Community-Based Research Program, School of Pharmacy, University of Mississippi, Jackson, USA.
J Am Pharm Assoc (2003). 2012;52(6):802-9. doi: 10.1331/JAPhA.2012.10192.
To describe and provide preliminary clinical and economic outcomes from a pharmacist-delivered patient-centered health care (PCHC) model implemented in the Mississippi Delta.
Mississippi between July 2008 and June 2010.
13 community pharmacies in nine Mississippi Delta counties.
This PCHC model implements a comprehensive medication therapy management (MTM) program with pharmacist training, individualized patient encounters and group education, provider outreach, integration of pharmacists into health information technology, and on-site support in community pharmacies in a medically underserved region with a large burden of chronic disease and health disparities. The program also expands on traditional MTM services through initiatives in health literacy/cultural competency and efforts to increase the provider network and improve access to care.
Criteria-based clinical outcomes, quality indicator reports, cost avoidance.
PCHC services have been implemented in 13 pharmacies in nine counties in this underserved region, and 78 pharmacists and 177 students have completed the American Pharmacists Association's MTM Certificate Training Program. Preliminary data from 468 patients showed 681 encounters in which 1,471 drug therapy problems were identified and resolved. Preliminary data for clinical indicators and economic outcome measures are trending in a positive direction.
Preliminary data analyses suggest that pharmacist-provided PCHC is beneficial and has the potential to be replicated in similar rural communities that are plagued with chronic disease and traditional primary care provider shortages. This effort aligns with national priorities to reduce medication errors, improve health outcomes, and reduce health care costs in underserved communities.
描述并提供在密西西比三角洲实施的药师主导的以患者为中心的医疗保健（PCHC）模式的初步临床和经济结果。
2008 年 7 月至 2010 年 6 月期间的密西西比州。
密西西比州三角洲的 9 个县中的 13 家社区药店。
该 PCHC 模式实施了一项全面的药物治疗管理（MTM）计划，包括药师培训、个性化患者接触和小组教育、医疗服务提供者外展、将药师整合到医疗信息技术中、以及在医疗资源不足、慢性病负担大、健康差距大的地区的社区药店中提供现场支持。该计划还通过在健康素养/文化能力方面的举措以及扩大医疗服务提供者网络和改善获得医疗服务的机会，扩大了传统的 MTM 服务。
基于标准的临床结果、质量指标报告、成本节约。
在这个服务不足的地区的 9 个县的 13 家药店中实施了 PCHC 服务，已有 78 名药剂师和 177 名学生完成了美国药剂师协会的 MTM 证书培训计划。来自 468 名患者的初步数据显示，共进行了 681 次就诊，发现并解决了 1471 个药物治疗问题。临床指标和经济结果衡量的初步数据呈积极趋势。
初步数据分析表明，药师提供的 PCHC 是有益的，并且有可能在受慢性病和传统初级保健提供者短缺困扰的类似农村社区中复制。这一努力符合国家优先事项，旨在减少用药错误、改善健康结果，并降低服务不足社区的医疗保健成本。
