Erni Pina, von Overbeck Jan, Reich Oliver, Ruggli Martine
Swiss Association of Pharmacists, Stationsstrasse 12, 3097 Liebefeld, Switzerland.
Medgate Medical Consultant, Canton Health Officer of Bern, Postfach, Gellertstrasse 19, 4020 Basel, Switzerland.
Res Social Adm Pharm. 2016 Jul-Aug;12(4):622-6. doi: 10.1016/j.sapharm.2015.08.010. Epub 2015 Sep 4.
The Swiss Pharmacists Association has launched a new collaborative project, netCare. Community pharmacists provide a standard form with structured triage based on decision trees and document findings. As a backup, they can collaborate with physicians via video consultation.
The aim of the study was to evaluate the impact of this service on the Swiss health care system.
All pharmacists offering netCare completed two training courses, a course covering the most common medical conditions observed in primary health care and a specific course on all of the decision trees. The pharmacists were free to decide whether they would provide the usual care or offer netCare triage. The patient was also free to accept or refuse netCare. Pharmacists reported the type of ailment, procedure of the consultation, treatment, patient information and outcomes of the follow-up call on a standardized form submitted to the study center.
Pharmacists from 162 pharmacies performed 4118 triages over a period of 21 months. A backup consultation was needed for 17% of the cases. In follow-up calls, 84% of the patients who were seen only by pharmacists reported complete relief or symptom reduction.
netCare is a low-threshold service by which pharmacists can manage common medical conditions with physician backup, if needed. This study showed that a pharmacist could resolve a large proportion of the cases. However, to be efficient and sustainable, this service must be fully integrated into the health care system.
瑞士药剂师协会发起了一个新的合作项目——网络护理（netCare）。社区药剂师提供基于决策树的结构化分诊标准表格并记录诊断结果。作为辅助手段，他们可以通过视频会诊与医生协作。
本研究旨在评估这项服务对瑞士医疗保健系统的影响。
所有提供网络护理服务的药剂师都完成了两门培训课程，一门涵盖初级卫生保健中最常见病症的课程，以及一门关于所有决策树的特定课程。药剂师可自行决定是提供常规护理还是提供网络护理分诊服务。患者也可自由选择接受或拒绝网络护理。药剂师需按照提交给研究中心的标准化表格报告疾病类型、会诊流程、治疗情况、患者信息以及随访电话的结果。
来自162家药店的药剂师在21个月的时间里进行了4118次分诊。17%的病例需要进行辅助会诊。在随访电话中，仅由药剂师诊治的患者中有84%表示症状完全缓解或减轻。
网络护理是一项门槛较低的服务，通过它药剂师在必要时可在医生的支持下处理常见病症。本研究表明药剂师能够解决大部分病例。然而，要实现高效且可持续，这项服务必须完全融入医疗保健系统。
