Swain Lindy D
Department of Pharmacotherapy, Washington State University, Spokane, WA, USA.
Consult Pharm. 2012 Jan;27(1):49-57. doi: 10.4140/TCP.n.2012.49.
Identify and categorize recommendations made by a consultant pharmacist in a neurology clinic, and document patient satisfaction with consultations provided by the pharmacist.
Prospective, case series.
Ambulatory neurology clinic located in eastern Washington state.
Participants were referred to the consultant pharmacist by the neurologist or neurology nurse practitioner or self-referral. The pharmacist saw 56 patients, for a total of 66 encounters.
A medication review was completed, and the patient and pharmacist met for consultation, assessment, and patient counseling. The pharmacist made pharmacotherapeutic recommendations and referrals to other health care providers. Printed surveys were distributed to patients regarding their satisfaction with the pharmacy consultation.
MAIN OUTCOME MEASURE(S): The number and types of recommendations made by the pharmacist. Patient satisfaction with the pharmacist and pharmacy consultation, reported in a written survey provided after the consultation.
The pharmacist spent an average of 38 minutes with each patient. A total of 192 pharmacotherapeutic recommendations were made: 55 (29%) to discontinue a medication, 46 (24%) to add a medication, 45 (23%) to change a dose, 39 (20%) therapeutic substitutions, and 7 (4%) for therapeutic monitoring. Survey respondents indicated they were very satisfied (97%), and all (100%) had a better understanding of how to take their medications after meeting with the pharmacist.
Pharmacist involvement in a neurology clinic increases patient-pharmacist contact time and patient understanding regarding medications. The pharmacist offers numerous recommendations to health care providers, potentially improving the patient's pharmacotherapy.
识别并分类神经科诊所中临床药师提出的建议，并记录患者对药师提供的咨询服务的满意度。
前瞻性病例系列研究。
位于华盛顿州东部的门诊神经科诊所。
参与者由神经科医生、神经科执业护士转诊或自行转诊至临床药师处。药师共诊治了56名患者，总计66次诊疗。
完成药物审查后，患者与药师进行咨询、评估及患者指导。药师提出药物治疗建议，并转诊至其他医疗服务提供者处。向患者发放纸质调查问卷，了解其对药房咨询服务的满意度。
药师提出的建议数量及类型。咨询结束后通过书面调查问卷报告患者对药师及药房咨询服务的满意度。
药师平均每位患者花费38分钟。共提出192条药物治疗建议：55条（29%）建议停用一种药物，46条（24%）建议加用一种药物，45条（23%）建议调整剂量，39条（20%）建议进行治疗性替换，7条（4%）建议进行治疗监测。调查对象表示他们非常满意（97%），并且所有（100%）患者在与药师会面后对如何用药有了更好的理解。
药师参与神经科诊所工作可增加患者与药师的接触时间，并增进患者对药物的理解。药师为医疗服务提供者提供了大量建议，可能改善患者的药物治疗。
