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"美国参与合作实践协议的药剂师的影响"。

"The Impact of Pharmacists Engaged in Collaborative Practice Agreements in the United States".

机构信息

Nova Southeastern University College of Pharmacy, Fort Lauderdale, FL, USA.

Department of Pharmacy Practice, Nova Southeastern University College of Pharmacy, Fort Lauderdale, FL, USA.

出版信息

J Pharm Pract. 2023 Dec;36(6):1480-1484. doi: 10.1177/08971900221116684. Epub 2022 Jul 19.

Abstract

PURPOSE

To evaluate the role and impact of pharmacists in collaborative practice agreements (CPAs) in the United States.

METHODS

An electronic literature review was conducted on studies addressing pharmacists' involvement in CPAs. Articles included in the review were peer-reviewed studies conducted on adults and published between 2017 and 2022. Articles investigating children were excluded.

RESULTS

Of the articles identified, 8 studies met the eligibility criteria and were selected for the literature review. All of the studies were published between 2017 and 2022 in English in the United States. CPAs were already in place in 7 of the studies with variances due to different healthcare settings and patient populations. The studies evaluated the effect of pharmacist engagement in CPAs on the attainment of clinical and financial goals, satisfaction with pharmacist involvement, and existing barriers to pharmacist engagement in CPAs. Findings showed that pharmacist engagement in CPAs had a positive impact on the attainment of the desired clinical and financial goals, and providers were satisfied with pharmacist involvement. A common barrier to pharmacist involvement was the lack of reimbursement.

CONCLUSION

Pharmacists engaged in CPAs have a positive impact on healthcare, and there are opportunities for expansion of pharmacists' roles in CPAs, particularly in non-traditional settings.

摘要

目的

评估药剂师在美国合作实践协议(CPAs)中的作用和影响。

方法

对涉及药剂师参与 CPAs 的研究进行了电子文献综述。综述中包括的文章是在 2017 年至 2022 年期间针对成年人进行的同行评审研究,并以英文发表。排除了调查儿童的文章。

结果

在确定的文章中,有 8 篇符合入选标准,并被选入文献综述。所有的研究都发表在 2017 年至 2022 年期间,在美国以英文出版。其中 7 项研究已经制定了 CPAs,但由于不同的医疗保健环境和患者群体,存在差异。这些研究评估了药剂师参与 CPAs 对实现临床和财务目标、对药剂师参与的满意度以及参与 CPAs 的现有障碍的影响。研究结果表明,药剂师参与 CPAs 对实现预期的临床和财务目标有积极影响,并且提供者对药剂师的参与感到满意。药剂师参与的一个常见障碍是缺乏报销。

结论

参与 CPAs 的药剂师对医疗保健有积极影响,并且有机会扩大药剂师在 CPAs 中的角色,特别是在非传统环境中。

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