Deady J E, Lepinski P W, Abramowitz P W
University of Minnesota Hospital and Clinic, Minneapolis.
Hosp Pharm. 1991 Feb;26(2):93-7.
This study was designed to analyze physicians' acceptance of pharmacists' drug therapy recommendations in a Family Practice Clinic. It also measured the relationship between specific prognostic indicators and pharmacists' recommendations regarding drug therapy in individual patients. Once the recommendations were implemented, outcome data were collected to assess the impact on patient care. Thirty-nine patients were seen by a pharmacist during 49 clinic visits. A total of 36 recommendations were made to change therapy. Recommendations to change therapy occurred most frequently when one indicator, medication regimen changed four or more times during the past year, was present. Recommendations were accepted by physicians in 32 or 89% of cases. Patient outcome improved in 95% (18 of 19) of cases and remained unchanged in 5% (1 of 19) of cases for which outcome data were available.
本研究旨在分析家庭医疗诊所中医生对药剂师药物治疗建议的接受情况。它还测量了特定预后指标与药剂师针对个体患者药物治疗建议之间的关系。一旦建议得到实施，便收集结果数据以评估对患者护理的影响。在49次门诊就诊期间，药剂师共诊治了39名患者。共提出了36项改变治疗方案的建议。当出现一个指标，即过去一年用药方案改变四次或更多次时，改变治疗方案的建议最为频繁。在32例（89%）的病例中，医生接受了建议。在有结果数据的病例中，95%（19例中的18例）患者的病情得到改善，5%（19例中的1例）患者的病情保持不变。
