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首页> 外文期刊>Journal of the American Pharmacists Association: JAPhA >Optimizing pharmacists' effectiveness as medication therapy managers through a segmentation approach.
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Optimizing pharmacists' effectiveness as medication therapy managers through a segmentation approach.

机译：通过细分方法优化药剂师作为药物治疗经理的效率。

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OBJECTIVE: To determine whether older persons could be segmented into meaningful subgroups that shared similar patterns in terms of self-assessments of medication-related knowledge, beliefs, and perceived abilities. DESIGN: Secondary analysis of data previously collected from a cross-sectional, descriptive study. SETTING: United States. PARTICIPANTS: A total of 500 community-dwelling older persons, 65 years and older, using at least one prescription medication. INTERVENTION: Mail survey. MAIN OUTCOME MEASURES: Older persons' self-assessments of medication-related knowledge, beliefs, and perceived abilities, as well as perceptions of pharmacist-patient relationships. RESULTS: The data set contained usable responses from 330 respondents out of 496 surveys presumably delivered (66.5%). Cluster analysis revealed three groups of older persons who showed differences in terms of medication-related beliefs and perceived abilities. Older persons in group 1 reported worse health, used the most prescription medications, sought the most advice from pharmacists, and had the lowest perceived abilities. Older persons in group 2 reported good health, took the fewest medications, sought pharmacists' advice least frequently, and had the lowest beliefs and high perceived abilities. Older persons in group 3 reported the best health, had the highest beliefs, high perceived abilities, and the highest perceptions of pharmacist participative behavior, patient-centeredness, relationship quality, and commitment. CONCLUSION: Pharmacists can use a segmentation approach to target those older persons who are most in need of medication therapy management.
机译：目的：确定是否可以将老年人分为与药物相关的知识，信念和感知能力的自我评估方面具有相似模式的有意义的亚组。设计：对以前从横断面描述性研究中收集的数据进行二次分析。地点：美国。参与者：总共有500名65岁以上的社区居民，至少使用一种处方药。干预：邮件调查。主要观察指标：老年人对与药物相关的知识，信念和感知能力以及对药患关系的自我评估。结果：数据集包含了496项可能提供的496项调查中的330项答卷的可用答复（66.5％）。聚类分析显示三组老年人在药物相关的信念和感知能力方面存在差异。第一组的老年人的健康状况较差，他们使用的处方药最多，寻求药剂师的建议最多，并且感知能力最低。第2组中的老年人身体健康，服用药物最少，最少地寻求药剂师的建议，并且信仰最低，感知能力也很高。第3组中的老年人报告了最佳的健康状况，具有最高的信念，较高的感知能力和对药剂师参与行为，以患者为中心，关系质量和承诺的最高感知。结论：药剂师可以使用细分方法来针对最需要药物治疗管理的老年人。

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