Chisholm-Burns Marie A, Spivey Christina A, Garrett Charlene, McGinty Herbert, Mulloy Laura L
Department of Pharmacy Practice and Science, The University of Arizona College of Pharmacy, Tuscon, AZ, USA;
Patient Prefer Adherence. 2008 Feb 2;2:287-92. doi: 10.2147/ppa.s4174.
The purpose of this article is to provide a description of a clinical pharmacy services program implemented in a renal transplant clinic to improve medication access and adherence as well as health and economic outcomes among renal transplant recipients (RTRs). Following a team-based planning process and an informal survey of RTRs, a clinical pharmacy service intervention was implemented in the Medical College of Georgia renal transplant clinic. As part of the intervention, a clinical pharmacist reviewed and optimized medication therapy, provided instructions on how to take medication, and assisted with enrollment into medication assistance programs. Significant differences were found between RTRs who did and did not receive clinical pharmacy services on measures of adherence, health, economics, and quality of life. Clinical pharmacy services, as described in this article, have a positive impact on renal transplant recipients' medication adherence, health and economic outcomes, and health-related quality of life. The findings described here suggest that clinical pharmacy services are a viable and effective option for improving care for RTRs in an outpatient clinic setting.
本文旨在描述在一家肾移植诊所实施的临床药学服务项目，以改善肾移植受者（RTR）的药物可及性和依从性，以及健康和经济结局。在基于团队的规划过程和对RTR的非正式调查之后，佐治亚医学院肾移植诊所实施了一项临床药学服务干预措施。作为干预措施的一部分，临床药师审查并优化药物治疗，提供用药指导，并协助参加药物援助项目。在依从性、健康、经济和生活质量指标方面，接受和未接受临床药学服务的RTR之间存在显著差异。本文所述的临床药学服务对肾移植受者的药物依从性、健康和经济结局以及与健康相关的生活质量有积极影响。此处描述的研究结果表明，临床药学服务是在门诊环境中改善RTR护理的可行且有效的选择。
