Concept analysis of perceived health from the perspective of rural adults in China

Tang, Yafen; Ye, Jing; Yang, Lili; Ran, Lulu; Wu, Jingjie

doi:10.1111/2047-3095.12337

Cited by 2 publications

(1 citation statement)

References 30 publications

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“…In rural areas, the population is often older and tends to suffer more from chronic diseases than do residents of non-urban regions [6][7][8][9][10]. Consequently, rural primary care has unique challenges, often involving complex medical cases and limited resources [6,[11][12][13][14][15][16][17]. To tackle these problems, previous studies have suggested various approaches, such as strengthening multiprofessional collaboration [18][19][20][21][22][23], establishing remote pharmacy services [18,19], and developing public health programs aiming at medication process evaluation and enhanced safety of care providers [24,25].…”

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confidence: 99%

Developing a medication-safety self-assessment tool for rural primary care units - A case from Finnish Lapland

Sova,

Celikkayalar,

Sneck

et al. 2024

Preprint

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Background In rural areas, primary care faces several challenges, and medication therapy is one of the most complex processes in primary care. With a specific, proactive, medication-safety self-assessment tool designed for rural primary care units, healthcare professionals could identify development needs in their medication processes. Methods The Delphi consensus method with two Delphi rounds was used to create a medication-safety self-assessment tool for rural primary care units in Finnish Lapland. A preliminary tool was designed based on three national and international risk management tools. Statements of the preliminary tool were evaluated with a two-round Delphi panel by 12 experts in primary care and patient safety. Evaluated aspects were suitability for primary care settings, patient safety relevance, and necessity of the statements to be included in the developed rural, primary care, medication-safety self-assessment tool. Results In the first Delphi round, a consensus was reached on 39% of the statements (n = 118/304), of which 86% (n = 101/118) were included, and 14% (n = 17/118) were excluded from the final primary care medication- safety self-assessment tool. In the second round, 84% of the statements (n = 141/167) reached a consensus, of which 70% (n = 98/141) were excluded and 30% (n = 43/141) included in the final tool. The included 144 statements were divided into 12 thematic sub-groups: 1. Patient information, 2. Drug information, 3. Communication of drug orders and other drug information; 4. Drug labeling, packaging and nomenclature; 5. Drug storage and distribution, 6. Medication device acquisition and use, 7. Environmental factors, workflow and staffing patterns; 8. Staff competency and education, 9. Patient education, 10. Preventive risk management, 11. Learning from medication safety incidents, and 12. Electronic health record. Conclusions The developed medication-safety self-assessment tool is targeted for proactive medication risk management in rural primary care settings. While experts reached a consensus for the PMSSA tool contents, adoption of the tool to suit the rural primary care environments in different countries should be further investigated.

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