Ensing Hendrik T, Koster Ellen S, Stuijt Clementine C M, van Dooren Ad A, Bouvy Marcel L
Research Group Process Innovations in Pharmaceutical Care, Utrecht University of Applied Sciences, Utrecht, The Netherlands.
Int J Clin Pharm. 2015 Jun;37(3):430-4. doi: 10.1007/s11096-015-0093-4.
Bridging the gap between hospital and primary care is important as transition from one healthcare setting to another increases the risk on drug-related problems and consequent readmissions. To reduce those risks, pharmacist interventions during and after hospitalization have been frequently studied, albeit with variable effects. Therefore, in this manuscript we propose a three phase approach to structurally address post-discharge drug-related problems. First, hospitals need to transfer up-todate medication information to community pharmacists. Second, the key phase of this approach consists of adequate follow-up at the patients' home. Pharmacists need to apply their clinical and communication skills to identify and analyze drug-related problems. Finally, to prevent and solve identified drug related problems a close collaboration within the primary care setting between pharmacists and general practitioners is of utmost importance. It is expected that such an approach results in improved quality of care and improved patient safety.
弥合医院与基层医疗之间的差距非常重要，因为从一种医疗环境过渡到另一种医疗环境会增加药物相关问题及随后再次入院的风险。为降低这些风险，已对住院期间及出院后药剂师的干预措施进行了频繁研究，尽管效果不一。因此，在本论文中，我们提出一种三阶段方法，以系统性地解决出院后药物相关问题。首先，医院需要将最新的用药信息传递给社区药剂师。其次，该方法的关键阶段包括在患者家中进行充分的随访。药剂师需要运用他们的临床和沟通技巧来识别和分析药物相关问题。最后，为预防和解决已识别的药物相关问题，药剂师与全科医生在基层医疗环境中密切合作至关重要。预计这种方法将提高医疗质量并改善患者安全。
