J Am Pharm Assoc (2003). 2020 Jan-Feb;60(1):163-177.e2. doi: 10.1016/j.japh.2019.06.020. Epub 2019 Jul 30.
To evaluate programs that provide pharmacy-led continuity of care services and to assess their effectiveness in improving patient outcomes.
Three databases were used to conduct the article search and assess relevant articles: PubMed (Medline), Cinahl, and Web of Science.
Articles that included prospective measurement with defined clinical outcomes of the impact of including a pharmacist in discharge planning and continuity of care after a hospitalization were included in the review. Articles were limited to those available in English, conducted within the United States, and including humans.
Relevant articles from the full database collections through April 2017.
Readmission rates were the most common primary outcome evaluated. Other primary outcomes included medication adherence, medication error identification and reduction, and patient satisfaction. Although the data has shown that pharmacists play a crucial role by promoting medication adherence and providing effective medication reconciliation, this systematic review did not result in identifying any one pharmacist intervention to be the most effective in improving continuity of care.
There is both a need and an opportunity for research that supports best practices in providing continuity of care during transitions of care.
评估提供药学主导的连续性护理服务的项目，并评估其在改善患者结局方面的有效性。
使用三个数据库进行文献检索和评估相关文献：PubMed（Medline）、Cinahl 和 Web of Science。
纳入了前瞻性测量的文章，这些文章定义了临床结果，评估了在住院后出院计划和连续性护理中包含药剂师的影响。综述仅限于英文文献，在美国进行的、包括人类在内的研究。
通过 2017 年 4 月的完整数据库收集提取相关文章。
再入院率是最常见的主要评估结果。其他主要结果包括药物依从性、药物错误识别和减少以及患者满意度。尽管数据表明药剂师通过促进药物依从性和提供有效的药物重整发挥了关键作用，但本系统评价并未确定任何一种药剂师干预措施在改善连续性护理方面最为有效。
在提供过渡护理期间连续性护理的最佳实践方面，既存在需求，也存在机会，需要开展相关研究。
