Kliethermes Mary Ann, Schullo-Feulner Anne Marie, Tilton Jessica, Kim Shiyun, Pellegrino Annette Nicole
Department of Pharmacy Practice, Chicago College of Pharmacy, Midwestern University, Downers Grove, IL 60515, USA.
Am J Health Syst Pharm. 2008 May 1;65(9):844-56. doi: 10.2146/ajhp070338.
Experience with a referral-based medication therapy management (MTM) clinic in a university medical center is described.
The MTM clinic's mission is to assist patients who take multiple medications due to multiple chronic conditions with the management of their drug therapy to improve or maintain their health and prevent or minimize drug-related problems. The clinical services provided at the clinic have evolved into a comprehensive program providing five distinct service areas: access, adherence, coordination of care, medication therapy review, and education. During initial visits, patient information is collected, patients are interviewed, medications are reconciled, and the pharmacist identifies and attempts to solve any immediate drug-related problems and concerns. Routine visits are scheduled monthly to coincide with a patient's medication refills. On a typical day, a minimum of two MTM pharmacists and one pharmacy technician staff the clinic. On two days of the week, three MTM pharmacists are available in the clinic. The clinic averages 9-13 scheduled patient visits per day. The MTM clinic functions as a subset of the outpatient pharmacy and is merged financially in the general operational budget of the ambulatory care pharmacy. This model of MTM patient care is intensive and comprehensive and is significantly different from the majority of MTM models currently provided by Medicare Part D plans.
A referral-based MTM clinic managed by pharmacists at a university medical center outpatient pharmacy provides care to patients with the goal of improving medication access, medication adherence, continuity of care, medication therapy management, and patient education.
描述在一所大学医学中心基于转诊的药物治疗管理（MTM）诊所的经验。
MTM诊所的使命是协助因多种慢性病而服用多种药物的患者管理其药物治疗，以改善或维持他们的健康状况，并预防或尽量减少与药物相关的问题。诊所提供的临床服务已发展成为一个全面的项目，涵盖五个不同的服务领域：药物获取、依从性、护理协调、药物治疗审查和教育。在初次就诊时，收集患者信息、与患者面谈、核对用药情况，药剂师识别并尝试解决任何即时的药物相关问题和疑虑。安排每月进行常规就诊，与患者的药物 refill 时间一致。在典型的一天，诊所至少配备两名MTM药剂师和一名药房技术员。一周中的两天，诊所有三名MTM药剂师。诊所平均每天安排9 - 13名患者就诊。MTM诊所作为门诊药房的一个子集，在财务上并入门诊护理药房的总体运营预算。这种MTM患者护理模式密集且全面，与医疗保险D部分计划目前提供的大多数MTM模式有显著不同。
由大学医学中心门诊药房的药剂师管理的基于转诊的MTM诊所为患者提供护理，目标是改善药物获取、药物依从性、护理连续性、药物治疗管理和患者教育。
