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首页> 外文期刊>The Canadian journal of hospital pharmacy. >Medication Management: Perceptions and Opinions of Canadian Hospital Executives
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Medication Management: Perceptions and Opinions of Canadian Hospital Executives

机译:药物管理:加拿大医院高管的看法和见解

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Background: Issues relating to access to new medications, medication safety, and the quality of medication use are important to many Canadian hospital executives and managers.Objective: To obtain the opinions of hospital executives and managers about medication management issues.Methods: A survey instrument was developed and pilot-tested with input from key informant interviews and the Canadian College of Health Service Executives (CCHSE). The survey was sent by e-mail and regular mail to a randomized stratified sample from the CCHSE membership of 250 middle managers and 250 executives at the CEO or vice-president level. The responses to the survey questions and underlying themes from respondents' comments were analyzed using multivariate statistical techniques and content analysis. The results of these analyses are reported in relation to respondents' demographic characteristics.Results: In total, 272 (56.1%) of the 485 surveys delivered were completed and returned. The respondents reported that changes in physician prescribing habits constituted the most important factor influencing demand for pharmaceuticals. The pharmacy department of the respondent's organization was listed as the top source of information about medications, and clinical practice guidelines and disease management programs were chosen as the top 2 methods to optimize the use of pharmaceuticals. Respondents considered appropriateness of drug use, medication errors, and proper drug utilization as the drug-related issues with the highest perceived importance. About 58% of respondents felt that their organizations were getting value for the money spent on drugs.Conclusions: This study provided insight into the perceptions of Canadian hospital executives and managers related to one of the most important issues that they face today-management of Pharmaceuticals. There was remarkable consistency in responses across the demographic variables included in the survey. Further work is needed to determine the type of education related to medication management that executives and managers need, suitable methods for providing that education, and the career stages at which it is appropriate to do so.
机译:背景:与新药的获取,药物安全性和药物使用质量有关的问题对许多加拿大医院主管和管理者都很重要目的:获得医院主管和管理者对药物管理问题的意见方法:一种调查工具在关键知情人访谈和加拿大卫生服务行政人员学院(CCHSE)的帮助下开发并进行了试点测试。该调查是通过电子邮件和常规邮件发送给CCHSE成员的随机分层样本的,该成员包括250位首席执行官或副总裁级别的中层管理人员和250位高管。使用多元统计技术和内容分析,分析了对调查问题的回答以及受访者评论的基本主题。报告这些分析的结果与受访者的人口统计学特征有关。结果:总共完成了485项调查中的272项(56.1%)已完成并返回。受访者报告说,医生开药习惯的改变是影响药品需求的最重要因素。被调查者组织的药房部门被列为有关药物的主要信息来源,并且临床实践指南和疾病管理计划被选为最优化药物使用的2种方法。受访者认为药物使用的适当性,药物错误和适当的药物使用是与药物相关的问题,具有最高的感知重要性。大约58%的受访者认为他们的组织正在从花在药物上的钱中获得价值。 。在调查中,所有人口变量的回答均具有显着一致性。需要做进一步的工作来确定主管人员和管理人员需要的与药物管理有关的教育类型,提供该教育的合适方法以及适合该职业的职业阶段。

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