Azzi Andrew G, Powers Mary F, Lengel Aaron J, Mangan Michelle N
University of Toledo College of Pharmacy and Pharmaceutical Sciences, Toledo, OH, USA.
J Pharm Technol. 2015 Apr;31(2):84-90. doi: 10.1177/8755122514552680. Epub 2014 Oct 8.
Community pharmacists' accessibility to patient histories and personal patient relationships situates them to have a potentially significant impact on transitions of care. Recent literature has demonstrated that improved patient outcomes and an overall reduction in health care costs occur when pharmacists are involved in medication reconciliation during transitions of care. To develop a transitions of care training module for community pharmacists. To assess the training module's impact on pharmacists' transition of care knowledge and their attitude toward actively participating in the transitions of care for their patients. Community pharmacists practicing in a supermarket pharmacy chain participated in this study. A pretest and posttest were administered around a 30-minute transitions of care training module. The attitude assessment consisted of a 5-point Likert-type scale, while the knowledge-based assessment consisted of true/false and multiple-choice questions. SPSS version 21.0 was used to generate descriptive and nonparametric statistical analyses. The study was approved by the University of Toledo Social, Behavioral, and Educational Institutional Review Board. Thirty-six pharmacists (72%) successfully completed the pre-post survey. The average pharmacist posttest knowledge survey score improved from the pretest score, 73% to 99%. A paired Student's test demonstrated the posttest percentage of correct questions on the knowledge-based survey improved from the baseline knowledge. Pharmacists' average posttest attitudes regarding participation in patients' transitions of care statistically improved compared to their pretest attitudes. Community pharmacists' transitions of care knowledge and attitudes can be improved through a training module.
社区药剂师能够获取患者病史并与患者建立个人关系，这使他们有可能对医疗护理转接产生重大影响。近期文献表明，在医疗护理转接过程中，药剂师参与药物重整时，患者的治疗效果会得到改善，医疗保健成本也会整体降低。为社区药剂师开发一个医疗护理转接培训模块。评估该培训模块对药剂师医疗护理转接知识以及他们积极参与患者医疗护理转接态度的影响。在一家连锁超市药店工作的社区药剂师参与了本研究。围绕一个30分钟的医疗护理转接培训模块进行了前测和后测。态度评估采用5级李克特量表，而基于知识的评估包括是非题和选择题。使用SPSS 21.0版本进行描述性和非参数统计分析。该研究获得了托莱多大学社会、行为和教育机构审查委员会的批准。三十六名药剂师（72%）成功完成了前后调查。药剂师后测知识调查的平均得分从前测的73%提高到了99%。配对学生t检验表明，基于知识的调查中正确问题的后测百分比相对于基线知识有所提高。与前测态度相比，药剂师后测时对参与患者医疗护理转接的平均态度在统计学上有所改善。通过一个培训模块可以提高社区药剂师的医疗护理转接知识和态度。
