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Physician perceptions of pharmacist-provided medication therapy management: qualitative analysis.医生对药剂师提供的药物治疗管理的看法:定性分析。
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Physician attitudes toward collaborative agreements with pharmacists and their expectations of community pharmacists' responsibilities in West Virginia.西弗吉尼亚州医生对与药剂师合作协议的态度及其对社区药剂师职责的期望。
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Can health care teams improve primary care practice?医疗团队能否改善初级医疗服务?
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药物治疗管理诊所:大学医学中心环境中医护人员的认知

Medication therapy management clinic: perception of healthcare professionals in a University medical center setting.

作者信息

Shah Mansi, Markel Vaysman Anna, Wilken Lori

机构信息

Department of Pharmacy Practice, University of Illinois , Chicago IL ( United States ).

出版信息

Pharm Pract (Granada). 2013 Jul;11(3):173-7. doi: 10.4321/s1886-36552013000300008. Epub 2013 Sep 20.

DOI:10.4321/s1886-36552013000300008
PMID:24223083
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3809139/
Abstract

OBJECTIVE

To determine the overall perception and utilization of the pharmacist managed medication therapy management (MTM) clinic services, by healthcare professionals in a large, urban, university medical care setting.

METHODS

This was a cross-sectional, anonymous survey sent to 195 healthcare professionals, including physicians, nurses, and pharmacists at The University of Illinois Outpatient Care Center to determine their perception and utilization of the MTM clinic. The survey consisted of 12 questions and was delivered through a secure online application.

RESULTS

Sixty-two healthcare professionals (32%) completed the survey. 82% were familiar with the MTM clinic, and 63% had referred patients to the clinic. Medication adherence and disease state management was the most common reason for referral. Lack of knowledge on the appropriate referral procedure was the prominent reason for not referring patients to the MTM clinic. Of the providers that were aware of MTM services, 44% rated care as 'excellent', 44% as 'good', 5% as 'fair', and 0% stated 'poor'. Strengths of MTM clinic identified by healthcare providers included in-depth education to patients, close follow-up, and detailed medication reconciliation provided by MTM clinic pharmacists. Of those familiar with MTM clinic, recommendations included; increase marketing efforts to raise awareness of the MTM clinic service, create collaborative practice agreements between MTM pharmacists and physicians, and ensure that progress notes are more concise.

CONCLUSIONS

In a large, urban, academic institution MTM clinic is perceived as a valuable resource to optimize patient care by providing patients with in-depth education as it relates to their prescribed medications and disease states. These identified benefits of MTM clinic lead to frequent patient referrals specifically for aid with medication adherence and disease state management.

摘要

目的

确定在一个大型城市大学医疗环境中,医疗保健专业人员对药剂师管理的药物治疗管理(MTM)诊所服务的总体认知和利用情况。

方法

这是一项横断面匿名调查,发送给伊利诺伊大学门诊护理中心的195名医疗保健专业人员,包括医生、护士和药剂师,以确定他们对MTM诊所的认知和利用情况。该调查由12个问题组成,通过安全的在线应用程序进行发放。

结果

62名医疗保健专业人员(32%)完成了调查。82%的人熟悉MTM诊所,63%的人曾将患者转诊至该诊所。药物依从性和疾病状态管理是转诊的最常见原因。对适当转诊程序缺乏了解是未将患者转诊至MTM诊所的主要原因。在知晓MTM服务的提供者中,44%将护理评为“优秀”,44%评为“良好”,5%评为“一般”,0%表示“差”。医疗保健提供者确定的MTM诊所的优势包括对患者进行深入教育、密切随访以及MTM诊所药剂师提供详细的药物重整。在熟悉MTM诊所的人中,建议包括:加大营销力度以提高对MTM诊所服务的认识,在MTM药剂师和医生之间建立协作实践协议,并确保病程记录更简洁。

结论

在一个大型城市学术机构中,MTM诊所被视为通过为患者提供与其处方药和疾病状态相关的深入教育来优化患者护理的宝贵资源。MTM诊所的这些已确定的益处导致经常有患者转诊,特别是为了在药物依从性和疾病状态管理方面获得帮助。