Lam Annie
Department of Pharmacy, University of Washington, Seattle, Washington.
Consult Pharm. 2011 Oct;26(10):764-74. doi: 10.4140/TCP.n.2011.764.
To describe medication therapy management (MTM) services via videoconferencing.
A descriptive, cross-sectional analysis of an ongoing prospective, randomized-controlled study.
A secured seven-pharmacy network connected by computers, webcams, telephones, and electronic medical records.
Patients 18 years of age or older; taking four or more chronic medications; and with diabetes, hypertension, hyperlipidemia, asthma/chronic obstructive pulmonary disease, multiple sclerosis, and/or Parkinson's disease.
Chart reviews and videoconferencing interviews to identify medication-related problems (MRP) and provide patient education and recommendations to providers.
Patient demographics, identified MRPs, interventions, and patient satisfaction.
During April to July 2010, 43 patients were interviewed (mean age 50.8 ± 11.5 years); of these, 12 patients (27.9%) were older adults, mean age 69.5 ± 5.0 years. Prevalent health conditions were hypertension (31/43, 72%), hyperlipidemia (28/43, 65%), and diabetes (19/43, 44%). A mean number of 3.5 ± 2.3 MRP/patient was identified. Compared with charted numbers, patients significantly under-reported their health conditions (selfreported mean number 4.0 ± 1.6, compared with 6.9 ± 3.3, P < 0.0001) and medications used (self-reported mean number 7.7 ± 3.4, charted number 9.4 ± 2.3, P < 0.005). Providers accepted a mean number of 2.2 ± 1.6 (out of 2.8 ± 1.3) pharmacist-provided recommendations (acceptance rate 78.6%). All patients interviewed agreed or strongly agreed that the MTM interview with pharmacist and the information provided were helpful.
Webcam-enabled videoconferencing allows effective interactions between pharmacists and patients to identify MRP and improve access to MTM services. Provider acceptance of pharmacist-provided recommendations and patient satisfaction with videoconferencing MTM services are high.
描述通过视频会议开展的药物治疗管理（MTM）服务。
对一项正在进行的前瞻性随机对照研究进行描述性横断面分析。
一个由计算机、网络摄像头、电话和电子病历连接的拥有七家药房的安全网络。
18岁及以上的患者；服用四种或更多种慢性药物；患有糖尿病、高血压、高脂血症、哮喘/慢性阻塞性肺疾病、多发性硬化症和/或帕金森病。
病历审查和视频会议访谈，以识别与药物相关的问题（MRP），并向医疗服务提供者提供患者教育和建议。
患者人口统计学特征、识别出的MRP、干预措施以及患者满意度。
在2010年4月至7月期间，对43名患者进行了访谈（平均年龄50.8±11.5岁）；其中，12名患者（27.9%）为老年人，平均年龄69.5±5.0岁。常见健康状况为高血压（31/43，72%）、高脂血症（28/43，65%）和糖尿病（19/43，44%）。每名患者平均识别出3.5±2.3个MRP。与病历记录数字相比，患者显著少报了他们的健康状况（自我报告的平均数为4.0±1.6，而病历记录为6.9±3.3，P<0.0001）以及所使用的药物（自我报告的平均数为7.7±3.4，病历记录数字为9.4±2.3，P<0.005）。医疗服务提供者平均接受了药剂师提供的2.2±1.6条（共2.8±1.3条）建议（接受率78.6%）。所有接受访谈的患者都同意或强烈同意与药剂师进行的MTM访谈以及所提供的信息是有帮助的。
启用网络摄像头的视频会议能够使药剂师与患者进行有效的互动，以识别MRP并改善MTM服务的可及性。医疗服务提供者对药剂师提供的建议接受度高，患者对视频会议MTM服务满意度也高。
