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Physician agreement regarding the expansion of pharmacist professional activities in the management of patients with asthma

机译:医师协定关于药剂师专业活动扩大在哮喘患者管理中

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Background Asthma control remains suboptimal in Canada. Expansion of pharmacist's professional activities offers the opportunity to improve the interdisciplinary management of patients with asthma.Objective The aim of this study was to determine the level of agreement of physicians regarding the expansion of pharmacists' professional activities in the management of asthma patients.Methods We conducted a survey of randomly selected Quebec physicians in family medicine, paediatrics and emergency medicine. A 102-item questionnaire, including 10 questions regarding pharmacist's expanded professional activities, was sent using the Tailored Design Method. Questions were answered on a 6-point Likert-like scale (0 - strong disagreement to 5 - strong agreement).Results With a 56% response rate, 421 (250 family medicine, 115 paediatric and 56 emergency medicine) physicians participated; the median years of practice (25%, 75%) was 13 (5-21) years and 69% of respondents were women. Physicians were in favour of the expansion of pharmacist's professional activities with strong endorsement rates (rating of >4 on a maximum of 5) exceeding 60% for all but three activities: suggesting a written action plan to the physician (55%), adjusting the dose of prescribed asthma medication to achieve a therapeutic target (52%) and offering spirometry testing in pharmacies (45%). Emergency physicians, physicians with fewer years of practice, and those with a favourable perception of an interprofessional approach were associated with higher endorsement of these activities.Conclusion Physicians are favourable to the expansion of pharmacist activities in the management of patients with asthma. More complex activities were less frequently endorsed. The characteristics of strong intenders have been identified.
机译:背景技术哮喘控制仍然在加拿大次开。药剂师的专业活动的扩张提供了改善哮喘患者跨学科管理的机会。目的这项研究的目的是确定医生协议的一致性关于药剂师专业活动在哮喘患者管理中的扩张。方法对家庭医学,儿科和急诊医学中随机选择的魁北克医生进行了调查。使用量身定制的设计方法发送102项问卷,其中包括有关药剂师扩大的专业活动的10个问题。问题得到了6分的李克特 - 类似的规模(0 - 强劲分歧至5 - 强项协议)。结果,421(250家家庭医学,115个儿科和56名急诊医学)参加了56%的响应率,421(250家家庭医学,115名儿科和56名急诊医学);实践中位数(25%,75%)为13(5-21)岁,69%的受访者是女性。医师赞成扩大药剂师的专业活动,具有强大的认可率(最多5次评级> 4的评级)超过60%,除三项活动之外超过60%:为医生(55%)表示书面行动计划,调整规定哮喘药物的剂量,以获得治疗靶标(52%)并在药房(45%)提供肺活量测定试验。应急医生,具有较少实践的医生以及具有良好看法对侦探方法感受的人与这些活动的高度认可有关。结论医师有利于药剂师活动的扩大在哮喘患者管理中的扩张。更复杂的活动频繁批准。已经确定了强烈的风格的特征。

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