Pharmacists in primary care - Determinants of the care-providing function of Dutch community pharmacists in primary care
Pharmacists in primary care - Determinants of the care-providing function of Dutch community pharmacists in primary care
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DOI：
10.1023/b:phar.0000042866.39002.d5
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发表时间：
2004-10-01
影响因子：
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通讯作者：
Grol, RPTM
中科院分区：
文献类型：
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作者：
Muijrers, PEM;Knottnerus, JA;Grol, RPTM
目的：确定社区药剂师（CP）的保健提供功能的决定因素，以解释专业实践的变化。设置：荷兰2001年。参与者：328 CP。方法：进行横断面问卷调查。使用调查问卷收集有关药房提供的护理的数据。作为因变量，三个部分的结构：“个别病人的护理”，“注册的护理”，和“与GP的合作”，和一个总的结构：“护理功能”形成。自变量为：性别、工作经验、对提供护理职能的态度、任期、与全科医生的关系、药剂师培训师、研究生培训频率、工作量、兼职工作、与医药代表接触的频率、是否有专门护理职责的技术人员、药房规模、城市化、竞争、特许经营药房、是否有足够的人员。结果：71%的受访者，29%的受访者从来没有询问过病人的经验时，提供第二次用药。11%的受访者从未登记过自我护理补救措施的供应。90%的药剂师每年参加四次以上的药物治疗审核会议。药剂师的态度，与全科医生的关系，专业技术人员的存在，研究生培训的频率和任期的类型显着正相关的护理提供功能。成为一名药剂师培训师是显着的正相关与“个别病人的护理”，研究生培训的频率是显着的正相关与“注册的护理”和服务年数是显着的负相关与“与GP的合作”。有一个负相关的合作与全科医生和药剂师已经在service.Conclusion的年数之间的关系：根据这项调查，发展的方案，重点是最佳的态度，药剂师和全科医生之间的合作建议。
Objective: To identify determinants of the care-providing function of the community pharmacists (CPs) to explain variations in professional practice.Setting: The Netherlands 2001.Participants: 328 CPs.Method: A cross-sectional questionnaire survey was performed. Questionnaires were used to collect data about the care provided in pharmacies. As dependent variables three partial constructs: 'individual patient care', 'registration of the care', and 'cooperation with GPs', and one total construct: 'care function' were formed. Independent variables were: gender, work experience, attitude to the care-providing function, tenure, relationship with GPs, pharmacist trainer, frequency of postgraduate training, workload, part-time working, frequency of contact with pharmaceutical representatives, presence of technicians with a specialised caring duty, size of the pharmacy, urbanisation, competition, franchise pharmacy, presence of sufficient personnel. A multiple-regression analysis was performed.Results: Respondents 71%; of the respondents 29% never enquired about the patient's experience when supplying a medication for the second time. The supply of self-care remedies was never registered by 11% of respondents. Ninety percent of pharmacists participate more than four times per year in Pharmacotherapy Audit Meetings. The attitude of the pharmacist, relationship with the GP, presence of specialised technicians, frequency of postgraduate training and the type of tenure are significantly positively correlated with a care-providing function. Being a pharmacist trainer is significantly positively related with 'individual patient care', the frequency of postgraduate training is significantly positively correlated with 'registration of the care' and the number of years in service is significantly negatively correlated with 'cooperation with GPs'. There is a negative correlation between the cooperation with GPs and the number of years a pharmacist has been in service.Conclusion: Based on this survey, the development of programmes focused on optimal attitude, and cooperation between pharmacists and GPs is recommended.