Stoa Morgan K, Frail Caitlin K, Farley Joel F, Pestka Deborah L, Blanchard Carrie M
Department of Pharmaceutical Care & Health Systems, College of Pharmacy, University of Minnesota, Minneapolis, MN, United States of America.
Center for Medication Optimization, UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States of America.
Explor Res Clin Soc Pharm. 2021 Dec;4:100089. doi: 10.1016/j.rcsop.2021.100089. Epub 2021 Oct 29.
As a result of COVID-19, numerous adaptations were made to health care delivery, including comprehensive medication management (CMM) delivered in community pharmacies.
Identify and describe the adaptations that have been made to the delivery of CMM among community pharmacies due to COVID-19.
Community pharmacies participating in a CMM implementation and research initiative had regular coaching calls throughout COVID-19 and completed a survey of changes that occurred as a result of COVID-19. Coaching notes and survey results were summarized and mapped to the Framework for Reporting Adaptations and Modifications-Enhanced (FRAME) to systematically capture changes that occurred.
A number of reactive adaptations were made to CMM delivery as a result of COVID-19, including increased virtual or remote delivery of CMM, delaying CMM visits to allow pharmacies to provide care directly related to the pandemic including COVID-19 testing and vaccines, wearing personal protective equipment (PPE) in visits, new ways of obtaining clinical patient information, and shifting CMM staffing models.
Adaptations that occurred to CMM during COVID-19 allowed pharmacists to continue to serve their patients and meet public health needs.
由于新冠疫情，医疗服务提供方式发生了诸多调整，包括社区药房提供的综合药物管理（CMM）。
识别并描述社区药房因新冠疫情对CMM服务方式所做的调整。
参与CMM实施与研究项目的社区药房在整个新冠疫情期间定期进行指导通话，并完成了一项关于因新冠疫情而发生变化的调查。对指导记录和调查结果进行了总结，并映射到《强化适应与调整报告框架》（FRAME），以系统地记录所发生的变化。
由于新冠疫情，CMM服务方式做出了一些应对性调整，包括增加CMM的虚拟或远程服务、推迟CMM访视以便药房能够提供与疫情直接相关的护理，如新冠病毒检测和疫苗接种、访视时穿戴个人防护装备（PPE）、获取临床患者信息的新方式，以及调整CMM人员配置模式。
新冠疫情期间CMM所做的调整使药剂师能够继续为患者服务并满足公共卫生需求。
