College of Pharmacy, University of Iowa, Iowa City, IA, USA.
College of Pharmacy, University of Iowa, Iowa City, IA, USA.
Res Social Adm Pharm. 2018 Jan;14(1):106-111. doi: 10.1016/j.sapharm.2016.12.008. Epub 2017 Jan 2.
Under the Continuous Medication Monitoring (CoMM) approach, community pharmacists prevent, identify, resolve, and document drug therapy problems during the dispensing process.
To describe the patients receiving CoMM interventions and the pattern of delivery of CoMM interventions.
Pharmacy dispensing and clinical records were reviewed for patients filling at least one prescription and receiving at least one continuous medication monitoring intervention at a community pharmacy from April 2014 through March 2015. The proportion of patients receiving an intervention type and the number of interventions per patient were computed.
Nearly 2500 patients received 16,986 continuous medication monitoring interventions over the year. The average age of the patients receiving the interventions was 59.1 years, and they filled an average of 8.0 unique medications. An average of 6.8 interventions was delivered to each patient. About half (49.7%) of interventions addressed drug therapy problems. The pharmacists delivered 3.0 patient counseling and education and 3.4 drug therapy problem interventions per patient on average.
There are many opportunities to improve patients' medication use that can be identified and addressed under a Continuous Medication Monitoring model. Movement to this model of practice is desirable, but changes are needed to facilitate the shift.
在持续药物监测（CoMM）方法下，社区药剂师在配药过程中预防、识别、解决和记录药物治疗问题。
描述接受 CoMM 干预的患者以及 CoMM 干预的提供方式。
对 2014 年 4 月至 2015 年 3 月期间在社区药房至少配药一次并至少接受一次持续药物监测干预的患者的药房配药和临床记录进行了回顾。计算了接受干预类型的患者比例和每位患者的干预次数。
近 2500 名患者接受了 16986 次持续药物监测干预。接受干预的患者平均年龄为 59.1 岁，平均使用 8.0 种独特药物。每位患者平均接受 6.8 次干预。约一半（49.7%）的干预措施针对药物治疗问题。药剂师平均为每位患者提供 3.0 次患者咨询和教育以及 3.4 次药物治疗问题干预。
在持续药物监测模式下，可以识别和解决许多可以改善患者用药的机会。向这种实践模式转变是可取的，但需要进行变革以促进这种转变。
