J Am Pharm Assoc (2003). 2018 Sep-Oct;58(5):515-521.e1. doi: 10.1016/j.japh.2018.04.032. Epub 2018 Jul 3.
To develop a common language for the medication synchronization process in community pharmacies.
A systematic and iterative process was used to create and refine a common language for medication synchronization. First, a review of all available medication synchronization-related documents was completed. Second, a systematic scoping literature review was conducted to determine what core components of medication synchronization have been implemented by community pharmacies. Third, semistructured interviews were conducted with community pharmacists and key stakeholders to identify principles and successful practices. Findings from the document review, systematic scoping review, and semistructured interviews were integrated to develop a medication synchronization common language. Finally, researchers and key stakeholders refined the initial draft by means of a systematic process.
This process generated a medication synchronization common language that includes common language for the philosophy and values of medication synchronization. This profile also includes descriptions of core components with activities to be conducted for each of the identified 5 core components. The 5 core components are: 1) identification and enrollment of patients; 2) completion of a medication review and patient assessment; 3) alignment of medication refills; 4) preparation for medication delivery; and 5) delivery of medication and other services.
The development of a common language for medication synchronization will allow for the promotion of consistency in implementation and operation of these programs across community pharmacies. Consistency in implementation will allow for better interpretation of patient outcomes such as adherence and other clinical measures.
为社区药店的药物同步化过程制定通用语言。
采用系统迭代的方法来创建和完善药物同步化的通用语言。首先，对所有可用的与药物同步化相关的文件进行了审查。其次，进行了系统的范围界定文献综述，以确定社区药店已经实施了药物同步化的哪些核心组成部分。第三，对社区药剂师和利益相关者进行了半结构化访谈，以确定原则和成功做法。从文件审查、系统范围界定综述和半结构化访谈中获取的发现被整合起来，以制定药物同步化的通用语言。最后，研究人员和利益相关者通过系统的流程对初始草案进行了完善。
该流程生成了一种药物同步化通用语言，其中包括药物同步化理念和价值观的通用语言。该概要还包括对核心组件的描述，并描述了已确定的 5 个核心组件中的每个组件的活动。这 5 个核心组件是：1）患者的识别和登记；2）进行药物审查和患者评估；3）调整药物续方；4）准备药物交付；以及 5）药物和其他服务的交付。
制定药物同步化的通用语言将有助于促进社区药店在这些项目的实施和运营方面保持一致。实施的一致性将允许更好地解释患者的结果，如依从性和其他临床指标。
