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药物使用评估:传统方法与基于结果的方法

Drug-usage evaluation: traditional versus outcome-based approaches.

作者信息

Kier K L, Pathak D S

机构信息

College of Pharmacy, Ohio Northern University, Ada.

出版信息

Top Hosp Pharm Manage. 1991 Apr;11(1):9-15.

PMID:10128611
Abstract

The use of outcome assessment with DUE can provide more detailed information on the impact of drug therapy on the overall health status of the patient, rather than just the narrow view of the drug-prescribing process within the institution. These studies may justify additional pharmacists to help in the selection of drugs and their potential to affect overall quality patient care. In addition, the Joint Commission is recommending that measurement of health outcomes is important in QA. The Joint Commission has stated in their Agenda for Change program "that patient outcomes are influenced by all activities of a health care program." The Joint Commission plans to develop standards that "describe in functional terms what the key jobs are that need to be done to produce good patient outcomes." The major problem with adding outcome measures in the assessment of DUE programs is the evolutionary nature of the available technology to measure these patient outcomes. Incorporation of outcome measures into DUE programs can provide measures of the impact of drug therapy on the patients' HQOL. This HQOL is potentially a better reflection of patient outcomes and the assessment of quality of care.

摘要

使用药物利用评价(DUE)进行结果评估,可以提供关于药物治疗对患者整体健康状况影响的更详细信息,而不仅仅是机构内药物处方过程的狭隘视角。这些研究可能证明需要更多药剂师来协助药物选择及其对患者整体护理质量的潜在影响。此外,联合委员会建议在质量保证(QA)中测量健康结果很重要。联合委员会在其“变革议程”计划中指出,“患者结果受医疗保健计划的所有活动影响”。联合委员会计划制定标准,“从功能角度描述为产生良好患者结果需要完成的关键工作”。在DUE计划评估中增加结果测量的主要问题是用于测量这些患者结果的现有技术的不断发展性质。将结果测量纳入DUE计划可以提供药物治疗对患者健康相关生活质量(HQOL)影响的测量。这种HQOL可能更好地反映患者结果和护理质量评估。

相似文献

1
Drug-usage evaluation: traditional versus outcome-based approaches.药物使用评估:传统方法与基于结果的方法
Top Hosp Pharm Manage. 1991 Apr;11(1):9-15.
2
Organizing for drug-usage evaluation.组织药物使用评估。
Top Hosp Pharm Manage. 1991 Apr;11(1):16-37.
3
Using drug-usage evaluation to improve drug use.利用药物使用评估改善药物使用情况。
Top Hosp Pharm Manage. 1991 Apr;11(1):1-8.
4
Quality assurance to quality improvement: measuring and monitoring pharmaceutical care.从质量保证到质量改进:衡量与监测药学服务
Am J Hosp Pharm. 1991 Sep;48(9):1901-7.
5
A simplistic approach to establishing drug usage/quality assurance programs.一种建立药物使用/质量保证计划的简单方法。
Hosp Pharm. 1990 Jun;25(6):541-4, 546-50, 555-9.
6
Designing drug-usage evaluation to meet Joint Commission requirements.设计药物使用评估以满足联合委员会的要求。
Pharm Pract Manag Q. 1996 Jul;16(2):26-35.
7
Collaborating with physicians in the drug-usage evaluation process.在药物使用评估过程中与医生合作。
Top Hosp Pharm Manage. 1991 Apr;11(1):38-45.
8
Selecting, developing, and evaluating indicators.
Am J Hosp Pharm. 1991 Sep;48(9):1931-7.
9
Revising a drug information center quality assurance program to conform to Joint Commission standards.修订药品信息中心质量保证计划以符合联合委员会标准。
Am J Hosp Pharm. 1990 Apr;47(4):792-4.
10
A model drug usage evaluation program.一个典型的药物使用评估程序。
J Qual Assur. 1990 Jul-Aug;12(3):30-3, 50. doi: 10.1111/j.1945-1474.1990.tb00062.x.