通过医生指导的自动配药提高门诊患者的主要药物依从性。
Improving outpatient primary medication adherence with physician guided, automated dispensing.
作者信息
Moroshek Jacob G
机构信息
Bioinformatics and Computational Biology; Carlson School of Management, University of Minnesota, Minneapolis, MN, USA.
出版信息
Clinicoecon Outcomes Res. 2017 Jan 5;9:59-63. doi: 10.2147/CEOR.S114416. eCollection 2017.
BACKGROUND
Physician dispensing, different from pharmacist dispensing, is a way for practitioners to supply their patients with medications, at the point of care. The InstyMeds dispenser and logistics system can automate much of the dispensing, insurance adjudication, inventory management, and regulatory reporting that is required of physician dispensing.
OBJECTIVE
To understand the percentage of patients that exhibit primary adherence to medication in the outpatient setting when choosing InstyMeds.
METHOD
The InstyMeds dispensing database was de-identified and analyzed for primary adherence. This is the ratio of patients who dispensed their medication to those who received an eligible prescription.
RESULTS
The average InstyMeds emergency department installation has a primary adherence rate of 91.7%. The maximum rate for an installed device was 98.5%.
CONCLUSION
Although national rates of primary adherence have been found to be in the range of 70%, automated physician dispensing vastly improves the rate of adherence. Improved adherence should lead to better patient outcomes, fewer return visits, and lower healthcare costs.
背景
医师配药不同于药剂师配药，是从业者在医疗服务点为患者提供药物的一种方式。InstyMeds自动配药机及物流系统可使医师配药所需的大部分配药、保险裁决、库存管理及监管报告工作自动化。
目的
了解选择InstyMeds时门诊患者中表现出对药物主要依从性的患者比例。
方法
对InstyMeds配药数据库进行去识别处理并分析主要依从性。主要依从性是配药患者与收到符合条件处方患者的比例。
结果
InstyMeds在急诊科的平均安装点主要依从率为91.7%。已安装设备的最高依从率为98.5%。
结论
尽管已发现全国主要依从率在70%左右，但自动化医师配药极大地提高了依从率。依从性的提高应会带来更好的患者治疗效果、更少的复诊次数及更低的医疗成本。
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