Margusino-Framiñán Luis, Cid-Silva Purificación, Martínez-Roca Cristina, García-Queiruga Marta, Fernández-Gabriel Elena, Mateos-Salvador María, Rabuñal-Álvarez María Teresa, Pedreira-Vázquez María Isaura, Martín-Herranz Isabel
Servicio de Farmacia, Complejo Hospitalario Universitario A Coruña, A Coruña.
Farm Hosp. 2017 Nov 1;41(6):660-666. doi: 10.7399/fh.10771.
To describe the organization of patient care into Specialized Pharmaceutical Care Hospital Outpatient Clinics in a Hospital Pharmacy Department, to evaluate their healthcare quality, and the quality perceived by outpatients.
A retrospective observational study in a High-Level Hospital Pharmacy Department during three periods (years 2010, 2013 and 2016); description of the organization at the levels of structure, human resources, material resources and working procedures; evaluation of healthcare quality through the analysis of three variables in terms of procedure: prior appointment compliance, waiting time and documentation of pharmaceutical care; evaluation of quality perceived by outpatients through a satisfaction survey; comparative statistical analysis of means (Student's t) and proportions (Pearson's chi square).
Fifteen (15) specialized outpatient clinics were opened and managed by 18 pharmacists; between the initial and final periods of the study (2010 vs. 2016), the compliance with previous appointments was of 61.3% vs. 88.8% (p <0001), waiting time was 27.6±12.1 vs. 12.1±5.4 minutes (p <0.0001), documentation of pharmaceutical care in the clinical record was of 2.3% vs. 9.81% (p <0.0001), and the overall satisfaction perceived by the patients was 6.63±2.36 vs. 9.16±1.27 (p <0.01).
The model of Specialized Pharmaceutical Care Hospital Outpatient Clinics exposed, focused on the patient and with continuity of care, has improved the quality of care and the quality perceived by the patients and it´s in optimal conditions to investigate its contribution on health outcomes and on the health system through a better quality, safety and efficiency of pharmacotherapy.
描述医院药房部门将患者护理组织到专科医院药房门诊的情况，评估其医疗质量以及门诊患者所感知的质量。
在一家高级医院药房部门进行了一项回顾性观察研究，为期三个阶段（2010年、2013年和2016年）；从结构、人力资源、物质资源和工作程序层面描述组织情况；通过分析预约前合规性、等待时间和药学服务记录这三个程序变量来评估医疗质量；通过满意度调查评估门诊患者所感知的质量；对均值（学生t检验）和比例（皮尔逊卡方检验）进行比较统计分析。
开设了15家专科门诊并由18名药剂师管理；在研究的初始阶段和最后阶段（2010年与2016年）之间，预约前的合规率分别为61.3%和88.8%（p<0.0001），等待时间分别为27.6±12.1分钟和12.1±5.4分钟（p<0.0001），临床记录中药学服务记录比例分别为2.3%和9.81%（p<0.0001），患者总体满意度分别为6.63±2.36和9.16±1.27（p<0.01）。
所展示的专科医院药房门诊模式以患者为中心且具有护理连续性，提高了护理质量以及患者所感知的质量，并且处于通过提高药物治疗的质量、安全性和效率来研究其对健康结果和卫生系统贡献的最佳状态。
