Towards interprofessional networking in medication management of the aged: current challenges and potential solutions in Finland
Towards interprofessional networking in medication management of the aged: current challenges and potential solutions in Finland
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DOI：
10.1080/02813432.2016.1249055
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发表时间：
2016-01-01
影响因子：
2.1
通讯作者：
Airaksinen, Marja
中科院分区：
文献类型：
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作者：
Kallio, Sonja;Kumpusalo-Vauhkonen, Anne;Airaksinen, Marja
目的：芬兰药品管理局于2012年启动了一项方案，以加强老年人药物管理方面的专业间网络。目标是制定药物管理方面的专业间合作国家准则。本研究旨在探讨现有医疗团队在管理老年人药物方面所面临的挑战和潜在的解决方案：（1）在个人和团队层面（微观层面），（2）组织层面（中观层面）和（3）结构层面（宏观层面）。设计：小组讨论（n=10），配对（n=3）和个人访谈（n=2）。采用数据与理论相结合的溯因内容分析法。网络被用作一个理论框架。设置：会议（n=15）由Fimea组织在2012年的跨专业网络的形成阶段。主题：卫生保健专业人员（n=55）。主要结果措施：在微观，中观和宏观层面的老年人药物管理的挑战和解决方案。结果：跨专业合作的挑战，病历系统的问题，以及工作的组织和缺乏资源，都存在于所有导致患者用药问题的层面。与会者提出了多种潜在的解决方案，以提高跨专业的合作，共享的任务和责任，更好地利用制药知识和开发工具作为最常见的most-referenced.Conclusions：优化药物使用的老年人需要新的系统解决方案内和不同的系统之间的水平。主要挑战可以通过明确责任、加强沟通和采用涉及药剂师的业务模式以及在药物管理中使用信息技术来解决。
Objective: The Finnish Medicines Agency (Fimea) initiated a programme in 2012 for enhancing interprofessional networking in the medication management of the aged. The goal is to develop national guidelines for interprofessional collaboration with respect to medication management. This study aims to explore the challenges and potential solutions experienced by existing health care teams in managing medication of the aged: (1) at the individual and team level (micro level), (2) organisational level (meso level) and (3) structural level (macro level).Design: Group discussions (n=10), pair (n=3) and individual interviews (n=2). Abductive content analysis combining data and theory was applied. Networking was used as a theoretical framework.Setting: Meetings (n=15) organised by Fimea in the formation phase of the interprofessional network in 2012.Subjects: Health care professionals (n=55).Main outcome measures: Challenges and solutions in the medication management of the aged at the micro, meso and macro levels.Results: Challenges in interprofessional collaboration, problems with patient record systems, and the organisation of work and lack of resources were present at all the levels contributing to patients' medication problems. Participants suggested multiple potential solutions to improve interprofessional collaboration, sharing of tasks and responsibilities, better exploitation of pharmaceutical knowledge and developing tools as being the most commonly mentioned.Conclusions: Optimising medication use of the aged requires new systemic solutions within and between different system levels. The main challenges can be solved by clarifying responsibilities, enhancing communication and applying operational models that involve pharmacists and the use of information technology in medication management.