Department of Pharmacy Practice, Nova Southeastern University College of Pharmacy, Palm Beach Gardens, FL, USA.
J Pharm Pract. 2023 Oct;36(5):1225-1231. doi: 10.1177/08971900221104707. Epub 2022 May 21.
To provide a review of pharmacists' impact during transitions of care (TOC) visits utilizing telehealth. An electronic literature review was conducted on studies that addressed pharmacists' impact on telehealth during TOC. Articles included in the review were randomized or observational studies, cohort studies, case series or case reports, literature reviews, or pilot studies conducted on adults. Articles investigating children were excluded from the review. Of the articles identified, 14 studies met the eligibility criteria and were selected for the literature review. All of the studies were published in English between 2013 and 2021. Most were conducted in the United States of America (n = 12) with 1 conducted in Ireland (n = 1) and 1 in Australia (n = 1). The majority of telehealth monitoring was conducted via phone (n = 8), video conferencing (n = 3), or both (n = 2) in patients' homes by pharmacists alone (n = 8) while the remaining studies involved telemonitoring by a combination of pharmacy fellows, residents, and/or students. These findings showed that pharmacist intervention in patient care showed improved patient outcomes and goal markers for a variety of health conditions as well as lower rates of 30 day, 60 day, and 90 day hospital readmissions. Pharmacist involvement in telehealth monitoring had a positive impact on TOC interventions and overall patient outcomes including decreased hospital readmissions and increased patient medication adherence.
综述利用远程医疗为患者提供医疗服务时药师的作用。
对探讨药师在患者医疗过渡期(TOC)中通过远程医疗发挥作用的研究进行电子文献检索。本综述纳入的研究为随机或观察性研究、队列研究、病例系列或病例报告、文献综述或在成人中开展的试点研究。不包括针对儿童的研究。
从确定的文章中,有 14 篇符合入选标准,被纳入文献综述。所有研究均发表于 2013 年至 2021 年期间,且均为英文文献,其中 12 篇来自美国,1 篇来自爱尔兰,1 篇来自澳大利亚。大多数远程医疗监测通过药师在患者家中进行电话(n=8)、视频会议(n=3)或两者结合(n=2)的方式开展,其余研究则涉及由药房研究员、住院医师和/或学生共同开展的远程监测。这些研究结果表明,药师对患者护理的干预可改善各种健康状况患者的结局和目标指标,降低 30 天、60 天和 90 天的住院再入院率。药师参与远程医疗监测对 TOC 干预和整体患者结局具有积极影响,包括降低住院再入院率和提高患者用药依从性。