Moczygemba Leticia R, Barner Jamie C, Roberson Kim
Division of Pharmacy Administration, College of Pharmacy, The University of Texas, Austin, TX 78712-0127 , USA.
J Am Pharm Assoc (2003). 2008 Jan-Feb;48(1):38-45. doi: 10.1331/JAPhA.2008.07015.
To determine pharmacist awareness of medication therapy management (MTM), confidence in and intentions to provide MTM, related training needs, and barriers to MTM provision; and to assess pharmacist and practice site characteristics that are related to confidence in providing MTM.
Nonexperimental cross-sectional study.
May 2006 in Texas.
1,833 Texas community pharmacists who were affiliated with the Texas Pharmacy Association.
an anonymous, self-administered online survey was e-mailed to participants.
Awareness of MTM legislation, confidence in providing MTM, intentions to provide MTM, and barriers to MTM provision. Pharmacist and practice site characteristics were also collected.
The response rate was 11.8% (n = 157). Overall, pharmacists (>75%) were aware of the three criteria for targeted beneficiaries. They were confident in providing medication therapy review (MTR), creating a personal medication record (PMR), and performing intervention and referral but were only somewhat confident in creating a medication action plan. Pharmacists disagreed or were neutral about having adequate documentation systems for MTM. The majority of respondents intend to become MTM providers (74%) and were interested in additional training (78%). Independent pharmacists, those with adequate documentation systems, and those who had previously provided patient care services were more confident regarding MTM provision.
Pharmacist intentions to provide MTM indicate that they are eager to expand their roles as patient care providers. Pharmacist confidence in providing MTR, creating a PMR, and performing the intervention and referral suggest that pharmacists already have many of the skills necessary to provide MTM; however, more education about creating action plans and using documentation systems may help pharmacists become successful MTM providers.
确定药剂师对药物治疗管理（MTM）的认知、提供MTM的信心和意愿、相关培训需求以及提供MTM的障碍；并评估与提供MTM的信心相关的药剂师和执业地点特征。
非实验性横断面研究。
2006年5月于得克萨斯州。
1833名隶属于得克萨斯州药剂师协会的得克萨斯州社区药剂师。
向参与者发送一份匿名的、自行填写的在线调查问卷。
对MTM立法的认知、提供MTM的信心、提供MTM的意愿以及提供MTM的障碍。还收集了药剂师和执业地点特征。
回复率为11.8%（n = 157）。总体而言，药剂师（>75%）知晓目标受益人的三项标准。他们对提供药物治疗评估（MTR）、创建个人用药记录（PMR）以及进行干预和转诊有信心，但对制定用药行动计划信心一般。药剂师对是否拥有用于MTM的充分记录系统存在分歧或持中立态度。大多数受访者打算成为MTM服务提供者（74%），并对额外培训感兴趣（78%）。独立药剂师、拥有充分记录系统的药剂师以及之前提供过患者护理服务的药剂师对提供MTM更有信心。
药剂师提供MTM的意愿表明他们渴望扩大其作为患者护理提供者的角色。药剂师在提供MTR、创建PMR以及进行干预和转诊方面的信心表明，药剂师已经具备提供MTM所需的许多技能；然而，更多关于制定行动计划和使用记录系统的教育可能有助于药剂师成为成功的MTM服务提供者。
