Community pharmacy as a primary health and self-care resource: a framework for understanding pharmacy utilization
Community pharmacy as a primary health and self-care resource: a framework for understanding pharmacy utilization
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DOI：
10.1046/j.1365-2524.2000.00222.x
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发表时间：
2000-01-01
影响因子：
2.4
通讯作者：
Noyce, P
中科院分区：
文献类型：
--
作者：
Hassell, K;Rogers, A;Noyce, P
存在一些不同的模型来帮助解释卫生保健利用行为，但没有一个被应用到社区药房的使用。在政策方面，药房利用率是一个重要的问题，因为政府热衷于支持全科医生的工作量转向社区药房。本文首先概述了不同的健康利用模式。然后，我们借鉴不同的框架，以帮助探索社区药房使用的性质。使用两个独立的药房研究，包括观察工作，访谈和文献综述的数据，我们确定了什么关键的影响是重要的概念化药房利用。以前的研究往往集中在与服务用户的社会人口特征相关的因素，但目前的研究，该文件提请，突出的重要性，与需求和需求的问题，在塑造如何利用药店的因素。过程因素以及内部和外部组织因素的影响也被强调为重要的。
A number of different models exist to help explain health care utilization behaviour, though none have been applied to the use of community pharmacy. In policy terms pharmacy utilization is an important one to address as Government is keen to support a shift in GPs' workload to community pharmacy. The paper begins by outlining the different health utilization models. We then draw on the different frameworks to help explore the nature of community pharmacy use. Using data from two separate pharmacy studies that included observational work, interviews and a literature review, we identify what key influences are important in conceptualizing pharmacy utilization. Previous research has tended to focus on factors associated with socio-demographic characteristics of service users, but the current research on which the paper draws, highlights the importance of factors associated with need and demand issues in shaping how pharmacies are utilized. Process factors and the impact of internal and external organizational factors are also highlighted as important.