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[确保接受口服抗癌治疗患者的护理路径:围绕医院-社区药学联络的试验]

[Securing the patient's care path receiving oral anticancer therapy: Experimentation around a pharmaceutical hospital-to-community liaison].

作者信息

Rubira L, Leenhardt F, Perrier C, Pinguet F

机构信息

Service de pharmacie, institut du cancer de Montpellier, CLCC, 208 rue des Apothicaires, 34298 Montpellier cedex 5, France.

Service de pharmacie, institut du cancer de Montpellier, CLCC, 208 rue des Apothicaires, 34298 Montpellier cedex 5, France; Service de pharmacocinétique, faculté de pharmacie de Montpellier, université de Montpellier, Montpellier, France.

出版信息

Ann Pharm Fr. 2021 Sep;79(5):558-565. doi: 10.1016/j.pharma.2021.01.009. Epub 2021 Feb 4.

Abstract

Due to the increasing prescription of oral anticancer therapies, the inpatient care pathway has shifted to an outpatient care pathway. This transformation requires an interdisciplinary coordination to provide a continuum of care and ensure therapeutic monitoring, as well as patient safety. To better support patients on oral anticancer therapies, a task group named "hospital-to-community pharmacist coordination" has been set up to create tools aiming at standardising the information exchanged between ambulatory and hospital pharmacists. A retrospective study examined the utilisation of the tools over a period of one year. The task group identified the expectations of all parties regarding the care pathways of patients undergoing oral chemotherapy, which lead to the creation of computerised exchange tools (integrated into the computerised patient's medical file). Over the course of this study, the cancer centre's pharmaceutical team contacted 425 ambulatory pharmacists regarding the prescription of oral chemotherapy to patients. Forty-two follow-ups from ambulatory pharmacists, gathering information on 34 patients, were submitted to the cancer centre pharmacists (7,7%). These first follow-ups allowed pharmaceutical responses regarding patient compliance, drug interaction and toxicities.

摘要

由于口服抗癌疗法的处方量不断增加,住院护理途径已转向门诊护理途径。这种转变需要跨学科协调,以提供连续的护理并确保治疗监测以及患者安全。为了更好地支持接受口服抗癌疗法的患者,已成立了一个名为“医院到社区药剂师协调”的任务组,以创建旨在规范门诊和医院药剂师之间信息交流的工具。一项回顾性研究考察了这些工具在一年时间内的使用情况。该任务组确定了各方对接受口服化疗患者护理途径的期望,这促成了计算机化交换工具(集成到患者的电子病历中)的创建。在这项研究过程中,癌症中心的药学团队就患者口服化疗的处方问题联系了425名门诊药剂师。门诊药剂师提交了42份随访报告,收集了34名患者的信息,并提交给癌症中心药剂师(占7.7%)。这些最初的随访使得能够就患者依从性、药物相互作用和毒性作出药学回应。

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