Exploring the enablers and barriers to implementing the Medication Appropriateness Tool for Comorbid Health conditions during Dementia (MATCH-D) criteria in Australia: a qualitative study
Exploring the enablers and barriers to implementing the Medication Appropriateness Tool for Comorbid Health conditions during Dementia (MATCH-D) criteria in Australia: a qualitative study
复制标题
探索在澳大利亚实施痴呆症期间共病健康状况用药适当性工具 (MATCH-D) 标准的推动因素和障碍：一项定性研究
作者：
A. Page;R. Clifford;K. Potter;Liza J Seubert;A. McLachlan;Xaysja Hill;Stephanie King;Vaughan Clark;C. Ryan;N. Parekh;C. Etherton
目的痴呆症共病健康状况的药物适当性工具（MATCH-D）标准为痴呆症患者的药物使用提供专家共识指导。这项研究的目的是查明在实践中执行标准的推动因素和障碍。背景参与者来自澳大利亚两个州的农村和大都市社区。参加者与消费者、全科医生、护士和药剂师举行了焦点小组会议。结果：按主题分析数据。结果共进行了9个焦点小组的研究。55名参与者验证了MATCH-D的内容，评价它们提供以患者为中心的护理原则。与会者确定了潜在的应用（包括使用MATCH-D作为讨论辅助工具或消费者关于药品的教育工具），并建议了支持资源。与会者提供了在实践中应用MATCH-D的见解，并建议将资源纳入配套工具包。这些数据提供了MATCH-D的外部验证，并为其转化为实践提供了经验基础。在资源开发之后，我们计划评估实际执行的可行性和有效性。
Objectives The Medication Appropriateness Tool for Comorbid Health conditions in Dementia (MATCH-D) criteria provide expert consensus guidance about medication use for people with dementia. This study aimed to identify enablers and barriers to implementing the criteria in practice. Setting Participants came from both rural and metropolitan communities in two Australian states. Participants Focus groups were held with consumers, general practitioners, nurses and pharmacists. Outcomes: data were analysed thematically. Results Nine focus groups were conducted. Fifty-five participants validated the content of MATCH-D, appraising them as providing patient-centred principles of care. Participants identified potential applications (including the use of MATCH-D as a discussion aid or educational tool for consumers about medicines) and suggested supporting resources. Conclusion Participants provided insights into applying MATCH-D in practice and suggested resources to be included in an accompanying toolkit. These data provide external validation of MATCH-D and an empiric basis for their translation to practice. Following resource development, we plan to evaluate the feasibility and efficacy of implementation in practice.
住院护理/辅助生活设施中开具的药物不当。
影响因子：
6.3
作者：
Sloane,PhilipD;Zimmerman,Sheryl;Brown,LoriC;Ives,TimothyJ;Walsh,JoanF
通讯作者：
Walsh,JoanF