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首页> 外文期刊>The International journal of pharmacy practice >Physician perspectives on collaborative working relationships with team-based hospital pharmacists in the inpatient medicine setting
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Physician perspectives on collaborative working relationships with team-based hospital pharmacists in the inpatient medicine setting

机译：医师在住院医学环境中与基于团队的医院药剂师的协作工作关系的观点

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Objective Collaborative care between physicians and pharmacists has the potential to improve the process of care and patient outcomes. Our objective was to determine whether team-based pharmacist care was associated with higher physician-rated collaborative working relationship scores than usual ward-based pharmacist care at the end of the COLLABORATE study, a 1 year, multicentre, controlled clinical trial, which associated pharmacist intervention with improved medication use and reduced hospital readmission rates. Methods We conducted a cross-sectional survey of all team-based and usual care physicians (attending physicians and medical residents) who worked on the participating clinical teaching unit or primary healthcare teams during the study period. They were invited to complete an online version of the validated Physician-Pharmacist Collaboration Index (PPCI) survey at the end of the study. The main endpoint of interest was the mean total PPCI score. Key findings Only three (response rate 2%) of the usual care physicians responded and this prevented us from conducting pre-specified comparisons. A total of 23 team-based physicians completed the survey (36%) and reported a mean total PPCI score of 81.6 ± 8.6 out of a total of 92. Mean domain scores were highest for relationship initiation (14.0 ± 1.4 out of 15), and trustworthiness (38.9 ± 3.7 out of 42), followed by role specification (28.7 ± 4.3 out of 35). Conclusion Pharmacists who are pursuing collaborative practice in inpatient settings may find the PPCI to be a meaningful tool to gauge the extent of collaborative working relationships with physician team members.
机译：目的医师和药剂师之间的协作护理具有改善护理过程和患者预后的潜力。我们的目标是确定在COLLABORATE研究（一项为期1年，多中心，受控的临床试验）后，与基于普通病房的药剂师护理相比，基于团队的药剂师护理与更高的医师评级的协作工作关系得分是否相关，该关联的药剂师改善药物使用和降低住院率的干预措施。方法我们对研究期间在参与的临床教学单位或初级保健团队工作的所有基于团队和常规护理医师（主治医师和住院医师）进行了横断面调查。在研究结束时，他们被邀请完成一份经过验证的医师-药师合作指数（PPCI）调查的在线版本。感兴趣的主要终点是平均总PPCI得分。主要发现只有三名（响应率为2％）的常规护理医生对此做出了回应，这使我们无法进行预先指定的比较。共有23位基于团队的医生完成了调查（36％），并报告了92项中PPCI的平均总得分为81.6±8.6。建立关系的平均领域得分最高（15分中的14.0±1.4），和信任度（42分中的38.9±3.7），然后是角色规范（35分中的28.7±4.3）。结论在住院环境中开展协作实践的药剂师可能会发现PPCI是衡量与医师团队成员之间协作关系的程度的一种有意义的工具。

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