Melody Karleen T, McCartney Elizabeth, Sen Sanchita, Duenas Gladys
Department of Pharmacy Practice, Philadelphia College of Pharmacy, University of the Sciences, Philadelphia, PA, USA.
Integr Pharm Res Pract. 2016 Apr 22;5:43-51. doi: 10.2147/IPRP.S87947. eCollection 2016.
Transitions of care (TOC) refer to the movement of patients across institutions, among providers, between different levels of care, and to and from home. Medication errors that occur during TOC have the potential to result in medical complications that are serious for the patient and costly to the health care system. Positive outcomes have been demonstrated when pharmacists are involved in providing TOC services, including reducing preventable adverse drug reactions, medication-related problems, and rehospitalizations, as well as improving the discharge process. This review explores TOC models involving community pharmacy practice, the current impact of pharmacist interventions in TOC, and patient satisfaction with TOC services provided by community pharmacists. Common barriers and potential solutions to TOC services provided in the community pharmacy, such as patient identification, information gathering, standardization of services, administrative support, reimbursement, and time restraints, are also discussed.
医疗护理转接（TOC）是指患者在不同机构之间、不同医疗服务提供者之间、不同护理级别之间以及往返于家庭与医疗机构之间的转移。在医疗护理转接过程中发生的用药错误有可能导致严重的医疗并发症，这对患者来说后果严重，对医疗保健系统而言成本高昂。当药剂师参与提供医疗护理转接服务时，已证明会产生积极效果，包括减少可预防的药物不良反应、与用药相关的问题以及再入院情况，同时还能改善出院流程。本综述探讨了涉及社区药房实践的医疗护理转接模式、药剂师干预在医疗护理转接中的当前影响以及患者对社区药剂师提供的医疗护理转接服务的满意度。还讨论了社区药房提供医疗护理转接服务时常见的障碍以及潜在解决方案，如患者识别、信息收集、服务标准化、行政支持、报销和时间限制等。
