将非发药药剂师整合到初级医疗保健服务中：对患者结局影响的伞式评价和叙述性综合
Integration of non-dispensing pharmacists into primary healthcare services: An umbrella review and narrative synthesis of the effect on patient outcomes.
机构信息
BA, MBBS, Resident Doctor, Mater Misericordiae Hospital, South Brisbane, QLD.
FACRRM, FRACGP, FAFPHM, Associate Professor, General Medicine and Rural Medicine, College of Medicine and Dentistry, Division of Tropical Health and Medicine, James Cook University, Qld.
出版信息
Aust J Gen Pract. 2021 Jun;50(6):403-408. doi: 10.31128/AJGP-08-20-5565.
BACKGROUND AND OBJECTIVES
Australian primary care services must address increasingly complex and chronic disease. When integrated into general practice, non-dispensing pharmacists (NDPs) provide clinical services within a team-based model of care to improve patient outcomes and quality use of medications. This review synthesises available systematic reviews and meta-analyses to assess the effect of the integration of NDPs on outcomes of primary care patients.
METHOD
PubMed, CINAHL, Cochrane Database of Systematic Reviews and JBI Database of Systematic Reviews were searched from August 2019 until December 2019 for systematic reviews and meta-analyses that assessed the integration of NDPs into primary care, as well as patient outcomes.
RESULTS
In total, 591 publications were identified, of which five were suitable for inclusion. Outcomes in the included studies were classified into changes in biomedical markers, changes in prescribing practices and patient-reported outcomes.
DISCUSSION
The results of this review suggest that the integration of NDPs has a positive effect on patient outcomes in primary care.
背景与目的
澳大利亚的初级保健服务必须应对日益复杂的慢性疾病。当药剂师（不提供处方药品服务的药剂师，NDPs）整合到一般实践中时，他们可以在以团队为基础的护理模式下提供临床服务，以改善患者的治疗效果和药物的合理使用。本综述综合了现有的系统评价和荟萃分析，以评估整合 NDPs 对初级保健患者结局的影响。
方法
从 2019 年 8 月至 2019 年 12 月，使用 PubMed、CINAHL、Cochrane 系统评价数据库和 JBI 系统评价数据库，检索评估 NDPs 整合到初级保健中的系统评价和荟萃分析，以及患者结局。
结果
共确定了 591 篇出版物，其中 5 篇适合纳入。纳入研究的结果分为生物医学标志物的变化、处方实践的变化和患者报告的结果。
讨论
本综述的结果表明，整合 NDPs 对初级保健中的患者结局有积极影响。
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