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首页> 外文期刊>The Journal of pharmacy technology: jPT : official publication of the Association of Pharmacy Technicians >Barriers to Community Pharmacists' Provision of Diabetes Care Services in Iowa
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Barriers to Community Pharmacists' Provision of Diabetes Care Services in Iowa

机译:衣阿华州社区药剂师提供糖尿病护理服务的障碍

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Background: Pharmacists are in a unique position to provide valuable patient care services to patients with diabetes. Even though many pharmacists have developed their diabetes care knowledge base and obtained credentials, they do not provide diabetes care on a regular basis, suggesting the existence of barriers to care other than knowledge and skills. Objective: To determine the barriers limiting the provision of diabetes care services in community pharmacy settings. Methods: Community pharmacists (N = 1,337) in Iowa were surveyed regarding (1) the types of diabetes care services provided, (2) reimbursement for services provided, (3) educational needs, (4) perceived barriers to providing diabetes services, and (5) demographics. A 46 item questionnaire was developed and mailed to participants with an addressed, stamped envelope. Nonrespondents were contacted by email or phone and asked to complete the questionnaire. Respondents' perceived barriers to diabetes care were compared based on their demographic characteristics. Results: Response rate to the questionnaire was 59.2%. Approximately 30% of respondents provided at least one diabetes care service. Of those respondents, 98% offered blood glucose meter training to their patients, and 64.7% offered patient education on diabetes topics. Issues pertaining to reimbursement, workload, and available time were the most limiting barriers to providing diabetes care services to their patients. Previously documented barriers such as patient attitudes, cultural/language barriers, store layout and patient privacy, and inadequate resources and start-up funds were not considered to be limiting by the respondents in this study. Condusions:Provision of diabetes care services is higher than reported in earlier studies. While some barriers may no longer be as limiting as they were in the past decade, inadequate reimbursement, large workload, and lack of time continue to persist as the primary barriers cited by pharmacists who are charged with providing diabetes care.
机译:背景:药剂师在为糖尿病患者提供有价值的患者护理服务方面处于独特的位置。尽管许多药剂师已经建立了自己的糖尿病护理知识基础并获得了证书,但他们并未定期提供糖尿病护理,这表明除知识和技能外,还存在护理障碍。目的:确定在社区药房中限制糖尿病护理服务提供的障碍。方法:对爱荷华州的社区药剂师(N = 1,337)进行了以下调查:(1)提供的糖尿病护理服务的类型,(2)提供的服务报销,(3)教育需求,(4)提供糖尿病服务的明显障碍以及(5)人口统计。编制了一项46项调查问卷,并邮寄给参与者,并贴有已盖章的信封。通过电子邮件或电话与未答复者联系,并要求他们填写问卷。根据受访者的人口统计学特征,比较受访者感知的糖尿病护理障碍。结果:问卷答复率为59.2%。大约30%的受访者提供了至少一项糖尿病护理服务。在这些受访者中,有98%为患者提供了血糖仪培训,而64.7%为糖尿病患者提供了患者教育。与报销,工作量和可用时间有关的问题是为其患者提供糖尿病护理服务的最大限制。先前记录的障碍,例如患者态度,文化/语言障碍,商店布局和患者隐私,以及资源和启动资金不足,在本研究中不被认为是限制因素。结论:糖尿病护理服务的提供高于早期研究的报道。虽然某些障碍可能不再像过去十年那样具有局限性,但报销不足,工作量大和缺乏时间仍然继续存在,因为负责提供糖尿病护理的药剂师认为这是主要障碍。

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