University of Nebraska Medical Center, College of Pharmacy, Department of Pharmacy Practice, 986145 Nebraska Medical Center, Omaha, NE, 68198-6145, USA.
Ferris State University, College of Pharmacy, 220 Ferris Drive, Big Rapids, MI, 49307, USA.
Res Social Adm Pharm. 2018 Apr;14(4):356-359. doi: 10.1016/j.sapharm.2017.04.012. Epub 2017 May 2.
One way to reduce the complications and costs of influenza like illness and pharyngitis is to improve access to testing and treatment in early stages of infection. Pharmacy-based screening and treatment of group A streptococcus (GAS) infection and influenza has the potential to improve patient care and population health.
To improve patient care and population health, the objective of this retrospective study was to assess if a previously validated service model could be implemented by pharmacy chains without mandated standardization.
Researchers utilized a certificate program to provide initial training to pharmacists and shared templates from previous validated models. Pharmacy companies were responsible for navigation of all implementation within their company. Researchers analyzed the de-identified data from patients seeking point-of-care testing from the participating pharmacies.
Participating pharmacies reported 661 visits for adult (age 18 and over) patients tested for influenza for GAS pharyngitis. For the GAS patients, 91 (16.9%) tested positive. For the Influenza patients, 22.9% tested positive and 64 (77.1%) testing negative. Access to care was improved as patients presented to the visit outside normal clinic hours for 38% of the pharmacy visits, and 53.7% did not have a primary care provider.
A collaborative care model for managing patients with symptoms consistent with influenza or group A streptococcus can be successfully implemented, and improve access to care outside of normal clinic hours and for those without a regular primary care provider.
减少流感样疾病和咽炎并发症和成本的一种方法是在感染早期改善检测和治疗的机会。基于药房的 A 组链球菌（GAS）感染和流感筛查和治疗有可能改善患者护理和人群健康。
为了改善患者护理和人群健康，本回顾性研究的目的是评估在没有强制性标准化的情况下，药房连锁店是否可以实施经过验证的服务模式。
研究人员利用证书计划为药剂师提供初步培训，并共享之前经过验证的模型模板。各药房公司负责在其公司内实施所有内容。研究人员分析了从参与药房寻求即时检测的成年（18 岁及以上）患者的匿名数据。
参与的药房报告了 661 例成人（年龄在 18 岁及以上）患者因 GAS 咽炎而接受流感 GAS 检测的就诊情况。对于 GAS 患者，91 例（16.9%）检测呈阳性。对于流感患者，22.9%检测呈阳性，64 例（77.1%）检测呈阴性。由于患者在正常诊所时间之外就诊，就诊的可及性得到改善，占药房就诊的 38%，而 53.7%的患者没有初级保健提供者。
可以成功实施一种用于管理有流感或 A 组链球菌症状的患者的协作式护理模式，从而改善在正常诊所时间之外以及对那些没有常规初级保健提供者的患者的就诊机会。
