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首页> 外文期刊>BMC Family Practice >Healthcare system intervention for safer use of medicines in elderly patients in primary care—a qualitative study of the participants’ perceptions of self-assessment, peer review, feedback and agreement for change
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Healthcare system intervention for safer use of medicines in elderly patients in primary care—a qualitative study of the participants’ perceptions of self-assessment, peer review, feedback and agreement for change

机译：卫生保健系统干预措施，以使初级保健中的老年患者更安全地使用药物-对参与者对自我评估，同行评审，反馈和变更协议的看法的定性研究

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Background The elderly population is increasing and with advanced age comes a higher risk for contracting diseases and excessive medicine use. Polypharmacy can lead to drug-related problems and an increased need of health care. More needs to be done to help overcome these problems. In order for new models to be successful and possible to implement in health care they have to be accepted by caregivers. The aim of this study was to evaluate participants’ perceptions of the S?KL?K project, which aims to enhance medication safety, especially for elderly patients, in primary care. Methods This is a qualitative study within the S?KL?K project. The S?KL?K project is a multi-professional intervention in primary care consisting of self-assessment, peer review, feedback and written agreements for change. A total of 17 participants from the intervention’s primary care units were interviewed. Most of the interviews were done on a one-to-one basis. The interviews were recorded and transcribed verbatim. A survey was also sent to the primary care unit heads. Qualitative content analysis was used to explore the participants’ perceptions. Results The analysis of the interviews yielded six categories: multi-professional co-operation, a focus on areas of improvement, the joy of sharing knowledge, disappointment with the focus of the feedback, spend time to save time and impact on work. From these categories a theme developed: “Medication safety is a large area. In order to make improvements time needs to be invested and different professions must contribute.” Conclusions This study shows that our studied intervention method is feasible to use in primary care and that the multi-professional approach was perceived as being very positive by the participants. Multi-professional co-operation was time consuming, but was also deemed as an investment and an opportunity to share knowledge. Some points of improvement of the method were identified such as simplification of the self-assessment form and clearer instructions for reviewers. In addition, to have an impact on work the focus must lie in areas within the primary care units’ scope.
机译：背景技术老年人口在增加，并且随着年龄的增长，罹患疾病和过度使用药物的风险也更高。多元药房可能导致与毒品有关的问题，并增加对医疗保健的需求。需要做更多的工作来帮助克服这些问题。为了使新模型成功并有可能在医疗保健中实施，护理人员必须接受它们。这项研究的目的是评估参与者对S？KL？K项目的看法，该项目旨在提高初级保健中的药物安全性，特别是对于老年患者。方法这是S？KL？K项目中的定性研究。 S？KL？K项目是对初级保健的多专业干预，包括自我评估，同行评审，反馈和书面同意变更。干预措施的初级保健部门共有17名参与者接受了采访。大多数采访都是一对一进行的。采访记录并逐字记录。还向基层医疗部门负责人进行了调查。定性内容分析用于探索参与者的看法。结果访谈的分析分为六类：多专业合作，专注于改进领域，分享知识的喜悦，对反馈的关注感到失望，花费时间节省时间和对工作的影响。从这些类别中得出了一个主题：“药物安全性是一个大领域。为了进行改进，需要花费时间，并且必须由不同的职业来贡献。”结论这项研究表明我们研究的干预方法在初级保健中是可行的，参与者认为多专业方法是非常积极的。多专业合作非常耗时，但也被视为投资和分享知识的机会。确定了方法的一些改进点，例如简化了自我评估表格，并为审核者提供了更清晰的说明。此外，要对工作产生影响，重点必须放在基层医疗单位范围内的区域。

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