College of Pharmacy, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
J Am Pharm Assoc (2003). 2012 Jan-Feb;52(1):71-80. doi: 10.1331/JAPhA.2012.10239.
To provide tools for pharmacists to uncover patients' medication experiences and to discuss strategies that medication therapy management (MTM) pharmacists use to prevent and resolve drug therapy problems rooted in patients' medication experiences.
Qualitative study.
Health care delivery system in the Minneapolis/Saint Paul, MN, area from January to October 2010.
10 MTM pharmacists.
Thematic analysis of data from a focus group of MTM pharmacists and an MTM pharmacist's practice diary.
Patients' medication experiences were revealed as a foundational aspect of MTM pharmacists' daily practices because they had to take these experiences into consideration to be effective practitioners. According to MTM pharmacists, patients express attitudes toward drug therapy in many different ways, thereby affecting how each patient takes his/her medications. Patients' medication experiences often were at the root of drug therapy problems (DTPs). From MTM pharmacists' examples, we identified DTPs at the root of patients' medication experiences and several strategies used by pharmacists to address patients' needs and concerns regarding medications. MTM pharmacists approached patients in a nonjudgmental way so that patients would feel comfortable sharing their perspectives and goals. After understanding patients' motivations and the basis of their attitudes and decision making, pharmacists could negotiate the process of behavioral change, if needed.
If pharmacists understand patients' medication experiences, they may be able to address and resolve DTPs to ultimately improve therapeutic outcomes and reduce adverse events.
为药师提供工具，以发掘患者的用药体验，并探讨药物治疗管理（MTM）药师用于预防和解决源于患者用药体验的药物治疗问题的策略。
定性研究。
2010 年 1 月至 10 月，明尼苏达州明尼阿波利斯/圣保罗地区的医疗保健系统。
10 名 MTM 药师。
对 MTM 药师焦点小组和 MTM 药师实践日记的数据进行主题分析。
患者的用药体验被揭示为 MTM 药师日常实践的基础方面，因为他们必须考虑这些体验才能成为有效的从业者。根据 MTM 药师的说法，患者以许多不同的方式表达对药物治疗的态度，从而影响每位患者服用药物的方式。患者的用药体验往往是药物治疗问题（DTP）的根源。从 MTM 药师的例子中，我们确定了源于患者用药体验的 DTP 以及药师用于解决患者对药物的需求和关注的几种策略。MTM 药师以非评判的方式对待患者，以使患者感到舒适，分享他们的观点和目标。在了解患者的动机以及他们的态度和决策的基础后，如果需要，药师可以协商行为改变的过程。
如果药师了解患者的用药体验，他们可能能够解决和解决 DTP，最终改善治疗结果并减少不良事件。
