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[医院出院处方:对医疗连续性和跨专业协作的挑战]

[Hospital's discharge prescription: a challenge for continuity of care and the interprofessional collaboration].

作者信息

Anguish Isabelle, Wick Hedi Decrey, Fonjallaz Marie-Henriette, Luchez Patricia Clivaz, Jotterand Sébastien, Locca Jean-François, Bugnon Olivier

机构信息

Institut Universitaire de Médecine Générale, PMS, 1011 Lausanne.

出版信息

Rev Med Suisse. 2013 May 15;9(386):1021-5.

PMID:23745235
Abstract

The transition between hospital and community is an interface at high risk for medication. "The Association of Family Doctors" committee in the canton of Vaud (MFVaud), together with community pharmacists' and Homecare representatives, have begun to consider the following improvements: fast and co-ordinated care providers' information; arrangements for family doctors appointments as soon as possible; awareness and education for interprofessional collaboration; more secured preparation of pill boxes; development of interprofessional means such as medication use reviews and reconciliations. In the opinion of all the experts, there is an urgent public health need to act in an interprofessional manner, even if the solutions required (especially change in professional culture and technologies) are not immediate.

摘要

医院与社区之间的过渡阶段是用药高风险的衔接点。沃州的“家庭医生协会”委员会(MFVaud)与社区药剂师及家庭护理代表一道,已开始考虑以下改进措施:快速且协调的医护人员信息沟通;尽快安排家庭医生预约;开展跨专业协作的意识培养与教育;更安全的药盒准备;开发诸如用药评估与核对等跨专业手段。所有专家都认为,即便所需解决方案(尤其是专业文化和技术方面的变革)并非立竿见影,但以跨专业方式采取行动是紧迫的公共卫生需求。

相似文献

1
[Hospital's discharge prescription: a challenge for continuity of care and the interprofessional collaboration].[医院出院处方:对医疗连续性和跨专业协作的挑战]
Rev Med Suisse. 2013 May 15;9(386):1021-5.
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Insufficient communication about medication use at the interface between hospital and primary care.在医院和初级医疗保健之间的衔接环节,关于药物使用的沟通不足。
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Electronic transfer of prescription-related information: comparing views of patients, general practitioners, and pharmacists.处方相关信息的电子传输:比较患者、全科医生和药剂师的观点。
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Validating reasons for medication discontinuation in electronic patient records at hospital discharge.验证电子患者记录中出院时停药原因的合理性。
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Policy versus practice: comparison of prescribing therapy and durable medical equipment in medical and educational settings.政策与实践:医疗和教育环境中处方治疗与耐用医疗设备的比较
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Identifying Current Practices and Areas for Improvement in Medication Management During Care Transition Through an Interprofessional Collaboration Framework.通过跨专业协作框架确定护理过渡期间药物管理的当前实践及改进领域。
J Multidiscip Healthc. 2025 Jul 30;18:4453-4467. doi: 10.2147/JMDH.S528819. eCollection 2025.
2
Improving Primary Care Medication Processes by Using Shared Electronic Medication Plans in Switzerland: Lessons Learned From a Participatory Action Research Study.通过在瑞士使用共享电子用药计划改善初级医疗用药流程:参与式行动研究的经验教训
JMIR Form Res. 2021 Jan 7;5(1):e22319. doi: 10.2196/22319.
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Mapping clinical pharmacy practice in Swiss hospitals: a cross-sectional study.
瑞士医院临床药学实践的映射:一项横断面研究。
Eur J Hosp Pharm. 2016 Nov;23(6):314-319. doi: 10.1136/ejhpharm-2015-000868. Epub 2016 Feb 26.