社區藥局藥師介入民眾藥事服務之成果評估－以醫藥合作試辦群為例; Evaluation of community pharmacists’ intervention on pharmaceutical services: patient satisfaction in a medical-pharmacy network demonstration project

CMUR > College of Public Health > Department and Graduate of Health Services Administration > Theses & dissertations > Item 310903500/767

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Title:	社區藥局藥師介入民眾藥事服務之成果評估－以醫藥合作試辦群為例;Evaluation of community pharmacists’ intervention on pharmaceutical services: patient satisfaction in a medical-pharmacy network demonstration project
Authors:	陳逸芬;Yi-Fen Chen
Contributors:	醫務管理學研究所
Keywords:	醫藥合作試辦群;社區藥局藥師;藥事服務;用藥品質;medical-pharmacy network demonstration project;community pharmacists;pharmaceutical services;medication quality
Date:	2008-06-24
Issue Date:	2009-08-12 16:22:05 (UTC+8)
Abstract:	確保病人藥物安全與減少藥物疏失已成為這些年來病人安全議題的主要目標。社區藥局藥師被認是為民眾提供用藥知識與諮詢服務的重要專業人員之一。本研究主要透過在中台灣推行醫藥合作試辦群，探討社區藥局藥師對社區民眾在用藥知識與藥物諮詢的介入成效。本研究為準實驗設計，並以社區藥局藥師的藥事服務作為介入的事項。研究之有效樣本共有1,100位社區民眾參與研究，並採取方便抽樣，共計前測實驗組民眾有291位，後測實驗組民眾有235位，前測控制組民眾有240位，後測控制組民眾有244位。研究期間從2007年2月至10月。研究分析方法採用描述性分析、變異數分析、T檢定、簡單迴歸分析、複迴歸分析與邏輯斯迴歸分析進行資料分析。研究結果顯示社區藥局藥師對社區民眾(即實驗組民眾)的藥事服務介入後，比控制組民眾在用藥知識上有明顯地改善，且整體藥事服務滿意度有較正面評價。本研究證實社區藥局藥師在社區民眾的用藥知識與諮詢服務上具有貢獻價值。此醫藥合作試辦群模式應更進一步向其他台灣地區推展，以維護民眾的用藥安全與推廣社區藥局藥師的藥事功能價值。 Securing patient medication and reducing medication errors have been the major goals in the theme of patient safety these years. Community pharmacists have been referred as one of the key professionals to provide medication knowledge and consultation services to the public. This study was aimed to explore the intervention effects of community pharmacists on medication knowledge, medication consultation for community residents, under the implementation of a medical-pharmacy network demonstration project in central Taiwan. This is a quasi-experimental design with community pharmacists’ pharmaceutical services as the intervention event. One thousand and ten community residents were surveyed, with 291 residents in the pre-test experimental group, 235 in the post-test experimental group, 240 in the pre-test control group, and 244 in the post-test control groups, with the convenience sampling. The study period was from Feb 2007 to Oct 2007. Descriptive analysis, ANOVA, t-test, simple and multiple regression analyses, and logistic regression analyses were performed. Overall, it revealed that community pharmacists’ intervention on the pharmaceutical services in the community residents (i.e., experimental groups) were shown improved medication knowledge of the public, and better perceived overall pharmaceutical service satisfaction, than those in the control groups. This study confirmed the values contributed by the community pharmacists on community residents in terms of medication knowledge and consultation effectiveness. The model of medical-pharmacy networking deserves to diffuse further to other regions in Taiwan to benefit the medication safety of the public and promote the values of community pharmacists’ pharmaceutical functions.
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