单位文秘网 2021-08-04 08:16:11 点击: 次
中图分类号 R951 文献标志码 A 文章编号 1001-0408(2019)05-0711-06
DOI 10.6039/j.issn.1001-0408.2019.05.28
摘 要 目的:构建适用于我国医疗服务现状的临床药师与医师协作关系模型,为我国相关领域研究提供指导与借鉴。方法:以协作关系相关理论为指导,结合现有药师与医师协作相关理论与实践,通过文献归纳形成原始模型,结合专家访谈法进行修正、完善,最终完成整个模型的理论构建。结果:构建出由五个协作水平和三大类协作影响因素构成的我国临床药师与医师协作关系模型。其中五个协作水平为协作需求萌芽期、协作价值认同期、协作关系磨合期、协作模式强化期和协作关系形成期,三大类协作影响因素为临床药师与医师的个人特征、从业环境特征和交互特征。结论:构建的我国临床药师与医师协作关系模型可为促进二者协作关系、推动相关研究发展提供参考和依据。
关键词 临床药师与医师;协作关系;模型构建;协作水平;影响因素
Construction of Collaborative Relationship Model between Clinical Pharmacists and Physicians in China
ZHANG Qiong,YUAN Cancan,LENG Meiling,XI Xiaoyu(Research Center of National Drug Policy & Ecosystem, China Pharmaceutical University, Nanjing 211198, China)
ABSTRACT OBJECTIVE: To construct a collaborative relationship model between clinical pharmacists and physicians which is suitable for medical situations in China, and to provide guidance and reference for the relevant research. METHODS: Guided by theories relating to collaborative relationship, combined with the existing collaborative theories and practices of collaboration between pharmacists and physicians, the model was constructed through model synthesis, and was revised and improved on the basis of expert interview. Finally, the theory of the model was constructed. RESULTS: The collaborative relationship model of clinical pharmacists and physicians in China (CPPCR) was built, which was composed of five collaborative levels and three types of collaborative factors. Five collaborative levels included collaborative demand germination period, collaborative value identification period, collaborative relationship bonding period, collaborative mode strengthening period and collaborative relationship establishment period, while three types of collaborative factors included individual characteristics, work environment characteristics and interactive characteristics of clinical pharmacists and physicians. CONCLUSIONS: CPPCR is helpful to provide reference and basis for promoting their collaborative relationship and the development of related research.
KEYWORDS Clinical pharmacists and physicians; Collaborative relationship; Model construction; Collaboration levels; Collaborative factors
近年來,以促进合理用药为主要目标的药学服务因其显著的临床产出与经济效益而日益受到重视[1-3],我国陆续出台了临床药师培训试点、临床药师制试点以及加强药事管理转变药学服务模式等相关政策以促进药学服务体系发展。《医疗机构药事管理规定》(卫医政发〔2011〕11号)第十七条更明确指出“医疗机构应当建立由医师、临床药师和护士组成的临床治疗团队,开展临床合理用药工作”。临床药师与医师有着恢复和保持患者健康的共同目标[4],二者利用专业知识和技能共同协作为患者、其他医疗服务人员和公众提供全面的药物管理及相关医疗卫生服务,有助于改善治疗效果[5]、提升患者依从性[6-7]、促进医疗费用控制[8]。
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