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运用定性方法了解纽约市初级保健医生对药剂师主导的药物治疗管理的认知:第一部分。

Understanding awareness of pharmacist-led medication therapy management among primary care physicians in New York City using qualitative methods: part I.

作者信息

Arya Vibhuti, Pinto Sharrel, Singer Jesse, Khan Tasmiya

机构信息

St. John's University College of Pharmacy and Health Sciences, NYC Department of Health and Mental Hygiene, 8000 Utopia Parkway, St. Albert Hall, Room 114, Queens, NY 11439, USA.

出版信息

J Med Pract Manage. 2013 Sep-Oct;29(2):84-8.

Abstract

Pharmacist-led medication therapy management (MTM) programs have been shown to be an effective method of optimizing patient therapy for multiple disease states through improved clinical outcomes and decreased healthcare costs. Physicians have recognized pharmacists' ability to identify and prevent prescription errors, and educate patients about safe and appropriate medication use. Pharmacist interventions may help ease the burden of chronic disease among primary care providers and pave the way for a team-based approach in caring for underserved patients with heavy disease burdens. The New York City Department of Health and Mental Hygiene performed a qualitative study to obtain a better understanding of the perceptions related to pharmacist-led MTM programs among primary care physicians in New York City. Key findings from our study suggest that educating physicians on MTM and the role of pharmacists in the healthcare team is crucial to building trusting relationships for collaborative patient care. Key concerns among physicians included demonstrated pharmacist competency, integration of documentation systems, impact on workload, and effective collaboration between physicians and pharmacists. In this article, we describe our study rationale, design, and preliminary findings. A more detailed report and potential impact of our findings will be provided in Part II of this article.

摘要

由药剂师主导的药物治疗管理(MTM)项目已被证明是一种有效的方法,可通过改善临床结果和降低医疗成本,优化针对多种疾病状态的患者治疗。医生们已经认识到药剂师识别和预防处方错误以及教育患者安全合理用药的能力。药剂师的干预可能有助于减轻初级保健提供者治疗慢性病的负担,并为采用团队协作方式照顾疾病负担重的弱势群体患者铺平道路。纽约市卫生和精神卫生部门开展了一项定性研究,以更好地了解纽约市初级保健医生对由药剂师主导的MTM项目的看法。我们研究的主要发现表明,就MTM以及药剂师在医疗团队中的作用对医生进行教育,对于建立互信关系以开展协作式患者护理至关重要。医生们主要关心的问题包括药剂师的专业能力、文件系统的整合、对工作量的影响以及医生与药剂师之间的有效协作。在本文中,我们描述了我们的研究原理、设计和初步发现。本文第二部分将提供更详细的报告以及我们研究结果的潜在影响。

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