Impac2t Research, Maximilianstr. 31-33, Münster, Germany.
Klinik Maria Frieden Telgte, Telgte, Germany.
Int J Clin Pharm. 2021 Jun;43(3):441-448. doi: 10.1007/s11096-021-01263-w. Epub 2021 Apr 23.
Background Optimizing therapy regimens through collaboration and combination of available resources is a promising approach to improve quality of life for patients with Parkinson's disease (PD). Aim The aim of this project was to enhance patient-oriented therapy and interprofessional collaboration by establishing a regional PD network. Setting The network is located in a rural area in Germany. It covers primary, secondary and tertiary care facilities across professional boundaries. Development Recruitment of PD specialists and patient support groups was done by the local newspaper to spread the word. The network was initially open to all healthcare professionals, who stated a focus or special interest in PD. A working group for medication was founded within the network by asking for interested participants. Problems in the medication process were discussed within the group. As a consequence, therapy recommendations (quickcards) and a specific medication plan were developed and a certified education curriculum for pharmacists was developed. Implementation The network grew to > 150 participants across all disciplines and sectors. Quickcards were adjusted, approved and implemented by the network during interquartile meetings. Certified education was implemented and became a requirement for participating pharmacists. Evaluation The quickcards on medication plan and drug-drug-interactions were approved to be useful and feasible by the network by unanimous assent. Overall satisfaction with certified education was high (mean of 1.4 on a scale between 1 = high and 6 = low). Conclusion A regional interprofessional PD network with pharmacists was established and new standards were established. Future research needs to measure the effects on patient outcomes.
通过协作和整合现有资源来优化治疗方案，是提高帕金森病（PD）患者生活质量的一种有前景的方法。目的：本项目旨在通过建立区域 PD 网络，增强以患者为中心的治疗和跨专业协作。地点：该网络位于德国的一个农村地区，覆盖了专业边界内的初级、二级和三级保健设施。进展：通过当地报纸招募 PD 专家和患者支持团体来传播消息，招募 PD 专家和患者支持团体。网络最初向所有对 PD 有兴趣或专长的医疗保健专业人员开放。通过邀请有兴趣的参与者，在网络内成立了一个药物工作组。在小组内讨论药物治疗过程中出现的问题。因此，制定了治疗建议（快速卡）和特定的药物治疗计划，并为药剂师制定了认证教育课程。实施：该网络发展到超过 150 名来自不同学科和部门的参与者。快速卡在季度间会议上进行调整、批准和实施。已实施认证教育，并成为参与药剂师的要求。评估：网络一致同意认为，关于药物治疗计划和药物相互作用的快速卡是有用且可行的。对认证教育的总体满意度很高（评分在 1 到 6 之间，1 表示非常高，6 表示非常低，平均为 1.4）。结论：建立了一个有药剂师参与的区域跨专业 PD 网络，并制定了新的标准。未来的研究需要衡量对患者结果的影响。
