Ryan Nikki, Chambers Carole, Ralph Christopher, England Dean, Cusano Frances
Tom Baker Cancer Center, Calgary, AB, Canada.
J Oncol Pharm Pract. 2013 Jun;19(2):151-8. doi: 10.1177/1078155212457805. Epub 2012 Sep 27.
Patients who present with pain in an oncology setting are often complex and require a multidisciplinary approach for symptom control. The Pain and Symptom Control Clinic at Tom Baker Cancer Center includes two pharmacists who participate in weekly multidisciplinary clinics and provide a follow-up service to patients.
This study will assess the impact of the pharmacists' follow-up service with respect to activities performed as well as patient and health care professional satisfaction. The activities performed will also be compared to defined objectives for pharmacy practice in a hospital setting.
Activities performed by the pharmacists over a 10-week period were recorded and tabulated. Online surveys were completed by health care professionals and telephone surveys were completed by patients 1 month post clinic visit.
Over 6 weeks, 44 patients assessed in clinic required follow-up from a pharmacist. There was an average of 2.3 interactions per patient and an average time of 85 min was spent on each patient outside of clinic. The three activities that occurred most frequently included: (1) interacting with other health care professionals, (2) making alterations to patients' medication regimens, and (3) organizing refills. All health care professionals surveyed felt that the pharmacists' follow-up service was a valuable component of the Pain and Symptom Control Clinic and nearly all patients surveyed reported a positive experience with the service received.
The inclusion of pharmacists in the Pain and Symptom Control Clinic is favored by patients and health care professionals and provides increased efficiency to the clinic.
肿瘤学环境中出现疼痛症状的患者情况往往较为复杂，需要多学科方法来控制症状。汤姆·贝克癌症中心的疼痛与症状控制诊所配备了两名药剂师，他们参与每周的多学科诊所工作，并为患者提供后续服务。
本研究将评估药剂师后续服务在其所开展活动以及患者和医疗保健专业人员满意度方面的影响。所开展的活动还将与医院环境中药房实践的既定目标进行比较。
记录并列表呈现药剂师在10周期间开展的活动。医疗保健专业人员通过在线调查完成问卷，患者在诊所就诊1个月后通过电话调查完成问卷。
在6周时间里，诊所评估的44名患者需要药剂师进行随访。每位患者平均有2.3次互动，诊所外为每位患者花费的平均时间为85分钟。最常出现的三项活动包括：（1）与其他医疗保健专业人员互动；（2）调整患者的用药方案；（3）安排药物续配。所有接受调查的医疗保健专业人员都认为药剂师的后续服务是疼痛与症状控制诊所的重要组成部分，几乎所有接受调查的患者都对所接受的服务给予了积极评价。
患者和医疗保健专业人员都支持在疼痛与症状控制诊所配备药剂师，这提高了诊所的工作效率。
