Michot Pauline, Catala Olivier, Supper Irène, Boulieu Roselyne, Zerbib Yves, Colin Cyrille, Letrilliart Laurent
Département de médecine générale, Université de Lyon, Lyon, France.
Sante Publique. 2013 May-Jun;25(3):331-41.
Despite the emphasis on interprofessional cooperation between general practitioners and pharmacists, the effectiveness of interventions in this area is poorly understood. The purpose of this study was to assess the effectiveness of interventions based on cooperation between general practitioners and pharmacists.
A systematic literature review was conducted using MEDLINE, the Cochrane Database and the PASCAL database. Keywords and/or search terms ("family physician(s)" or "general practitioner(s)" and "pharmacist(s)") were cross-referenced. We included the results of all randomized clinical trials published in English or French and assessed the effectiveness of pharmacist interventions designed to complement the work of general practitioners.
In total, 22 articles were included. Sixteen trials showed that pharmacist interventions in the management of chronic health conditions and drug therapy management benefit patients. The evidence suggests that pharmacist interventions have a positive impact on the management of arterial hypertension and hypercholesterolemia and the management of drug-related problems. The criteria used for the trials were generally procedural or surrogate criteria and never included cost-effectiveness analyses.
Cooperation between pharmacists and general practitioners can contribute to improving the quality of primary care, especially in the areas of cardiometabolic and prescription problems.
尽管强调全科医生与药剂师之间的跨专业合作，但对该领域干预措施的有效性了解甚少。本研究的目的是评估基于全科医生与药剂师合作的干预措施的有效性。
使用医学文献数据库（MEDLINE）、考克兰系统评价数据库和帕斯卡数据库进行系统的文献综述。对关键词和/或检索词（“家庭医生”或“全科医生”以及“药剂师”）进行交叉引用。我们纳入了所有以英文或法文发表的随机临床试验结果，并评估了旨在补充全科医生工作的药剂师干预措施的有效性。
总共纳入了22篇文章。16项试验表明，药剂师在慢性健康状况管理和药物治疗管理方面的干预措施对患者有益。证据表明，药剂师的干预措施对动脉高血压和高胆固醇血症的管理以及药物相关问题的管理有积极影响。试验使用的标准通常是程序标准或替代标准，从未包括成本效益分析。
药剂师与全科医生之间的合作有助于提高初级保健质量，特别是在心脏代谢和处方问题领域。
