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药剂师主导的慢性病状态管理诊所对患者慢性病护理评估的影响。

Impact of a Pharmacist-Led Chronic Disease State Management Clinic on Patient Assessment of Chronic Illness Care.

作者信息

Buatois Emily M, Covington Les P, Lopez Nicole D, Young Rodney B, MacLaughlin Eric J

机构信息

Department of Pharmacy Practice, Texas Tech University Health Sciences Center Jerry H. Hodge School of Pharmacy, Amarillo, TX, USA.

Department of Family and Community Medicine, Texas Tech University Health Sciences Center School of Medicine, Amarillo, TX, USA.

出版信息

J Patient Exp. 2022 Jun 7;9:23743735221105682. doi: 10.1177/23743735221105682. eCollection 2022.

DOI:10.1177/23743735221105682
PMID:35694013
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9184997/
Abstract

The Patient Assessment of Chronic Illness Care (PACIC) tool measures patient satisfaction with chronic disease care. A modified PACIC tool (PACIC-RxFM) was used to assess patient satisfaction in a pharmacist-led chronic disease state management clinic. The secondary outcome compared satisfaction with pharmacist-led and physician-led visits. This cross-sectional study surveyed individuals with ≥ 1 chronic disease who saw a pharmacist (pharmacotherapy) or primary care provider (usual care) in the Texas Tech Physicians Family Medicine Clinic. The PACIC-RxFM survey included 15 items rated on a five-point Likert scale (5 = "always satisfied"). A total of 107 patients with no significant differences in demographics or complexity between groups were surveyed. All mean domain scores indicated a high level of satisfaction in the pharmacotherapy group with statements regarding perceptions of care organization and encouragement to go to group classes yielding statistically significantly higher scores than the usual care group. Patients are satisfied with both providers' and pharmacists' involvement in chronic illness care. This involvement leads to significant improvement in patient perception of care organization.

摘要

慢性病照护患者评估(PACIC)工具用于衡量患者对慢性病护理的满意度。一种经过修改的PACIC工具(PACIC-RxFM)被用于评估由药剂师主导的慢性病管理诊所中的患者满意度。次要结果是比较患者对药剂师主导就诊和医生主导就诊的满意度。这项横断面研究对德克萨斯理工大学医师家庭医学诊所中患有≥1种慢性病且看过药剂师(药物治疗)或初级保健提供者(常规护理)的个体进行了调查。PACIC-RxFM调查包括15个项目,采用五点李克特量表评分(5 =“总是满意”)。共对107名患者进行了调查,两组在人口统计学或病情复杂性方面无显著差异。所有平均领域得分表明,药物治疗组对护理组织的认知以及参加小组课程的鼓励方面的满意度较高,得分在统计学上显著高于常规护理组。患者对医疗服务提供者和药剂师参与慢性病护理都很满意。这种参与导致患者对护理组织的认知有显著改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/864e/9184997/f7720d5c832a/10.1177_23743735221105682-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/864e/9184997/f7720d5c832a/10.1177_23743735221105682-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/864e/9184997/f7720d5c832a/10.1177_23743735221105682-fig1.jpg

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本文引用的文献

1
Patients' Experiences of Interprofessional Collaborative Practice in Primary Care: A Scoping Review of the Literature.患者在基层医疗中跨专业协作实践的体验:文献综述
J Patient Exp. 2020 Dec;7(6):1466-1475. doi: 10.1177/2374373520925725. Epub 2020 May 27.
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Patient satisfaction with the clinical pharmacist and prescribers during hepatitis C virus management.丙型肝炎病毒治疗期间患者对临床药剂师和开处方者的满意度。
J Clin Pharm Ther. 2016 Dec;41(6):645-649. doi: 10.1111/jcpt.12436. Epub 2016 Aug 31.
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Patients' and physicians' satisfaction with a pharmacist managed anticoagulation program in a family medicine clinic.
患者与医生对一家家庭医学诊所中由药剂师管理的抗凝治疗项目的满意度。
BMC Res Notes. 2015 Jun 9;8:233. doi: 10.1186/s13104-015-1187-8.
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