VanGalder Keni, Mersfelder Tracey L, VanLangen Kali
Ferris State University, Grand Rapids, MI, USA.
Hosp Pharm. 2017 May;52(5):357-360. doi: 10.1177/0018578717715357. Epub 2017 May 1.
The objective of this study was to ascertain baseline knowledge of pharmacists and pharmacy residents concerning the cost of laboratory tests for monitoring medications, and to determine whether an educational session delivered to pharmacy residents improves their knowledge of these costs. An online survey was provided to pharmacists and pharmacy residents, testing their knowledge of 15 common laboratory tests used to monitor the safety and efficacy of medications. One of the researchers presented a lecture to all pharmacy residents that detailed individual laboratory costs; after that, the researchers delivered a follow-up survey to assess the effectiveness of the educational session. Baseline knowledge of pharmacists showed that greater than 64% of the responses were more than 30% away from the actual cost of the laboratory test for all 15 tests. Baseline knowledge of pharmacy residents showed that greater than 58% of the responses were more than 30% away from the actual cost of the laboratory test for each individual test. Although there was no statistically significant improvement in individual cost prediction after the educational session, 2 laboratory values showed improvement in margins of error post intervention: alanine aminotransferase/aspartate aminotransferase and lipids ( = .008 and .014, respectively). Pharmacists and pharmacy residents poorly predicted the costs of common laboratory tests. A brief lecture discussing the cost of laboratory tests demonstrated minor improvement in pharmacy residents' knowledge of the costs reviewed. Pharmacists need to be educated on the cost of laboratory tests to better understand the profession's contribution to health care expenditures.
本研究的目的是确定药剂师和药学住院医师关于监测药物的实验室检查费用的基线知识,并确定向药学住院医师提供的教育课程是否能提高他们对这些费用的认识。向药剂师和药学住院医师提供了一项在线调查,测试他们对用于监测药物安全性和有效性的15项常见实验室检查的了解。其中一位研究人员为所有药学住院医师举办了一场讲座,详细介绍了各项实验室检查的费用;之后,研究人员进行了一项后续调查,以评估该教育课程的效果。药剂师的基线知识显示,在所有15项检查中,超过64%的回答与实验室检查的实际费用相差超过30%。药学住院医师的基线知识显示,对于每项单独的检查,超过58%的回答与实验室检查的实际费用相差超过30%。尽管在教育课程之后,个体费用预测没有统计学上的显著改善,但有2项实验室检查值在干预后的误差幅度有所改善:丙氨酸氨基转移酶/天冬氨酸氨基转移酶和血脂(分别为P = 0.008和0.014)。药剂师和药学住院医师对常见实验室检查的费用预测较差。一场讨论实验室检查费用的简短讲座显示,药学住院医师对所讨论费用的了解有小幅改善。需要对药剂师进行实验室检查费用方面的教育,以便更好地理解该职业对医疗保健支出的贡献。