Pharmacy Department, 1966Princess Alexandra Hospital, Brisbane, Australia.
Centre for Health Services Research, 1974The University of Queensland, Brisbane, Australia.
J Telemed Telecare. 2022 Dec;28(10):750-756. doi: 10.1177/1357633X221122140.
The primary aim was to compare the successful completion rates of pre-treatment medication history consults conducted by pharmacists with patients either via an unscheduled telephone consult (current standard care) or a scheduled videoconference consult model. Secondary aims were to examine pharmacist perceptions of the telephone and videoconference consults and explore patient (+/- support person) perceptions of videoconference consults.
Completion data were collected and compared for the two modalities. In addition, pharmacists commented on any positive/negative factors impacting all consults. For the final 35 participants completing a videoconference consult, patients, support people, and pharmacists involved, completed a survey exploring perceptions and satisfaction.
A significantly higher completion rate ( < 0.0001) was found for the videoconferencing model, with 94% (76 of 81) completed successfully compared to 72% (76 of 105) of the unscheduled telephone consults. Pharmacists reported multiple factors impacting the success of the telephone consults including scheduling issues and patient factors. Survey responses revealed that 100% of patients/support people and 82% of pharmacists reported satisfaction with videoconference consults. Surveyed participants noted some technical issues, however, the 'ability to show/view medication containers and/or labels' and 'convenience of scheduled time' were benefits of the videoconference model.
Results indicate that pre-treatment medication history consults should be offered via videoconference to maximise success.
主要目的是比较通过电话（当前标准护理）或视频会议咨询模型与患者进行的药师预治疗药物史咨询的成功完成率。次要目的是检查药师对电话和视频会议咨询的看法，并探索患者（+/- 支持人员）对视频会议咨询的看法。
收集并比较两种方式的完成数据。此外，药师对影响所有咨询的任何积极/消极因素发表了评论。对于最后完成视频会议咨询的 35 名参与者，参与的患者、支持人员和药师完成了一项调查，以探索他们的看法和满意度。
视频会议模式的完成率明显更高（<0.0001），94%（76/81）成功完成，而未安排的电话咨询为 72%（76/105）。药师报告了影响电话咨询成功的多个因素，包括调度问题和患者因素。调查结果显示，100%的患者/支持人员和 82%的药师对视频会议咨询表示满意。接受调查的参与者指出了一些技术问题，但视频会议模式的“能够显示/查看药物容器和/或标签”和“预定时间方便”是其优势。
结果表明，应通过视频会议提供预治疗药物史咨询，以最大限度地提高成功率。
