Medically Home, Boston, MA, USA.
Department of Pharmacy, Mayo Clinic Florida, Jacksonville, FL.
Am J Health Syst Pharm. 2022 Oct 21;79(21):1925-1928. doi: 10.1093/ajhp/zxac200.
Home hospital programs are rapidly becoming a more common patient care model in the market. The impact on hospital pharmacy practices is not well defined. This article describes the development of pharmacy services in a home hospital program in an attempt to help other organizations create their own home hospital pharmacy programs.
Caring for acutely ill patients in their home was a novel idea when Mayo Clinic began considering this in January 2020. Since then, the coronavirus disease 2019 (COVID-19) pandemic has rapidly escalated interest in and pursuit of these programs. One question we asked ourselves, and many colleagues are asking us today, is "How does pharmacy fit in?" Through 2 years of active engagement, innovation, and persistence, our team has developed a robust pharmacy presence in the home hospital care team and a well-articulated approach to medication management for our patients. We have tightly aligned and blended our clinical efforts to mirror our typical inpatient and ambulatory care clinical activities. We have also developed and modified our dispensing functions to serve the unique needs of the care model.
Home hospital medication management is both complex and ripe with opportunities for pharmacy engagement.
家庭医院计划在市场上正迅速成为一种更为常见的患者护理模式。但其对医院药学实践的影响尚未明确界定。本文介绍了家庭医院计划中药学服务的发展情况，旨在帮助其他组织创建自己的家庭医院药学计划。
当梅奥诊所（Mayo Clinic）于 2020 年 1 月开始考虑这一方案时，在患者家中照顾重病患者是一个新颖的想法。自那时以来，2019 冠状病毒病（coronavirus disease 2019，COVID-19）大流行迅速推动了人们对这些计划的兴趣和追求。我们自问过一个问题，也是许多同行目前正在问我们的问题，“药学如何融入其中？”通过 2 年的积极参与、创新和坚持，我们的团队已经在家庭医院护理团队中建立了强大的药学服务，并为患者制定了完善的药物管理方法。我们已经紧密协调并融合了我们的临床工作，以反映我们典型的住院和门诊护理临床活动。我们还开发并修改了我们的配药功能，以满足该护理模式的独特需求。
家庭医院的药物管理既复杂又为药学参与提供了丰富的机会。
