Geurts Marlies M E, Ivens Martijn, van Gelder Egbert, de Gier Johan J
University of Groningen, Department Pharmacotherapy and Pharmaceutical Care, Antonius Deusinglaan 1, 9713 AV Groningen, the Netherlands.
PharmaPartners Research, Wilhelminakanaal Zuid 110a, 4903 RA Oosterhout, the Netherlands.
Inform Prim Care. 2013;21(1):53-9. doi: 10.14236/jhi.v21i1.40.
In medication therapy management there is a need for a tool to document medication reviews and pharmaceutical care plans (PCPs) as well as facilitate collaboration and sharing of patient data between different healthcare providers. Currently, pharmacists and general practitioners (GPs) have their own computer systems and patient files. To facilitate collaboration between different healthcare providers and to exchange patient data we developed a paper-based tool. As a result the structured collection of all relevant information for a clinical medication review was more protocol driven. The tool also enabled to plan interventions and follow-up activities: the PCP. The PCP was piloted among three GPs and six community pharmacists. Interviews with all healthcare providers concluded the PCP was found a very useful tool to collect and share patient data. A disadvantage was the time spent to collect all information. We therefore developed our PCP into a web-based tool: the web-based PCP (W-PCP).
Development of a W-PCP to (1) provide healthcare providers with information from pharmacist- and GP computer systems and (2) facilitate collaboration between healthcare providers and patients. Development and Application: W-PCP facilitates uploading and sharing of patient data among health care professionals and collaboration between professionals and patients on performing treatment plans. The W-PCP is a stand-alone application developed by cocreation using a generic software platform that provides developmental speed and flexibility.
The W-PCP was used in three research lines, two in primary care and one in a hospital setting. Outcomes measures were defined as satisfaction about efficiency and effectiveness during data sharing and documentation in providing care and conducting medication reviews using the W-PCP. First experiences concerning the use of W-PCP in a primary care setting were collected by a questionnaire and interviews with pharmacists and GPs using the W-PCP.
A questionnaire about first experiences with the W-PCP was sent to 38 healthcare providers. 17 healthcare providers returned the questionnaire (response 44.7%). The use of W-PCP resulted in positive experiences from participating healthcare providers. One of the needs expressed is to have the W-PCP application integrated in the current pharmacy and GP computer systems. All experiences, needs, and ideas for improvement of the current application were collected. On the basis of experiences and requirements collected, the application will be further developed.
The W-PCP application can potentially support successful collaboration between different healthcare providers and patients, which is important for medication therapy management. With this application, a successful collaboration between different healthcare providers and patients could be achieved.
在药物治疗管理中，需要一种工具来记录药物评估和药学服务计划（PCP），并促进不同医疗服务提供者之间患者数据的协作与共享。目前，药剂师和全科医生（GP）有各自的计算机系统和患者档案。为促进不同医疗服务提供者之间的协作并交换患者数据，我们开发了一种纸质工具。结果，临床药物评估所有相关信息的结构化收集更受协议驱动。该工具还能够规划干预措施和后续活动，即药学服务计划。药学服务计划在三名全科医生和六名社区药剂师中进行了试点。对所有医疗服务提供者的访谈得出结论，药学服务计划是收集和共享患者数据的非常有用的工具。一个缺点是收集所有信息所花费的时间。因此，我们将药学服务计划开发成了基于网络的工具：基于网络的药学服务计划（W-PCP）。
开发基于网络的药学服务计划以（1）向医疗服务提供者提供来自药剂师和全科医生计算机系统的信息，以及（2）促进医疗服务提供者与患者之间的协作。开发与应用：基于网络的药学服务计划便于医疗专业人员上传和共享患者数据，并促进专业人员与患者在执行治疗计划方面的协作。基于网络的药学服务计划是使用通用软件平台通过共同创建开发的独立应用程序，具有开发速度快和灵活性高的特点。
基于网络的药学服务计划用于三个研究项目，两个在初级保健领域，一个在医院环境中。结果指标定义为在使用基于网络的药学服务计划提供护理和进行药物评估时，对数据共享和记录过程中的效率和有效性的满意度。通过问卷调查以及对使用基于网络的药学服务计划的药剂师和全科医生进行访谈，收集了在初级保健环境中使用基于网络的药学服务计划的初步经验。
向38名医疗服务提供者发送了关于基于网络的药学服务计划初步经验的问卷。17名医疗服务提供者返回了问卷（回复率44.7%）。使用基于网络的药学服务计划给参与的医疗服务提供者带来了积极体验。所表达的需求之一是将基于网络的药学服务计划应用程序集成到当前的药房和全科医生计算机系统中。收集了关于当前应用程序的所有经验、需求和改进想法。根据收集到的经验和要求，将对该应用程序进行进一步开发。
基于网络的药学服务计划应用程序有可能支持不同医疗服务提供者与患者之间的成功协作，这对药物治疗管理很重要。通过该应用程序，可以实现不同医疗服务提供者与患者之间的成功协作。
