, epidemiology, medical statistics, health information, health economics, quality management, and health policies. The Journal publishes 6 issues, exclusively in electronic format. The Journal publishes, in Spanish, Original works, Special and Review Articles, as well as other sections. Articles are subjected to a rigorous, double blind, review process (peer review)
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