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药剂师提供的药物治疗管理(第1部分):2007年提供者的观点。

Pharmacist-provided medication therapy management (part 1): provider perspectives in 2007.

作者信息

Schommer Jon C, Planas Lourdes G, Johnson Kathleen A, Doucette William R

机构信息

College of Pharmacy, University of Minnesota, 308 Harvard Street, SE, Minneapolis, MN 55455, USA.

出版信息

J Am Pharm Assoc (2003). 2008 May-Jun;48(3):354-63. doi: 10.1331/japha.2008.08012.

Abstract

OBJECTIVES

To collect and describe information from providers of medication therapy management (MTM) services regarding (1) implementation strategies used for providing MTM services to patients/clients; (2) specific measures, if any, used to quantify the costs and benefits of MTM; (3) how the value of MTM services was tracked during 2007; and (4) barriers to offering MTM services to patients/clients.

DESIGN

Descriptive, nonexperimental, cross-sectional study.

SETTING

United States during 2007.

PARTICIPANTS

Of the 6,873 providers who presumably received an e-mail invitation to participate in the survey, 687 (10%) responded and were included for analysis.

INTERVENTIONS

Self-administered online survey.

MAIN OUTCOME MEASURES

Implementation and monitoring of MTM.

RESULTS

65% of survey respondents were involved in providing MTM services as defined in the consensus definition used. Of these, 47% reported that they were contracted with programs to provide MTM services. Of respondents, 35% indicated that these contracts provided a positive return on investment (ROI), 31% reported that they did not provide a positive ROI, and 34% reported that they did not know. Providers varied widely on how they implemented MTM service offerings and typically did not use specific measures to quantify the costs and benefits of MTM. In addition, they did not use systematic methods for assessing value from providing MTM services to their patients.

CONCLUSION

This descriptive environmental scan can serve as a baseline measure and be used for future comparisons.

摘要

目的

收集并描述来自药物治疗管理(MTM)服务提供者的信息,内容涉及:(1)为患者/客户提供MTM服务所采用的实施策略;(2)用于量化MTM成本和效益的具体措施(若有);(3)2007年期间如何跟踪MTM服务的价值;(4)向患者/客户提供MTM服务的障碍。

设计

描述性、非实验性横断面研究。

地点

2007年的美国。

参与者

在大概收到电子邮件邀请参与调查的6873名提供者中,687名(10%)回复并纳入分析。

干预措施

自行管理的在线调查。

主要观察指标

MTM的实施与监测。

结果

65%的调查受访者参与了提供共识定义中所界定的MTM服务。其中,47%报告称他们与项目签约以提供MTM服务。在受访者中,35%表示这些合同提供了正投资回报率(ROI),31%报告称未提供正ROI,34%报告称不知道。提供者在实施MTM服务方面差异很大,通常未使用具体措施来量化MTM的成本和效益。此外,他们未采用系统方法来评估向患者提供MTM服务的价值。

结论

这种描述性的环境审视可作为基线衡量标准,并用于未来比较。

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