Flanagan Priti, Kainth Suman, Nissen Lisa
, BSP, ACPR, PharmD, is Coordinator of Community Pharmacy Programs, Fraser Health, Langley, British Columbia, and Clinical Assistant Professor, University of British Columbia, Vancouver, British Columbia.
, BScPharm,ACPR is a Clinical Pharmacist with Community Pharmacy Programs, Fraser Health, Burnaby Home Health, Burnaby, British Columbia.
Can J Hosp Pharm. 2013 Nov;66(6):355-60. doi: 10.4212/cjhp.v66i6.1300.
Providing clinical pharmacy services to patients in their homes after discharge from hospital has been reported to reduce health care costs and improve outcomes. The Medication Management Program of the Fraser Health Authority involves pharmacists making home visits to provide clinical pharmacy services to elderly patients who have recently been discharged from hospital and others considered to be at high risk for adverse drug events. Although clinical and economic outcomes of this program have been evaluated, humanistic outcomes such as satisfaction have not been assessed. Moreover, very little evaluation of patient satisfaction with home pharmacy services has been reported in the literature.
To evaluate patient satisfaction with the Medication Management Program.
A telephone survey instrument, consisting of 7 Likert-scale items and 2 open-ended questions, was developed and administered to patients who received a home pharmacist visit between September 1 and November 23, 2011. In addition to the survey responses, demographic and clinical data for both respondents and nonrespondents were collected.
Of the 175 patients invited to participate in the survey, 103 (58.9%) agreed to participate. The majority of respondents agreed or strongly agreed with all of the survey items, indicating satisfaction with the program. For example, 97 (94%) agreed or strongly agreed that they would recommend the pharmacist home visit program continue to be available, and all 103 (100%) agreed or strongly agreed that they were satisfied with the pharmacist home visit. Respondents provided some suggestions for program improvement.
The survey findings demonstrate that patients were satisfied with the home clinical pharmacy services offered through the Fraser Health Medication Management Program.
据报道,在患者出院后为其提供居家临床药学服务可降低医疗保健成本并改善治疗效果。菲沙卫生局的药物管理项目让药剂师进行家访,为近期出院的老年患者及其他被认为有药物不良事件高风险的患者提供临床药学服务。尽管已对该项目的临床和经济效果进行了评估,但尚未评估诸如满意度等人文效果。此外,文献中报道的关于患者对居家药学服务满意度的评估非常少。
评估患者对药物管理项目的满意度。
开发了一种电话调查问卷,包括7个李克特量表项目和2个开放式问题,并对在2011年9月1日至11月23日期间接受过药剂师家访的患者进行调查。除了调查回复外,还收集了受访者和未受访者的人口统计学和临床数据。
在受邀参加调查的175名患者中,103名(58.9%)同意参与。大多数受访者对所有调查项目表示同意或强烈同意,表明对该项目满意。例如,97名(94%)同意或强烈同意他们会建议继续提供药剂师家访项目,所有103名(100%)同意或强烈同意他们对药剂师家访感到满意。受访者对项目改进提出了一些建议。
调查结果表明,患者对通过菲沙卫生局药物管理项目提供的居家临床药学服务感到满意。