患者与医生对一家家庭医学诊所中由药剂师管理的抗凝治疗项目的满意度。
Patients' and physicians' satisfaction with a pharmacist managed anticoagulation program in a family medicine clinic.
作者信息
Bishop Lisa, Young Stephanie, Twells Laurie, Dillon Carla, Hawboldt John
机构信息
School of Pharmacy, Memorial University, 300 Prince Philip Drive, St. John's, NL, A1B 3V6, Canada.
Faculty of Medicine, Memorial University, 300 Prince Philip Drive, St. John's, NL, A1B 3V6, Canada.
出版信息
BMC Res Notes. 2015 Jun 9;8:233. doi: 10.1186/s13104-015-1187-8.
BACKGROUND
A pharmacist managed anticoagulation service was initiated in a multi-physician family medicine clinic in December 2006. In order to determine the patient and physician satisfaction with the service, a study was designed to describe the patients' satisfaction with the warfarin education and management they received from the pharmacist, and to describe the physicians' satisfaction with the level of care provided by the pharmacist for patients taking warfarin. A self-administered survey was completed by both eligible patients receiving warfarin and physicians prescribing warfarin between December 2006 and May 2008. The patient survey collected information on patient demographics, satisfaction with warfarin education and daily warfarin management. The physician survey collected data about the satisfaction with patient education and daily anticoagulation management by the pharmacist.
RESULTS
Seventy-six of 94 (81%) patients completed the survey. Fifty-nine percent were male with a mean age of 65 years (range 24-90). Ninety-six percent agreed/strongly agreed the pharmacist did a good job teaching the importance of warfarin adherence, the necessity of INR testing and the risks of bleeding. Eighty-five percent agreed/strongly agreed the risk of blood clots was well explained, 79% felt the pharmacist did a good job teaching about dietary considerations and 77% agreed/strongly agreed the pharmacist explained when to see a doctor. All patients felt the pharmacist gave clear instructions on warfarin dosing and INR testing. Four of nine physicians (44%) completed the survey. All agreed/strongly agreed the pharmacist was competent in the care provided, were confident in the care their patients received, would like the pharmacist to continue the service, and would recommend this program to other clinics.
CONCLUSIONS
Patients and family physicians were satisfied with the pharmacist managed anticoagulation program and recommended continuation of the program. These results support the role of the pharmacist in the management of anticoagulation in a multi-physician family medicine clinic.
背景
2006年12月，一家多医生家庭医学诊所启动了由药剂师管理的抗凝服务。为了确定患者和医生对该服务的满意度，设计了一项研究，以描述患者对华法林教育及他们从药剂师处接受的管理的满意度，并描述医生对药剂师为服用华法林患者提供的护理水平的满意度。2006年12月至2008年5月期间，接受华法林治疗的合格患者和开具华法林处方的医生均完成了一份自填式调查问卷。患者调查问卷收集了患者人口统计学信息、对华法林教育的满意度以及华法林日常管理情况。医生调查问卷收集了关于药剂师对患者教育及日常抗凝管理满意度的数据。
结果
94名患者中有76名（81%）完成了调查。59%为男性，平均年龄65岁（范围24 - 90岁）。96%的患者同意/强烈同意药剂师在教授华法林依从性的重要性、国际标准化比值（INR）检测的必要性以及出血风险方面做得很好。85%的患者同意/强烈同意血栓形成风险得到了很好的解释，79%的患者认为药剂师在教授饮食注意事项方面做得很好，77%的患者同意/强烈同意药剂师说明了何时就医。所有患者都认为药剂师对华法林剂量和INR检测给出了明确的指示。9名医生中有4名（44%）完成了调查。所有医生都同意/强烈同意药剂师在提供的护理方面能力胜任，对其患者接受的护理有信心，希望药剂师继续提供该服务，并会向其他诊所推荐该项目。
结论
患者和家庭医生对华法林管理项目感到满意，并建议继续该项目。这些结果支持了药剂师在多医生家庭医学诊所抗凝管理中的作用。
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