Truong Havan, Kroehl Miranda E, Lewis Carmen, Pettigrew Robin, Bennett Marialice, Saseen Joseph J, Trinkley Katy E
Skaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado, Aurora, CO, USA.
Department of Biostatistics & Informatics, Colorado School of Public Health, University of Colorado, Aurora, CO, USA.
SAGE Open Med. 2017 Jun 13;5:2050312117713911. doi: 10.1177/2050312117713911. eCollection 2017.
The purpose of this study is to evaluate primary care provider satisfaction and perceived impact of clinical pharmacy services on the disease state management in primary care.
A cross-sectional survey with 24 items and 4 domains was distributed anonymously to pharmacy residency program directors across the United States who were requested to forward the survey to their primary care provider colleagues. Primary care providers were asked to complete the survey.
A total of 144 primary care providers responded to the survey, with 130 reporting a clinical pharmacist within their primary care practice and 114 completing the entire survey. Primary care providers report pharmacists positively impact quality of care (mean = 5.5 on Likert scale of 1-6; standard deviation = 0.72), high satisfaction with pharmacy services provided (5.5; standard deviation = 0.79), and no increase in workload as a result of clinical pharmacists (5.5; standard deviation = 0.77). Primary care providers would recommend clinical pharmacists to other primary care practices (5.7; standard deviation = 0.59). Primary care providers perceived specific types of pharmacy services to have the greatest impact on patient care: medication therapy management (38.6%), disease-focused management (29.82%), and medication reconciliation (11.4%). Primary care providers indicated the most valuable disease-focused pharmacy services as diabetes (58.78%), hypertension (9.65%), and pain (11.4%).
Primary care providers report high satisfaction with and perceived benefit of clinical pharmacy services in primary care and viewed medication therapy management and disease-focused management of diabetes, hypertension, and pain as the most valuable clinical pharmacy services. These results can be used to inform development or expansion of clinical pharmacy services in primary care.
本研究旨在评估基层医疗服务提供者的满意度以及临床药学服务对基层医疗中疾病状态管理的感知影响。
一项包含24个项目和4个领域的横断面调查以匿名方式分发给美国各地的药学住院医师培训项目主任，要求他们将调查转发给其基层医疗服务提供者同事。基层医疗服务提供者被要求完成该调查。
共有144名基层医疗服务提供者回复了调查，其中130人报告其基层医疗实践中有临床药师，114人完成了全部调查。基层医疗服务提供者报告称，药师对医疗质量有积极影响（在1 - 6的李克特量表上平均分为5.5；标准差 = 0.72），对所提供的药学服务满意度高（5.5；标准差 = 0.79），并且临床药师的存在并未导致工作量增加（5.5；标准差 = 0.77）。基层医疗服务提供者会向其他基层医疗实践推荐临床药师（5.7；标准差 = 0.59）。基层医疗服务提供者认为特定类型的药学服务对患者护理影响最大：药物治疗管理（38.6%）、疾病聚焦管理（29.82%）和用药核对（11.4%）。基层医疗服务提供者指出最有价值的疾病聚焦药学服务为糖尿病（58.78%）、高血压（9.65%）和疼痛（11.4%）。
基层医疗服务提供者对基层医疗中的临床药学服务满意度高且认为其有益，并将糖尿病、高血压和疼痛的药物治疗管理及疾病聚焦管理视为最有价值的临床药学服务。这些结果可用于为基层医疗中临床药学服务的发展或扩展提供参考。
