药剂师对服务创新看法的定性研究

IF 3.4 3区 医学 Q1 HEALTH POLICY & SERVICES Health Policy and Technology Pub Date : 2024-09-01 DOI:10.1016/j.hlpt.2024.100898
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引用次数: 0

摘要

背景药房提供的扩展服务对健康结果有诸多改善。本研究旨在探讨药剂师对药房角色、服务扩展的影响和障碍的看法。方法与来自葡萄牙各地的药剂师进行了四次焦点小组讨论,并对转录的讨论内容进行了归纳内容分析。结果强调了加强药剂师培训、建立支持性法律框架、优先为技术进步提供资金、促进专业间合作以及采用创新实践来推动医疗创新和改善患者预后的重要性。结论对几项任务的识别表明,从药剂师的角度来看,药房的作用包括配药到在患者健康状况的不同阶段为其提供帮助/监测。扩大服务范围与服务创新的几个新潜力有关,即提高医疗效果和帮助主要医疗机构处理更多的病人。在服务创新方面,出现了一些需要考虑的因素,如与实施新服务相关的条件和困难。这些因素涉及药剂师、立法和资源:药房提供的扩展服务在健康结果方面有诸多改善。然而,有几个障碍需要解决。研究目的本研究旨在探讨药剂师对药房作用的看法以及服务扩展的效果和障碍。研究方法:采用内容分析法对四次焦点对话进行了研究:对葡萄牙各地药剂师参加的四个焦点小组进行了内容分析。结果新出现的三个主要类别是药房的作用,分为评估、转诊、治疗监控、教育/告知、处方和登记;服务创新的潜力,分为接近性、改进性和竞争性;服务创新,分为实施条件、实施困难、新服务的激活和促进坚持的因素。结论药房的作用不仅仅是配药。与这一扩大的角色相关,药剂师发现了服务可提供的若干优势,以及服务创新的若干障碍。需要对促进坚持服药的因素进行更广泛的研究。
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A qualitative study on pharmacists’ perceptions about service innovation

Background

Expanded services provided at pharmacies show numerous improvements in health outcomes. However, attempts at implementing new services in pharmacies are met with several barriers, among which is the failure to update the pharmacist's role.

Objective

This study aimed to explore pharmacists’ perceptions about the role of pharmacies and the effects of, and barriers to, service expansion.

Methods

Four focus groups were conducted with pharmacists from across Portugal, and an inductive content analysis was applied to the transcribed sessions.

Results

The content analysis results were organized into three main categories: the Role of Pharmacy, Potentialities of Service Innovation, and Service Innovation. The results emphasize the importance of enhancing pharmacists’ training, establishing supportive legal frameworks, prioritizing funding for technological advancements, promoting interprofessional collaboration, and embracing innovative practices to advance healthcare innovation and improve patient outcomes.

Conclusions

The identification of several tasks indicates that, in pharmacists’ perspectives, the Role of Pharmacy ranges from dispensing medication to aiding/monitoring patients at various stages of their health conditions. Expanded services were associated with several emergent Potentialities of Service Innovation, namely, enhancement of health outcomes and help to main healthcare facilities dealing with an increased number of patients. For Service Innovation, several factors emerged that need consideration, such as the conditions and the difficulties found associated with new service implementation. These pertain to pharmacists, legislation, and resources.

Public Interest Summary

Background: Expanded services provided at pharmacies show numerous improvements in health outcomes. However, several barriers should be addressed. Objective: This study sought to explore pharmacists’ perceptions about the role of pharmacies and the effects of, and barriers to, service expansion. Methods: A content analysis was applied to four focus groups conducted with pharmacists from across Portugal. Results: The three main emerging categories were: The Role of Pharmacy, divided into assessment, referrals, therapy monitoring, educating/informing, prescribing, and registering; Potentialities of Service Innovation, divided into proximity, improvement, and competitiveness; Service Innovation, divided into conditions for implementation, implementation difficulties, activation of the new services, and adherence-promoting factors. Conclusion: The pharmacy role goes beyond dispensing medication. Tied to this expanded role, pharmacists identified several advantages that the services could provide and several barriers to Service Innovation. Factors that promote adherence need more extensive study.

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来源期刊
Health Policy and Technology
Health Policy and Technology Medicine-Health Policy
CiteScore
9.20
自引率
3.30%
发文量
78
审稿时长
88 days
期刊介绍: Health Policy and Technology (HPT), is the official journal of the Fellowship of Postgraduate Medicine (FPM), a cross-disciplinary journal, which focuses on past, present and future health policy and the role of technology in clinical and non-clinical national and international health environments. HPT provides a further excellent way for the FPM to continue to make important national and international contributions to development of policy and practice within medicine and related disciplines. The aim of HPT is to publish relevant, timely and accessible articles and commentaries to support policy-makers, health professionals, health technology providers, patient groups and academia interested in health policy and technology. Topics covered by HPT will include: - Health technology, including drug discovery, diagnostics, medicines, devices, therapeutic delivery and eHealth systems - Cross-national comparisons on health policy using evidence-based approaches - National studies on health policy to determine the outcomes of technology-driven initiatives - Cross-border eHealth including health tourism - The digital divide in mobility, access and affordability of healthcare - Health technology assessment (HTA) methods and tools for evaluating the effectiveness of clinical and non-clinical health technologies - Health and eHealth indicators and benchmarks (measure/metrics) for understanding the adoption and diffusion of health technologies - Health and eHealth models and frameworks to support policy-makers and other stakeholders in decision-making - Stakeholder engagement with health technologies (clinical and patient/citizen buy-in) - Regulation and health economics
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