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首页> 美国卫生研究院文献>Pharmacy: Journal of Pharmacy Education and Practice >Introducing Pharmaceutical Care to Primary Care in Iceland—An Action Research Study
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Introducing Pharmaceutical Care to Primary Care in Iceland—An Action Research Study

机译：在冰岛将药物治疗引入初级保健—一项行动研究

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Even though pharmaceutical care is not a new concept in pharmacy, its introduction and development has proved to be challenging. In Iceland, general practitioners are not familiar with pharmaceutical care and additionally no such service is offered in pharmacies or primary care settings. Introducing pharmaceutical care in primary care in Iceland is making great efforts to follow other countries, which are bringing the pharmacist more into patient care. General practitioners are key stakeholders in this endeavor. The aim of this study was to introduce pharmacist-led pharmaceutical care into primary care clinics in Iceland in collaboration with general practitioners by presenting different setting structures. Action research provided the framework for this research. Data was collected from pharmaceutical care interventions, whereby the pharmaceutical care practitioner ensures that each of a patient’s medications is assessed to determine if it is appropriate, effective, safe, and that the patient can take medicine as expected. Sources of data included pharmaceutical care notes on patients, researcher’s notes, meetings, and interviews with general practitioners over the period of the study. The study ran from September 2013 to October 2015. Three separate semi-structured in-depth interviews were conducted with five general practitioners from one primary health care clinic in Iceland at different time points throughout the study. Pharmaceutical care was provided to elderly patients (n = 125) before and between general practitioners’ interviews. The study setting was a primary care clinic in the Reykjavik area and the patients’ homes. Results showed that the GPs’ knowledge about pharmacist competencies as healthcare providers and their potential in patient care increased. GPs would now like to have access to a pharmacist on a daily basis. Direct contact between the pharmacist and GPs is better when working in the same physical space. Pharmacist’s access to medical records is necessary for optimal service. Pharmacist-led clinical service was deemed most needed in dose dispensing polypharmacy patients. This research indicated that it was essential to introduce Icelandic GPs to the potential contribution of pharmacists in patient care and that action research was a useful methodology to promote and develop a relationship between those two health care providers in primary care in Iceland.
机译：尽管药学护理不是药学领域的新概念，但事实证明，它的引入和发展具有挑战性。在冰岛，全科医生不熟悉药物护理，此外，在药房或初级护理机构中也不会提供此类服务。在冰岛，在初级保健中引入药物治疗正在努力跟上其他国家的步伐，这使该药剂师更多地进入了患者治疗。全科医生是这项工作的主要利益相关者。这项研究的目的是通过介绍不同的设置结构，与全科医生合作，将药剂师主导的药物护理引入冰岛的初级护理诊所。行动研究为这项研究提供了框架。数据是从药物治疗干预措施中收集的，药物治疗从业人员可以确保对患者的每种药物进行评估，以确定其是否适当，有效，安全，并且患者可以按预期服用药物。数据来源包括患者在研究期间的药物护理说明，研究人员的说明，会议以及与全科医生的访谈。该研究于2013年9月至2015年10月进行。在整个研究期间的不同时间，对来自冰岛一家初级卫生保健诊所的五名全科医生进行了三个独立的半结构化深度访谈。在全科医生面试之前和之间，为老年患者（n = 125）提供了药物治疗。研究地点是雷克雅未克地区和患者家中的初级保健诊所。结果表明，全科医生对作为医疗保健提供者的药剂师能力及其在患者护理方面的潜力的了解有所增加。全科医生现在希望每天都可以联系药剂师。在相同的物理空间中工作时，药剂师和GP之间的直接接触会更好。为了获得最佳服务，药剂师必须访问病历。药剂师主导的临床服务被认为是剂量分配多药房患者最需要的服务。这项研究表明，必须向冰岛全科医生介绍药剂师在患者护理方面的潜在贡献，而行动研究是促进和发展冰岛初级保健中这两家医疗服务提供者之间关系的有用方法。

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