Kadia Niyati K, Schroeder Michelle N
University of Toledo, Toledo, OH, USA.
J Pharm Technol. 2015 Apr;31(2):51-57. doi: 10.1177/8755122515572809. Epub 2015 Feb 12.
To increase pharmacy technician awareness of medication nonadherence enabling them to identify opportunities to participate in the provision of community pharmacy-based adherence programs. Articles were identified through searches of MEDLINE/PubMed (1950 through December 2014) using the following search terms: "adherence," "role of technicians," "community adherence programs," "adherence and technician's role," "medication synchronization," "retail pharmacy adherence programs," and "CMS Star Ratings." Additionally, resources on adherence programs were used from the American Society of Health-System Pharmacists, the American Pharmacists Association, and the Food and Drug Administration. Articles describing community pharmacy adherence programs, the role of pharmacy technicians in providing these services, and medication synchronization were included. Nonadherence to medications creates a burden in terms of patient health and leads to high health care costs to the patients, providers, and insurers. Initiatives on pharmacist-led adherence programs have proven to reduce these overall health care-related costs. Pharmacy technicians can have an active role in the management of these adherence programs to reduce the burden on community pharmacists who are running adherence programs. Pharmacy technicians can be responsible for gathering medication histories, organizing patient medication lists, making appointment calls to schedule patients, collecting patient demographic history, conducting follow-up calls, and in promoting the program overall. Pharmacy technicians are a valuable asset to the community pharmacists in the process of running adherence programs, and they can work with the pharmacists to coordinate and promote community pharmacy-based medication adherence programs.
提高药房技术员对药物治疗不依从性的认识，使他们能够识别参与提供基于社区药房的依从性项目的机会。通过使用以下检索词在MEDLINE/PubMed（1950年至2014年12月）中进行检索来确定相关文章：“依从性”、“技术员的角色”、“社区依从性项目”、“依从性与技术员的角色”、“药物同步”、“零售药房依从性项目”以及“医疗保险与医疗补助服务中心星级评级”。此外，还使用了美国卫生系统药师协会、美国药师协会和食品药品监督管理局提供的关于依从性项目的资源。纳入了描述社区药房依从性项目、药房技术员在提供这些服务中的角色以及药物同步的文章。药物治疗不依从会给患者健康带来负担，并导致患者、医疗服务提供者和保险公司承担高昂的医疗费用。由药师主导的依从性项目已证明能够降低这些与医疗保健相关的总体成本。药房技术员在管理这些依从性项目中可以发挥积极作用，以减轻负责实施依从性项目的社区药师的负担。药房技术员可以负责收集用药史、整理患者用药清单、打电话预约患者就诊时间、收集患者人口统计学历史信息、进行随访电话，并全面推广该项目。在实施依从性项目的过程中，药房技术员是社区药师的宝贵资产，他们可以与药师合作，协调并推广基于社区药房的药物治疗依从性项目。
