德国药店急性腹泻咨询服务评估：一项模拟患者研究
Assessment of counselling for acute diarrhoea in German pharmacies: a simulated patient study.
作者信息
Langer Bernhard, Bull Elisa, Burgsthaler Tina, Glawe Julia, Schwobeda Monique, Simon Karen
机构信息
Faculty of Health, Nursing, Administration, University of Applied Sciences Neubrandenburg, Neubrandenburg, Germany.
出版信息
Int J Pharm Pract. 2018 Aug;26(4):310-317. doi: 10.1111/ijpp.12405. Epub 2017 Sep 19.
OBJECTIVES
The aim of this study was to assess the quality of counselling provided for acute diarrhoea and to evaluate the role of the patient's approach and different user groups in determining the outcome of counselling.
METHODS
The simulated patient methodology was used in all 21 community pharmacies in a north-eastern German city. Four different scenarios related to self-medication of acute diarrhoea were developed and used in all the pharmacies (a total of 84 visits). The assessment form, completed immediately postvisit by the simulated patient, included 9 objective items scored using dichotomous scales to produce a scale from 0 to 9. After evaluating the data, every pharmacy received individual performance feedback to encourage behavioural changes and improve the quality of the counselling provided.
KEY FINDINGS
Overall, the quality of counselling was poor (mean score of 3.3/9 (37%)). The most common information provided was about dosage (87% of interactions), while the least common information given was about side effects (4% of interactions). The main effect was seen when comparing the product and symptom requests (F(1,60) = 24.748, P < 0.001, ω = 0.277). There was no effect resulting from different user groups (F(1,28) = 0.237, P = 0.630, ω = -0.026) and no interaction between the type of request and different user groups (F(1,28) = 3.395, P = 0.076, ω = 0.073).
CONCLUSIONS
This study highlighted the current deficits in appropriate counselling provided by community pharmacies in Germany.
目的
本研究旨在评估针对急性腹泻提供的咨询服务质量，并评估患者的就诊方式和不同用户群体在决定咨询结果方面的作用。
方法
在德国东北部一个城市的所有21家社区药房中采用模拟患者方法。制定了四种与急性腹泻自我药疗相关的不同场景，并在所有药房中使用（共84次就诊）。模拟患者在就诊后立即填写的评估表包括9个客观项目，使用二分制量表评分，得出0至9分的量表。在评估数据后，每个药房都收到了个人绩效反馈，以鼓励行为改变并提高所提供咨询服务的质量。
主要发现
总体而言，咨询服务质量较差（平均得分为3.3/9（37%））。提供的最常见信息是关于剂量（87%的互动），而最少提供的信息是关于副作用（4%的互动）。比较产品和症状需求时观察到主要影响（F(1,60)=24.748，P<0.001，ω=0.277）。不同用户群体没有产生影响（F(1,28)=0.237，P=0.630，ω=-0.026），需求类型和不同用户群体之间也没有相互作用（F(1,28)=3.395，P=0.076，ω=0.073）。
结论
本研究突出了德国社区药房在提供适当咨询服务方面目前存在的不足。
Zotero 插件