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针对老年人的居家药物治疗管理项目的感知价值。

Perceived value of a home-based medication therapy management program for the elderly.

作者信息

Moultry Aisha Morris, Poon Ivy O

机构信息

Texas Southern University College of Pharmacy and Health Sciences, Houston, Texas, USA.

出版信息

Consult Pharm. 2008 Nov;23(11):877-85. doi: 10.4140/tcp.n.2008.877.

Abstract

OBJECTIVE

To provide a model for a home-based medication therapy management (MTM) program provided by a pharmacist and to determine the perceived value of the service by program participants.

DESIGN

Cross-sectional study.

SETTING

Houston (Harris County), Texas.

PARTICIPANTS

Thirty MTM participants 60 years of age or older identified between June 2006 and June 2007 by the Harris County Area Agency on Aging as candidates in need of medication management services.

INTERVENTION

Hand-delivered survey provided to participants following individual MTM and emergency-preparedness counseling by a pharmacist in their homes.

MAIN OUTCOME MEASURES

Measures of participants' program satisfaction, opinion of knowledge level gained, and the impact participants' felt the program would have on their physician visits.

RESULTS

Ninety-six percent of the participants in the MTM program felt knowledgeable or very knowledgeable about their medications after the pharmacist visit. Approximately 73% felt the home visit would reduce their visits to the doctor, 72% were very satisfied, and 22% somewhat satisfied with the program. All participants would strongly recommend the program to others.

CONCLUSION

There is a lack of literature on home-based medication management programs performed by pharmacists. This report describes a unique program, which was perceived as positive and valuable by participants. This was demonstrated by the high rates received in the areas of satisfaction with the program and a willingness to recommend the program to others.

摘要

目的

提供一个由药剂师开展的居家药物治疗管理(MTM)项目模型,并确定项目参与者对该服务的感知价值。

设计

横断面研究。

地点

得克萨斯州休斯顿(哈里斯县)。

参与者

2006年6月至2007年6月期间,哈里斯县老龄问题区域机构确定的30名60岁及以上的MTM参与者,他们被视为需要药物管理服务的候选人。

干预措施

在药剂师于参与者家中进行个人MTM和应急准备咨询后,向参与者提供上门调查。

主要观察指标

参与者对项目的满意度、对所获知识水平的看法,以及参与者认为该项目对其看医生次数的影响。

结果

MTM项目中96%的参与者在药剂师家访后觉得自己对所用药物了解或非常了解。约73%的人认为家访会减少他们看医生的次数,72%的人非常满意,22%的人对该项目有些满意。所有参与者都强烈推荐该项目给他人。

结论

关于药剂师开展的居家药物管理项目的文献较少。本报告描述了一个独特的项目,参与者认为该项目是积极且有价值的。这体现在对项目满意度以及愿意向他人推荐该项目等方面的高比率上。

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