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首页> 外文期刊>The Canadian journal of hospital pharmacy. >Home Care Pharmacy Practice in Canada: A Cross-Sectional Survey of Services Provided, Remuneration, Barriers, and Facilitators
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Home Care Pharmacy Practice in Canada: A Cross-Sectional Survey of Services Provided, Remuneration, Barriers, and Facilitators

机译：加拿大家庭护理药学实践：提供的服务，薪酬，障碍和促进者的横断面调查

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Background: As the population ages, and individuals desire to remain in their homes as long as possible, the need for in-home care is expected to increase. However, pharmacists have rarely been included in studies of in-home care, and little is known about the prevalence or effectiveness of pharmacists' home-based services in Canada. Objective: To identify pharmacy practices in Canada that regularly provide in-home patient care and to identify specific services provided, remuneration obtained, and barriers and facilitators influencing the provision of home-based care. Methods: A link to a web-based survey was posted in e-newsletters of provincial, territorial, and national pharmacy associations in Canada. In addition, pharmacists known to the researchers as providing in-home clinical services were contacted directly. The survey was open from October to December 2015- Practices or organizations that performed at least one home visit per week for clinical purposes, with documentation of the services provided, were eligible to participate. One response per practice or organization was allowed. Results: Seventeen practices meeting the inclusion criteria were identified, representing community, hospital, and clinic settings. Home visits were most commonly performed for individuals with complex medication regimens or nonadherence to medication therapy. The most common services were conducting medication reconciliation and reviews and counselling patients about medication adherence. No practices or organizations billed patients for these services, yet lack of remuneration was an important barrier identified by many respondents. Although 12 (71%) of the respondents collected data for evaluative purposes, collection of clinical or health system outcome data was rare. Conclusions: Few Canadian pharmacy practices that provide in-home patient care at least once a week could be identified. Data collection suitable to establish an evidence base for this service was infrequently performed by practices and organizations providing home-based care. Such evidence is needed to justify the expansion of this service nationally, including consistent and adequate remuneration from governments or other payers.
机译：背景：随着人口老年人，个人尽可能长时间留在家庭中，预计家庭护理需要增加。然而，药剂师很少被列入家庭护理的研究，并且关于加拿大的药剂师家庭服务的患病率或有效性甚少。目的：识别加拿大的药房实践，定期提供家庭患者护理，并确定所提供的具体服务，获得的薪酬，障碍和促进者影响提供家庭护理。方法：在加拿大的省，领土和国家药房协会的电子通讯中发布了基于网络调查的联系。此外，直接联系了研究人员所熟知的药剂师作为家庭临床服务联系。该调查从10月到2015年12月开放 - 致力于或组织，为临床目的至少进行一次临床目的，提供的服务文件，有资格参加。允许每种练习或组织进行一次回复。结果：确定纳入标准的十七种实践，代表社区，医院和诊所环境。最常见的家庭访问对于具有复杂药物治疗方案或非药物治疗的个体来说，最常对个体进行。最常见的服务正在进行药物和解和评论和咨询患者关于药物遵守。没有做法或组织为这些服务的费用，但缺乏薪酬是许多受访者确定的重要障碍。虽然12名（71％）的受访者收集了评价目的的数据，但临床或卫生系统结果数据的收集罕见。结论：少数加拿大药房实践，可以确定每周至少一次提供一次患者护理。适用于为此服务建立证据基础的数据收集不经常由提供家庭护理的实践和组织进行。需要这些证据来证明全国性扩张这项服务，包括各国政府或其他付款人的一致和充分的报酬。

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