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加拿大艾伯塔省一家家庭医学诊所的全新药剂师 - 家庭医生合作模式

A De Novo Pharmacist-Family Physician Collaboration Model in a Family Medicine Clinic in Alberta, Canada.

作者信息

Banh Hoan Linh, Cave Andrew J

机构信息

Department of Family Medicine, Faculty of Medicine and Dentistry, University of Alberta, 6-10 University Terrace, Edmonton, AB T6G 2C8, Canada.

出版信息

Pharmacy (Basel). 2021 May 28;9(2):107. doi: 10.3390/pharmacy9020107.

DOI:10.3390/pharmacy9020107
PMID:34071679
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8167561/
Abstract

Collaborative practice in health-care has proven to be an effective and efficient method for the management of chronic diseases. This study describes a de novo collaborative practice between a pharmacist and a family physician. The primary objective of the study is to describe the collaboration model between a pharmacist and family physician. The secondary objective is to describe the pharmacist workload. A list of patients who had at least one interaction with the pharmacist was generated and printed from the electronic medical record. There were 389 patients on the patient panel. The pharmacist had at least one encounter with 159 patients. There were 83 females. The most common medical condition seen by the pharmacist was hypertension. A total of 583 patient consultations were made by the pharmacist and 219 of those were independent visits. The pharmacist wrote 1361 prescriptions. The expanded scope of practice for pharmacists in Alberta includes additional prescribing authority. The pharmacists' education and clinical experience gained trust from the family physician. These, coupled with the family physician's previous positive experience working with pharmacists made the collaboration achievable.

摘要

医疗保健中的协作实践已被证明是管理慢性病的一种有效且高效的方法。本研究描述了药剂师与家庭医生之间的全新协作实践。该研究的主要目的是描述药剂师与家庭医生之间的协作模式。次要目的是描述药剂师的工作量。从电子病历中生成并打印出与药剂师至少有过一次互动的患者名单。患者名单上有389名患者。药剂师至少接触过159名患者。其中有83名女性。药剂师接诊的最常见病症是高血压。药剂师共进行了583次患者咨询,其中219次是独立问诊。药剂师开具了1361张处方。艾伯塔省药剂师扩大后的执业范围包括额外的处方权。药剂师的教育背景和临床经验赢得了家庭医生的信任。这些因素,再加上家庭医生之前与药剂师合作的积极经验,使得这种协作得以实现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e1d/8167561/9a02ce9e97a3/pharmacy-09-00107-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e1d/8167561/9a02ce9e97a3/pharmacy-09-00107-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e1d/8167561/9a02ce9e97a3/pharmacy-09-00107-g001.jpg

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本文引用的文献

1
The Evolving Role and Impact of Integrating Pharmacists into Primary Care Teams: Experience from Ontario, Canada.药剂师融入基层医疗团队的角色演变与影响:来自加拿大安大略省的经验
Pharmacy (Basel). 2020 Dec 7;8(4):234. doi: 10.3390/pharmacy8040234.
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Interventions to prevent women from developing gestational diabetes mellitus: an overview of Cochrane Reviews.预防女性发生妊娠期糖尿病的干预措施:Cochrane系统评价概述
Cochrane Database Syst Rev. 2020 Jun 11;6(6):CD012394. doi: 10.1002/14651858.CD012394.pub3.
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Impact on Patient Outcomes of Pharmacist Participation in Multidisciplinary Critical Care Teams: A Systematic Review and Meta-Analysis.
药师参与多学科危重病护理团队对患者结局的影响:系统评价和荟萃分析。
Crit Care Med. 2019 Sep;47(9):1243-1250. doi: 10.1097/CCM.0000000000003830.
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Pharmacist services for non-hospitalised patients.针对非住院患者的药剂师服务。
Cochrane Database Syst Rev. 2018 Sep 4;9(9):CD013102. doi: 10.1002/14651858.CD013102.
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Community pharmacist-led interventions and their impact on patients' medication adherence and other health outcomes: a systematic review.社区药剂师主导的干预措施及其对患者药物依从性和其他健康结局的影响:一项系统评价
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Interprofessional Care and Teamwork in the ICU.重症监护病房中的跨专业护理和团队合作。
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Moving anticoagulation initiation and monitoring services into the community: evaluation of the Brighton and hove community pharmacy service.将抗凝治疗启动与监测服务引入社区:布莱顿和霍夫社区药房服务评估
BMC Health Serv Res. 2018 Feb 7;18(1):91. doi: 10.1186/s12913-018-2901-8.
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The benefits of physician-pharmacist collaboration.医生与药剂师合作的益处。
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Effectiveness of Pharmacist-led Anticoagulation Management on Clinical Outcomes: A Systematic Review and Meta-Analysis.药师主导的抗凝管理对临床结局的有效性:一项系统评价和荟萃分析。
J Pharm Pharm Sci. 2017;20(1):378-396. doi: 10.18433/J3SQ0B.
10
Improving Chronic Disease Outcomes Through Medication Therapy Management in Federally Qualified Health Centers.通过联邦合格健康中心的药物治疗管理改善慢性病治疗效果
J Prim Care Community Health. 2017 Oct;8(4):324-331. doi: 10.1177/2150131917701797. Epub 2017 Apr 5.