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Pharmaceutical care uncovered: An ethnographic study of pharmaceutical care practice.

机译：发现了药物治疗：药物治疗实践的人种学研究。

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摘要

For the pharmacy profession to reach a deeper understanding of human phenomena, it needs to enter into and learn about the world in which we live as human beings, taking into consideration human experience as it is lived in social, cultural, historical, and political contexts. This study explored patients, practitioners and students' experiences within the historic-socio-cultural context of the promising pharmacy practice model known as pharmaceutical care. Pharmaceutical care is a practice that addresses individual patients' medication-related needs and society's problem of harm resulting from medications. The pharmaceutical care practitioner works directly with patients to ensure that their drug therapy is needed, effective, safe and convenient. An ethnographic study was conducted for eight months in nine clinics and one community pharmacy in the Twin Cities. Field observation, in-depth interviews, focus groups, and analysis of documents were conducted in order to uncover the practice as it is in the real world. Twenty-five patients, thirteen pharmaceutical care practitioners and ten pharmacy students participated in the project. The results of this project unveiled patients' experiences with and their thoughts about the service of pharmaceutical care. Additionally, the results disclosed the management structure, delivery of the service and the apparent gaps within the health care organizations' provision of pharmaceutical care. The results uncovered the skills and knowledge required to be a patient-centered practitioner as well as provided an understanding of how to better prepare students for this role. Though this study was for a doctoral dissertation, the findings were of grave import to the health care organization and were subsequently presented to the practitioners, managers and decision-makers. The findings portrayed for practitioners what patients valued about the practice, what they desired from health care professionals and health care, and what they needed with regards to their medications. Furthermore, the study provided essential information for managers to make educated decisions about the service in order to better meet patients' needs. Lastly, this study was a crucial step in moving the pharmacy profession towards a more caring practice to better meet the medication-related needs of patients and serve a unique and vital role in society.
机译：为了使药学界对人类现象有更深入的了解，它需要进入并了解我们作为人类生活的世界，同时考虑到人类在社会，文化，历史和政治环境中的生活经验。这项研究探索了在有前途的药学实践模式（称为药学护理）的历史-社会-文化背景下的患者，从业人员和学生的经验。药物护理是一种解决个人患者与药物相关的需求以及社会对药物造成伤害的问题的实践。药物护理从业人员直接与患者合作，以确保需要，有效，安全和方便地进行药物治疗。在双子城的9家诊所和一家社区药房进行了8个月的人种志研究。进行了现场观察，深入访谈，焦点小组讨论和文档分析，以发现实际情况。 25位患者，13位药学护理从业人员和10位药学专业的学生参加了该项目。该项目的结果揭示了患者在药物护理服务方面的经验和想法。此外，结果还揭示了管理结构，服务的提供以及卫生保健组织提供药物保健方面的明显差距。结果揭示了以患者为中心的从业人员所需的技能和知识，并提供了如何更好地为学生准备这一角色的理解。尽管这项研究是为博士学位论文准备的，但研究结果对于卫生保健组织具有重要意义，并随后提供给从业人员，管理人员和决策者。研究结果为从业人员描绘了患者对这种做法的评价，他们对医疗保健专业人员和医疗保健的期望以及他们在药物方面的需求。此外，该研究为管理人员做出有关服务的明智决策提供了重要信息，以便更好地满足患者的需求。最后，这项研究是使药学专业朝着更加关爱的方向迈进的关键一步，以更好地满足患者与药物相关的需求，并在社会中发挥独特和至关重要的作用。

著录项

  • 作者

    Oliveira, Djenane Ramalho de.;

  • 作者单位

    University of Minnesota.;

  • 授予单位 University of Minnesota.;
  • 学科 Health Sciences Pharmacy.
  • 学位 Ph.D.
  • 年度 2003
  • 页码 425 p.
  • 总页数 425
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 药剂学;
  • 关键词

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