Clinical Management Unit Hospital Pharmacy, Juan Ramón Jiménez University Hospital, Huelva, Spain.
Telemed J E Health. 2023 Jun;29(6):936-942. doi: 10.1089/tmj.2022.0252. Epub 2022 Oct 19.
To analyze the impact of applying criteria for patient selection and interruption of dispensation in a telepharmacy program. Secondary objective: to conduct a socioeconomic analysis of requests for telepharmacy after applying the criteria. A retrospective observational study was conducted. We applied the criteria from September 1, 2021 to December 31, 2021 and reviewed the impact of their application by comparing the prior period (October 14, 2020-August 31, 2021) with the period when the criteria were applied. We analyzed the evolution of applications over time, the number of users, the evolution over time of rejected applications, and the associated reasons. Finally, we studied how the average income and distance to hospital are related to the number of requests. This study was reviewed by the authors' institutional ethics committee and was considered exempted from further review. We applied the criteria to 2,379 patients. Dispensations by telepharmacy increased progressively. We provided telepharmacy services to 41.7% of all outpatients and rejected 962 applications (65% after the criteria were applied). The main pre- and postcriteria reasons for rejecting applications were refusal without express reason and the patient having sufficient medication, respectively. All patients corrected the situation that caused rejection. Telepharmacy requests and distance to hospital were not related, although the number of requests and average income were related. We provided pharmaceutical care with this protocol and encouraged patients to correct the reasons for interrupted dispensations. The new criteria render telepharmacy available to all patients, regardless of where they live or their purchasing power. Lower-income individuals use telepharmacy more often.
分析在远程药房计划中应用患者选择和配药中断标准的影响。次要目标：对应用标准后远程药房的请求进行社会经济分析。 这是一项回顾性观察研究。我们于 2021 年 9 月 1 日至 2021 年 12 月 31 日应用这些标准，并通过将前一时期（2020 年 10 月 14 日至 2021 年 8 月 31 日）与应用标准的时期进行比较，来评估其应用的影响。我们分析了随时间的申请演变、用户数量、随时间的拒绝申请演变以及相关原因。最后，我们研究了平均收入和到医院的距离与请求数量之间的关系。该研究由作者的机构伦理委员会审查，被认为无需进一步审查。 我们对 2379 名患者应用了标准。远程药房的配药逐渐增加。我们为 41.7%的所有门诊患者提供了远程药房服务，并拒绝了 962 份申请（应用标准后为 65%）。拒绝申请的主要标准前后原因分别为无明确理由拒绝和患者有足够的药物。所有患者都纠正了导致拒绝的情况。远程药房的请求与到医院的距离没有关系，尽管请求数量和平均收入有关。 我们使用该方案提供药物治疗，并鼓励患者纠正中断配药的原因。新的标准使所有患者都可以使用远程药房，无论他们住在哪里或购买力如何。收入较低的个人更频繁地使用远程药房。
