Soendergaard Birthe, Kirkeby Bente, Dinsen Christine, Herborg Hanne, Kjellberg Jakob, Staehr Peter
Department of Pharmacology and Pharmacotherapy, The Danish University of Pharmaceutical Sciences, DK 2100 Copenhagen, Denmark.
Pharm World Sci. 2006 Apr;28(2):61-4. doi: 10.1007/s11096-006-9008-8. Epub 2006 Sep 1.
The objective of the study is identify and document drug-related problems and other possible quality problems in primary care through a pharmacist-run medication review and screening service. GPs' acceptance and implementation rates of the pharmacist's recommendations are evaluated.
A community pharmacist worked 20 h per week for 18 months in a GP practice with three GPs.
The pharmacist completed 40 reviews and identified 103 drug-related problems. GPs had a high rate of acceptance of the pharmacist's suggested interventions (83%), and 77% of the recommendations had been implemented. 765 (12.5%) possible quality problems were identified after screening 6094 medical records. The physicians accepted 86% of the recommendations to initiate low dosage ASA and treatment was implemented for 63% of the patients. 76% of the recommendations to initiate Statin treatment were agreed on and 56% were implemented.
The pharmacist was able to identify drug-related problems and other possible quality problems with regard to quality assurance of individual patient's drug treatment. The GPs accepted and implemented the pharmacist's recommendations. It was feasible to implement the services and to establish well-functioning co-operation between the pharmacist and the GPs.
本研究的目的是通过药剂师开展的药物审查和筛查服务，识别并记录初级医疗保健中与药物相关的问题及其他可能的质量问题。评估全科医生对药剂师建议的接受率和实施率。
一名社区药剂师每周在一家有三名全科医生的全科医疗诊所工作20小时，为期18个月。
药剂师完成了40次审查，识别出103个与药物相关的问题。全科医生对药剂师建议的干预措施接受率很高（83%），77%的建议得到了实施。在筛查6094份病历后，识别出765个（12.5%）可能的质量问题。医生接受了86%启动低剂量阿司匹林治疗的建议，63%的患者实施了治疗。76%启动他汀类药物治疗的建议得到认可，56%得到实施。
药剂师能够识别与个体患者药物治疗质量保证相关的药物相关问题及其他可能的质量问题。全科医生接受并实施了药剂师的建议。实施该服务并在药剂师和全科医生之间建立良好的合作是可行的。
