Beuschel Thomas, Gootee Eric, Jordan Mark, Sikkenga Taylor, Klepser Donald G, Holmquist Hollyann, de Voest Andrew, Klepser Michael E
J Am Pharm Assoc (2003). 2023 Jan-Feb;63(1):435-439. doi: 10.1016/j.japh.2022.11.002. Epub 2022 Nov 5.
Point-of-care (POC) testing for hepatitis C virus (HCV) is readily available for implementation in community pharmacies, but it is unknown how feasible administration of the tests would be in the current community pharmacy model.
The primary objective of this study was to describe time associated with each step in a pharmacy HCV screening program and compare the results to influenza management in the pharmacy workflow.
For this time and motion study, the process was broken into 10 categories. A standardized patient was used for each location to accurately assess and compare the integration of HCV testing in the various workflows. Data were collected for each category during 2 random visits at each of 6 community pharmacies. Times were averaged, and a standard deviation calculated for each specific category. The data were then compared to previous time-in-motion values collected for influenza management.
The average total time (patient identification to completion of visit) to complete the HCV POC test was 59 minutes 44 seconds (+/- 9:23). The average time that pharmacists and technicians actively spent with each patient was 10 minutes 23 seconds and 11 minutes 20 seconds, respectively. The average labor cost per patient for pharmacists and technicians were $11.55 and $3.75, respectively.
The hands-on time requirements and workflow associated with offering HCV screening in a pharmacy using the Oraquick HCV rapid antibody test were similar to those noted with other pharmacy based POC testing services. Labor costs could be lessened by delegation of some non-clinical functions to a qualified pharmacy technician. We suggest an HCV rapid antibody test can be incorporated into pharmacy workflow with reasonable efficiency.
丙型肝炎病毒（HCV）即时检测（POC）已可在社区药房实施，但在当前社区药房模式下进行检测的可行性尚不清楚。
本研究的主要目的是描述药房HCV筛查项目中每个步骤所花费的时间，并将结果与药房工作流程中的流感管理进行比较。
在这项时间与动作研究中，流程被分为10个类别。在每个地点使用标准化患者来准确评估和比较HCV检测在各种工作流程中的整合情况。在6家社区药房中的每家进行2次随机访问期间，收集每个类别的数据。对时间进行平均，并计算每个特定类别的标准差。然后将数据与之前收集的流感管理的动作时间值进行比较。
完成HCV即时检测的平均总时间（从患者识别到就诊结束）为59分44秒（±9分23秒）。药剂师和技术人员与每位患者积极相处的平均时间分别为10分23秒和11分20秒。药剂师和技术人员每位患者的平均劳动力成本分别为11.55美元和3.75美元。
使用奥奎克HCV快速抗体检测在药房提供HCV筛查的实际操作时间要求和工作流程与其他基于药房的即时检测服务类似。通过将一些非临床功能委托给合格的药房技术人员，可以降低劳动力成本。我们建议可以以合理的效率将HCV快速抗体检测纳入药房工作流程。
