药剂师提高患者依从性的循证务实步骤。

Department of Clinical Pharmacology, Institution of Laboratory Medicine Lund, Lund University, Lund, Sweden.

Integr Pharm Res Pract. 2015 May 14;4:13-19. doi: 10.2147/IPRP.S83030. eCollection 2015.

All strategies and tools to improve the potential outcomes of medications therapy are a waste of time if the clients do not take their medication as prescribed. The aim of this paper is to help pharmacists to help their clients to improve outcomes of medicines based on improving their compliance to evidence-based pharmacotherapy. To reach a good compliance (result), you have to have agreement and concordance (method) between the practitioner and the client. Barriers and strategies for this, including identifying compliance problems and reasons for it, methods for improving information and communication, the client's participation, and responsibility for their own health, are presented mainly based on Cochrane reviews. Also some general pragmatic suggestions for how pharmacists can assist their clients the best are given.

如果患者不按医嘱服药，那么所有旨在改善药物治疗潜在效果的策略和工具都将白费。本文的目的是帮助药剂师帮助他们的患者提高药物治疗效果，方法是提高患者对循证药物治疗的依从性。为了达到良好的依从性（结果），从业者和患者之间必须达成一致和协调（方法）。本文主要基于Cochrane综述，介绍了实现这一目标的障碍和策略，包括识别依从性问题及其原因、改善信息和沟通的方法、患者的参与以及患者对自身健康的责任。此外，还给出了一些关于药剂师如何最好地帮助患者的实用建议。