Hartley Kathryn A, Guthrie Kendall D, Stoner Steven C, May Justin R, Hartwig D Matthew, Liu Yifei
Pharmacy, University of Kansas Health System, Kansas City, KS 66160, USA.
School of Pharmacy, University of Missouri-Kansas City, Kansas City, MO 64108, USA.
Pharmacy (Basel). 2021 Jan 22;9(1):25. doi: 10.3390/pharmacy9010025.
This study reports the process of telephonic medication reviews conducted by community pharmacists for patients with asthma. The study occurred at an independent community chain in association with a Missouri Medicaid consulting group. Participants were identified utilizing claims data and met the National Quality Forum criteria for uncontrolled moderate-to-severe persistent asthma. A pharmacist performed the initial encounter via telephone which included a knowledge questionnaire, symptom control assessment, and medication review. Pharmacists identified drug-related problems (DRPs) and faxed recommendations to patients' primary care providers (PCPs). Thirty days later, pharmacists called to follow up with the patients and faxed PCPs to resolve any outstanding DRPs, new DRPs, or recommendations. Questionnaire scores and symptom control assessments were compared and analyzed utilizing a paired t-test, Chi-squared test, or Fisher's exact test. The number and categories of DRPs, recommendations made by pharmacists, and intervention time were reported. Fourteen participants completed initial encounters with twelve completing follow-up. The majority answered 'yes' to at least one symptom control assessment question indicating partially controlled to uncontrolled asthma. The average knowledge assessment score was 5.17 out of 7 initially and 5.42 for the follow-up. Pharmacists identified 43 DRPs and made 41 recommendations with a mean intervention time of 65 min.
本研究报告了社区药剂师为哮喘患者进行电话药物评估的过程。该研究在一家独立的社区连锁药店与密苏里州医疗补助咨询小组合作开展。利用索赔数据确定参与者，他们符合国家质量论坛关于未控制的中度至重度持续性哮喘的标准。一名药剂师通过电话进行初次接触，内容包括一份知识问卷、症状控制评估和药物评估。药剂师识别出与药物相关的问题（DRP），并将建议传真给患者的初级保健提供者（PCP）。30天后，药剂师致电跟进患者，并传真给初级保健提供者以解决任何未解决的与药物相关的问题、新出现的与药物相关的问题或建议。使用配对t检验、卡方检验或费舍尔精确检验对问卷分数和症状控制评估进行比较和分析。报告了与药物相关的问题的数量和类别、药剂师提出的建议以及干预时间。14名参与者完成了初次接触，12名完成了随访。大多数人对至少一个症状控制评估问题回答“是”，表明哮喘处于部分控制至未控制状态。最初的知识评估平均分数为7分中的5.17分，随访时为5.42分。药剂师识别出43个与药物相关的问题，并提出了41条建议，平均干预时间为65分钟。
