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描述美国临床药学学院实践为基础的研究网络。

Characterizing the American college of clinical pharmacy practice-based research network.

出版信息

Pharmacotherapy. 2010 Aug;30(8):865. doi: 10.1592/phco.30.8.865.

DOI:10.1592/phco.30.8.865
PMID:20653363
Abstract

STUDY OBJECTIVE

To present the member registry survey methods and characterize the first national clinical pharmacy practice-based research network (PBRN).

DESIGN

Cross-sectional online survey.

SETTING

A national clinical pharmacy association.

PARTICIPANTS

American College of Clinical Pharmacy (ACCP) full and associate members, integrated health system groups of pharmacists, and existing PBRNs were invited to participate in the registry and complete the survey.

INTERVENTION

An association-wide invitation to join the ACCP PBRN was sent to ACCP members who were actively involved in direct patient care or who had access to a patient base for research purposes. Interested pharmacists completed a three-part online survey regarding professional background, practice site, and clinical pharmacy practice.

MEASUREMENTS AND MAIN RESULTS

A total of 416 members completed the online registry. These pharmacists practice at 263 distinct clinical sites in 43 states. Forty-six percent of the sites were located within a university hospital, and 30% were within a community hospital setting. Of those working in these two hospital settings, 33% and 40%, respectively, practiced within an outpatient clinic. The ACCP PBRN member pharmacists spent an average of 5 half-days providing clinical pharmacy services and saw a median of 30 patients/week. The most common laboratory tests ordered by member pharmacists were metabolic panels, prothrombin times or international normalized ratios, liver function tests, and blood glucose levels. The most frequently managed conditions or disease states were pharmacotherapy and/or polypharmacy, anticoagulation, diabetes mellitus, and hypertension. Almost two thirds of the pharmacists used an electronic medical record system. Thirty-five percent operated with the use of collaborative practice documents within their sites, whereas 32% had scope of practice agreements. Ninety-five percent did not bill for clinical pharmacy services rendered.

CONCLUSION

The ACCP PBRN is the first national clinical pharmacy PBRN. Its membership has a distinctive profile of primary care and specialty clinical pharmacists who work both within inpatient and outpatient settings. Both internal and external stakeholders are expected to use these ACCP PBRN registry data to support the capabilities and capacity of the ACCP PBRN.

摘要

研究目的

介绍成员注册调查方法,并描述首个全国临床药学实践为基础的研究网络(PBRN)。

设计

横断面在线调查。

设置

一个全国性的临床药学协会。

参与者

美国临床药师协会(ACCP)的全职和准会员、综合卫生系统的药师团体以及现有的 PBRN 被邀请加入该注册并完成调查。

干预

向积极参与直接患者护理或有机会为研究目的访问患者基础的 ACCP 成员发送了一项加入 ACCP PBRN 的协会范围邀请。有兴趣的药师完成了一份关于专业背景、实践地点和临床药学实践的三部分在线调查。

测量和主要结果

共有 416 名成员完成了在线注册。这些药师在 43 个州的 263 个不同的临床地点工作。46%的地点位于大学医院内,30%位于社区医院环境中。在这两个医院环境中工作的药师中,分别有 33%和 40%在门诊诊所工作。ACCP PBRN 成员药师平均每周提供 5 个半天的临床药学服务,平均每周看 30 名患者。成员药师最常开的实验室检查是代谢组学、凝血酶原时间或国际标准化比值、肝功能检查和血糖水平。最常管理的病症或疾病状态是药物治疗和/或多药治疗、抗凝、糖尿病和高血压。近三分之二的药师使用电子病历系统。35%的人在其站点使用协作实践文件,而 32%的人有实践范围协议。95%的人不为提供的临床药学服务计费。

结论

ACCP PBRN 是首个全国性的临床药学 PBRN。其成员具有初级保健和专科临床药师的独特特征,他们在住院和门诊环境中工作。内部和外部利益相关者都有望使用这些 ACCP PBRN 注册数据来支持 ACCP PBRN 的能力和容量。

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