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在世界停摆时启动初级保健服务:后 COVID-19 时代药剂师的经验教训。

Initiating Primary Care Services when the World Is Paused: Lessons for Pharmacists in the Post-COVID-19 Era.

机构信息

Wayne State University Eugene Applebaum College of Pharmacy and Health Sciences, Detroit, Detroit, MI, USA.

University of Houston College of Pharmacy, Houston, TX, USA.

出版信息

J Pharm Pract. 2023 Oct;36(5):1052-1055. doi: 10.1177/08971900221087934. Epub 2022 Apr 19.

DOI:10.1177/08971900221087934
PMID:35440223
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9024150/
Abstract

The COVID-19 pandemic impacted primary care and required pharmacists to adapt when implementing primary care services. Many lessons learned through this process are applicable in the post-pandemic era. First, primary care pharmacists must prepare for an ever-changing role and communicate with stakeholders to align with shifting institutional priorities. Additionally, designing a workflow given limited staffing and in-person communication require flexibility for scheduling and referral processes. Proactive outreach and communication via virtual platforms may be used to build trust in place of in-office interactions with providers. Lastly, fostering relationships with patients is essential to the success of the service and often requires creation of patient-centered goals to account for personal barriers. Many pandemic obstacles are transient; however, telehealth, virtual communication, and the subsequent lessons learned in adaptability, creativity, and flexibility when building a clinic practice are everlasting.

摘要

新冠疫情对基层医疗产生了影响,要求药剂师在提供基层医疗服务时进行调整。在这一过程中吸取了许多经验教训,这些经验教训在疫情后时代仍然适用。首先,基层医疗药剂师必须为不断变化的角色做好准备,并与利益相关者进行沟通,以配合机构重点的转变。此外,在人员配备和面对面沟通有限的情况下设计工作流程,需要灵活安排和转诊流程。通过虚拟平台进行积极的拓展和沟通,可能有助于建立虚拟办公室与医疗服务提供者互动所取代的信任。最后,与患者建立关系对于服务的成功至关重要,这通常需要制定以患者为中心的目标,以解决个人障碍。许多疫情带来的障碍都是暂时的;然而,远程医疗、虚拟沟通以及在建立诊所实践时所吸取的适应能力、创造力和灵活性方面的经验教训是永恒的。

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本文引用的文献

1
How Will COVID-19 Affect the Health Care Economy?新冠病毒将如何影响医疗保健经济?
JAMA Health Forum. 2020 Apr 1;1(4):e200419. doi: 10.1001/jamahealthforum.2020.0419.
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Use and Content of Primary Care Office-Based vs Telemedicine Care Visits During the COVID-19 Pandemic in the US.美国 COVID-19 大流行期间初级保健门诊与远程医疗护理就诊的使用和内容。
JAMA Netw Open. 2020 Oct 1;3(10):e2021476. doi: 10.1001/jamanetworkopen.2020.21476.
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Ambulatory care practice in the COVID-19 era: Redesigning clinical services and experiential learning.新冠疫情时代的门诊医疗实践:重新设计临床服务与体验式学习。
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Impact of integrating pharmacists into primary care teams on health systems indicators: a systematic review.将药剂师纳入基层医疗团队对卫生系统指标的影响:系统评价。
Br J Gen Pract. 2019 Sep 26;69(687):e665-e674. doi: 10.3399/bjgp19X705461. Print 2019 Oct.
7
Acceptability and feasibility of a pharmacist-led HIV pre-exposure prophylaxis (PrEP) program in the Midwestern United States.美国中西部地区由药剂师主导的HIV暴露前预防(PrEP)项目的可接受性和可行性。
Open Forum Infect Dis. 2019 Oct 1;6(10). doi: 10.1093/ofid/ofz365.
8
Impact of a pharmacist-physician collaborative care model on patient outcomes and health services utilization.药剂师-医生协作护理模式对患者结局及医疗服务利用的影响。
Am J Health Syst Pharm. 2018 Jul 15;75(14):1039-1047. doi: 10.2146/ajhp170789. Epub 2018 May 22.
9
Clinical pharmacists in primary care: Provider satisfaction and perceived impact on quality of care provided.基层医疗中的临床药师:提供者满意度及对所提供医疗质量的感知影响。
SAGE Open Med. 2017 Jun 13;5:2050312117713911. doi: 10.1177/2050312117713911. eCollection 2017.
10
Evaluation of the Impact of a Pharmacist-Led Telehealth Clinic on Diabetes-Related Goals of Therapy in a Veteran Population.药师主导的远程医疗诊所对退伍军人人群糖尿病相关治疗目标影响的评估。
Pharmacotherapy. 2016 Mar;36(3):348-56. doi: 10.1002/phar.1719. Epub 2016 Mar 11.