Edwards Scott J, Abbott Rick, Edwards Jonathan, LeBlanc Michael, Dranitsaris George, Donnan Jennifer, Laing Kara, Whelan Maria A, MacKinnon Neil J
Dr H. Bliss Murphy Cancer Center, School of Pharmacy, Memorial University of Newfoundland, St John's, Canada.
J Pharm Pract. 2014 Feb;27(1):46-52. doi: 10.1177/0897190013504954. Epub 2013 Sep 24.
The primary goal of seamless care is improved patient outcomes and improved standards of care for patients with cancer. The pharmacy service of the Newfoundland Cancer Treatment and Research Foundation conducted a randomized control study that measured clinical and humanistic outcomes of a pharmacist-directed seamless care program in an ambulatory oncology clinic. This article focuses on the intervention group, particularly the identification of drug-related problems (DRPs) and utilization of health care services as well the satisfaction of 3 types of health professionals with the services provided by the pharmacist-directed seamless care program. Overall, the seamless care pharmacist (SCP) identified an average of 3.7 DRPs per intervention patient; the most common DRP reported was a patient not receiving or taking a drug therapy for which there is an indication. The SCP identified more DRPs in patients receiving adjuvant treatment compared to those receiving palliative treatment. On average, family physicians, oncology nurses, and hospital pharmacists were satisfied with the SCP intervention indicating that they agreed the information collected and distributed by the SCP was useful to them. Pharmacist-directed seamless care services in an ambulatory oncology clinic have a significant impact on clinical outcomes and processes of patient care. The presence of a SCP can help identify and resolve DRPs experienced by patients in an outpatient oncology clinic, ensuring that patients are receiving the highest standard of care.
无缝护理的主要目标是改善癌症患者的治疗效果并提高护理标准。纽芬兰癌症治疗与研究基金会的药学服务部门开展了一项随机对照研究，该研究测量了门诊肿瘤诊所中由药剂师主导的无缝护理项目的临床和人文效果。本文重点关注干预组，特别是药物相关问题（DRP）的识别、医疗服务的利用情况以及三类医疗专业人员对药剂师主导的无缝护理项目所提供服务的满意度。总体而言，无缝护理药剂师（SCP）为每位干预患者平均识别出3.7个DRP；报告的最常见DRP是患者未接受或未服用有适应证的药物治疗。与接受姑息治疗的患者相比，SCP在接受辅助治疗的患者中识别出更多DRP。平均而言，家庭医生、肿瘤护士和医院药剂师对SCP干预感到满意，表明他们认同SCP收集和分发的信息对他们有用。门诊肿瘤诊所中由药剂师主导的无缝护理服务对患者护理的临床结果和过程有重大影响。SCP的存在有助于识别和解决门诊肿瘤诊所患者遇到的DRP，确保患者获得最高标准的护理。
