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首页> 外文期刊>The International journal of pharmacy practice >Sustaining delivery of the first publicly reimbursed cognitive service in Denmark: a cross-case analysis.
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Sustaining delivery of the first publicly reimbursed cognitive service in Denmark: a cross-case analysis.

机译：持续提供丹麦第一个公开报销的认知服务：跨案例分析。

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OBJECTIVES: The aim was to identify local organisational factors that affect sustained delivery of the first Danish publicly reimbursed cognitive service, the Inhaler Technique Assessment Service (ITAS). The ITAS is a 10-min interactive counselling session during which pharmacy staff assess the inhalation technique of individual asthma patients at the pharmacy counter, and correct any errors. Knowledge of how the organisation of a local pharmacy influences ITAS provision will be used to develop quality indicators as part of a targeted quality-assurance system to support the sustainability of the service in all Danish community pharmacies. METHODS: Qualitative methods included field observations, semi-structured interviews, group interviews and the collecting of documentary material. Data-source and method triangulation were applied. Seven pharmacies were included in the study. A cross-case analysis compared pharmacies with sustained and reduced numbers of services based on three selected themes: administration of the ITAS, leadership interventions and professional values of pharmacy owner and staff. KEY FINDINGS: Pharmacies with sustained delivery had introduced systematic evaluations of the local delivery of the ITAS and made ongoing efforts to improve staff competencies. They dealt with individual barriers such as lack of knowledge of rarely distributed inhalation devices and communication techniques. Pharmacy staff in general rarely assessed patients' clinical needs before offering the service and rarely provided follow-up. Thus, pharmacy staff failed to utilise the full clinical potential of the ITAS. CONCLUSIONS: In order to achieve and support further ITAS sustainability, the knowledge, skills and professional values of pharmacy staff must be developed. Human resource leadership techniques would be useful in achieving this aim, as would focusing on the service by providing systematic evaluations.
机译：目的：旨在确定影响持续提供丹麦第一个公开报销的认知服务即吸入器技术评估服务（ITAS）的本地组织因素。 ITAS是一个10分钟的互动咨询课程，在此期间药房工作人员会在药房柜台评估单个哮喘患者的吸入技术，并纠正任何错误。将了解当地药房的组织如何影响ITAS规定的知识，以开发质量指标，作为有针对性的质量保证系统的一部分，以支持所有丹麦社区药房的服务可持续性。方法：定性方法包括现场观察，半结构式访谈，小组访谈和文献资料的收集。应用了数据源和方法三角剖分。该研究包括七家药房。一项跨案例分析根据三个选定的主题将药房与持续减少的服务数量进行了比较：ITAS的管理，领导干预以及药房所有者和员工的专业价值观。主要发现：持续交付的药房已经对ITAS的本地交付进行了系统的评估，并不断努力提高员工的能力。他们处理个人障碍，例如缺乏对很少分布的吸入装置和通信技术的了解。通常，药房人员很少在提供服务之前评估患者的临床需求，并且很少提供随访。因此，药房人员无法充分利用ITAS的全部临床潜力。结论：为了实现并支持ITAS的进一步可持续性，必须开发药房人员的知识，技能和专业价值。人力资源领导技术将有助于实现这一目标，通过提供系统的评估将重点放在服务上。

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