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全科医疗中的药剂师:基于团队的协作式护理所产生的建议。

Pharmacists in general practice: recommendations resulting from team-based collaborative care.

作者信息

Benson Helen, Lucas Cherie, Benrimoj Shalom I, Kmet Walter, Williams Kylie A

机构信息

Graduate School of Health, University of Technology Sydney, Building 7, 67 Thomas Street, Ultimo, NSW 2007, Australia.

WentWest, Western Sydney Primary Health Network, Level 1, 85 Flushcombe Road, Blacktown, NSW 2148, Australia.

出版信息

Aust J Prim Health. 2018 Jan;24(6):448-454. doi: 10.1071/PY18022.

DOI:10.1071/PY18022
PMID:30384879
Abstract

The Western Sydney Primary Health Network (PHN), WentWest, has been working to improve patient and health system outcomes by commissioning projects that enhance patient-focussed, team-based care. One such project is the WentWest General Practice Pharmacist Project, involving the integration of pharmacists within general practice sites. The aim of this study is to describe, classify and analyse recommendations made by pharmacists to GPs, resulting from patient consultations between pharmacists and patients in a general practice setting. This study was a multi-centre prospective observational study (April 2017-September 2017) investigating recommendations made by pharmacists integrated in a general practice setting. Thirteen general practice sites located in Western Sydney, NSW, Australia were involved in the study. The main outcome measures of this study include the classification of pharmacist recommendations and the percentage of those recommendations accepted by GPs. The pharmacists recorded the results from 618 patient consultations. These consultations resulted in 1601 recommendations of which 1404 (88%) were recorded as accepted. This study demonstrated that the recommendations made by pharmacists in general practice are well accepted by GPs and may lead to improvements in medication management and patient care.

摘要

西悉尼初级卫生保健网络(PHN)——“走向西部”(WentWest),一直致力于通过开展旨在加强以患者为中心的团队式护理的项目,来改善患者和卫生系统的成果。其中一个项目就是“走向西部”全科药剂师项目,该项目涉及将药剂师融入全科医疗场所。本研究的目的是描述、分类和分析在全科医疗环境中,药剂师与患者进行会诊后,药剂师向全科医生提出的建议。本研究是一项多中心前瞻性观察性研究(2017年4月至2017年9月),调查融入全科医疗环境的药剂师所提出的建议。澳大利亚新南威尔士州西悉尼的13个全科医疗场所参与了该研究。本研究的主要结果指标包括药剂师建议的分类以及这些建议被全科医生接受的百分比。药剂师记录了618次患者会诊的结果。这些会诊产生了1601条建议,其中1404条(88%)被记录为已被接受。本研究表明,全科医疗中药剂师提出的建议得到了全科医生的广泛接受,并可能改善药物管理和患者护理。

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