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首页> 外文期刊>The International journal of pharmacy practice >The social life of chemotherapy protocols in a UK cancer network
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The social life of chemotherapy protocols in a UK cancer network

机译：英国癌症网络中化疗方案的社交生活

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Aims and objectives This paper explores the development of chemotherapy protocols in a UK NHS cancer network, using data from a study of a Macmillan-funded cancer network pharmacist post. Setting A UK NHS cancer network.Method Qualitative case study drawing mainly on interviews with stakeholders. Key findings The paper outlines the importance of protocols in addressing problems associated with service variability in cancer networks. It explores the development of a set of network-level chemotherapy protocols co-ordinated by a network pharmacist. The work to establish common protocols is seen in light of the congruent and conflicting agendas of constituent organisations. The potential for protocols to embody organisational interests is considered in the context of the network's particular political landscape. Whereas protocols could represent the interests of the network organisation, the latter also offered a bureaucratic process through which protocols might transcend their specific organisational origins. This depended on the democratic engagement of locality (hospital trust) specialist and generalist pharmacists in the network-level enterprise. The need for protocols to convince as network and locality documents entailed an ongoing process of negotiation, particularly around the extent to which documents could acknowledge and incorporate local practices.Conclusion The development of chemotherapy protocols in the cancer network was outlined as a complex and ongoing process, requiring collaborative work from a range of stakeholders. We note the relevance of Timmermans and Berg's analysis of the 'local' and 'universal' dimensions of protocols. The development process, co-ordinated by the network pharmacist, involved the negotiation of these two aspects with the aim of achieving standardisation in local contexts. Network structures and the network pharmacist served to promote a dialogue between local and universal domains. This enabled the network to embody local interests, while also encouraging adoption of an 'extralocal' perspective by locality stakeholders.
机译：目的和目标本文使用Macmillan资助的癌症网络药剂师职位的研究数据，探索了英国NHS癌症网络中化疗方案的发展。建立英国NHS癌症网络。方法定性案例研究主要基于与利益相关者的访谈。主要发现本文概述了协议在解决与癌症网络中服务可变性相关的问题中的重要性。它探索了由网络药剂师协调的一组网络级化疗方案的开发。鉴于组成组织的议程一致且相互矛盾，可以看到建立通用协议的工作。在网络的特定政治环境中考虑了体现组织利益的协议的潜力。协议可以代表网络组织的利益，而后者也提供了一种官僚化的过程，通过该过程，协议可以超越其特定的组织起源。这取决于网络级企业中地方（医院信任）专家和全科医生的民主参与。需要说服方案作为网络和地方文件需要进行中的谈判过程，尤其是在文件可​​以承认和纳入当地实践的范围内。结论癌症网络中化疗方案的开发被概述为一个复杂且正在进行的过程，需要众多利益相关者的协作。我们注意到Timmermans和Berg对协议的“本地”和“通用”维度的分析的相关性。由网络药剂师协调的开发过程涉及这两个方面的协商，目的是在本地环境中实现标准化。网络结构和网络药剂师致力于促进本地域和通用域之间的对话。这使网络能够体现当地利益，同时也鼓励地方利益相关者采用“非本地”观点。

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