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Quality indicators and community pharmacy services: a scoping review

机译:质量指标和社区药房服务:范围审查

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Abstract Background Quality indicators are a commonly used improvement tool in health care. There is growing interest and activity in the use of quality indicators to improve community pharmacy practice. Objectives To conduct a scoping review of the use of quality indicators for community pharmacy practice, including their methods of development and evaluation. Methods Electronic databases (EMBASE and PubMed) were searched to identify papers published between January 2008 and April 2018. No limits were applied for language of publication or country of origin. Studies were included if they reported empirical data regarding the development or evaluation of quality indicators. All study designs were eligible for inclusion. Duplicate independent screening was undertaken of the search results. Data extraction was performed by one reviewer. Results Of the 988 records identified from the database search, 15 articles were included. The studies were conducted in 12 countries from six continents. Eleven studies described the development of quality indicators, eight of which included the evaluation of the psychometric properties of the indicators developed. Four studies examined the impact of quality indicators on practice all of which reported improvements in some aspects of quality, mainly with structure indicators rather than those relating to process and outcome. Conclusions Whilst there is a growing emphasis on promoting improvement in community pharmacy services, evidence is lacking of the effect of indicators on improving quality. Measurable process and outcome indicators are needed. The future development of quality indicators would also benefit from a multi‐stakeholder approach.
机译:摘要背景质量指标是医疗保健中常用的改进工具。在利用质量指标以改善社区药学实践时,越来越感兴趣和活动。目标是对社区药房实践使用质量指标的使用,包括其开发和评估方法。方法搜索电子数据库(EMBASE和PUBMED)以识别2008年1月至2018年4月发布的论文。没有限制出版物或原产国的语言。如果他们报告了关于质量指标的发展或评估的经验数据,则包括研究。所有研究设计都有资格包含。重复的独立筛选是对搜索结果进行的。数据提取由一个审阅者执行。从数据库搜索中确定的988条记录的结果包括15篇文章。这些研究是在六大洲的12个国家进行的。 11研究描述了质量指标的发展,其中八个包括评估表现出指标的心理学特性。四项研究检测了质量指标对所有练习的影响,这些内容报告了质量的某些方面的改善,主要是结构指标而不是与过程和结果有关的那些。结论虽然越来越强调促进社区药房服务的改善,但证据缺乏指标对提高质量的影响。需要可测量的过程和结果指标。未来的质量指标的发展也将受益于多利益相关方方法。

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