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首页> 外文期刊>The International journal of pharmacy practice >Internet‐based pharmacy and centralised dispensing: an exploratory mixed‐methods study of the views of family practice staff
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Internet‐based pharmacy and centralised dispensing: an exploratory mixed‐methods study of the views of family practice staff

机译：基于互联网的药房和集中点胶：探索性的混合方法研究家庭练习人员的观点

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Abstract Objectives Over the last decade, technological advances, market competition and increasing pressures for efficiencies across healthcare systems have resulted in changes to the processes and policies involved in medicines prescribing and dispensing. The aim of this study was to explore the views of family practice staff, including GPs, on the perceived impact of changes associated with remote dispensing and the increasing availability of distance‐selling pharmacies. Methods Exploratory mixed‐methods study using qualitative focus groups and an online cross‐sectional survey distributed to a non‐probability sample of staff from family practices across England. Survey items were developed based on existing literature and initial thematic analysis from the focus groups and adapted using cognitive interviewing techniques. Key findings Findings suggest that family practice staff believe that where and how prescriptions are dispensed impacts on their practice and patients. Frequent contact with distance‐selling pharmacies is not common; however, highlighted concerns included patient safety issues and the potential threat to the loss of valued elements and sustainability of community pharmacy and dispensing practices. Identified concerns and experiences are unlikely to be routinely discussed within or between practices, limiting opportunities for shared learning and consideration of the potential impact of changes to dispensing processes and policies. Conclusions Further research is needed to confirm these exploratory findings, due to the low response rate and sample size. Findings, nevertheless, highlight how wider changes in dispensing processes may have unintended consequences on other aspects of the healthcare system.
机译：摘要目的在过去十年中，技术进步，市场竞争和跨医疗保健系统效率的压力导致了对药品处方和分配的过程和政策的变化。本研究的目的是探讨家庭练习人员（包括GPS）的观点，包括与远程分配相关的变化的感知影响以及远程销售药房的不断增加的可用性。方法使用定性焦点小组的探索混合方法研究以及在英格兰跨境家庭实践中分配给非概率样本的在线横断面调查。根据现有文献和焦点小组的初始主题分析，通过认知面试技术改编进行了调查项目。主要发现结果表明，家庭练习人员认为处方以及如何对其实践和患者的影响。频繁接触销售距离药房是不常见的;然而，突出了突出的问题包括患者安全问题以及对损失有价值的要素和社区药房的可持续性的潜在威胁和分配行为。实验性和经验不太可能在做法内或之间常规讨论，限制共享学习的机会，并考虑变更对分配过程和政策的潜在影响。结论由于低响应率和样本量，需要进一步研究以确认这些探索性研究结果。然而，调查结果强调了分配过程的更宽变化可能对医疗保健系统的其他方面产生意外的后果。

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