连接药剂师和其他医疗保健提供者（HCPs）以实现药物治疗优化：一种药学关怀方法。

Connecting Pharmacists and Other Health Care Providers (HCPs) towards Drug Therapy Optimization: A Pharmaceutical Care Approach.

机构信息

Department of Pharmaceutical Sciences, College of Pharmacy, Northeastern University, Boston, USA.

Department of Pharmaceutical Sciences, University of Kashmir, Srinagar, India.

出版信息

Int J Clin Pract. 2023 Jan 14;2023:3336736. doi: 10.1155/2023/3336736. eCollection 2023.

DOI:10.1155/2023/3336736

PMID:36713950

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9867584/

Abstract

BACKGROUND

Pharmaceutical care services offered by pharmacists rationalize drug therapy, improve patient quality of life, and save patients' lives. This study was designed to optimize patient drug therapy through pharmaceutical care services offered by a pharmacist in consultation with other health care providers (HCPs) at a tertiary care hospital.

METHODS

This descriptive study was conducted to assess the role and effectiveness of pharmacists in optimizing drug therapy outcomes. The study was carried out at an internal and pulmonary medicine unit of a tertiary care hospital in Srinagar, Jammu and Kashmir, India, with a total of 50 health care providers (HCPs) (24 doctors, 16 nurses, and 10 pharmacists). A total of 182 patients (males and females) of all age groups were recruited into the study over a period of nine months. Patient-specific pharmaceutical care plans initiated by the pharmacist based on drug therapy-related needs and problems were used to address and optimize drug therapy outcomes in consultation with other HCPs.

RESULTS

A total of 388 drug-related problems (DRPs) with an average of 2.29 DRPs per patient were identified, for which 258 pharmaceutical care plans as interventions were proposed, out of which 233 (90.31%) were accepted and implemented. Preassessment and postassessment by HCPs on services rendered by the pharmacist showed a positive change in attitude among HCPs with respect to their endorsement and acceptance of the pharmacist's services in providing direct patient care.

CONCLUSIONS

Pharmaceutical care services offered by pharmacists helped in optimizing drug therapy and patient care.

摘要

背景

药剂师提供的药学服务使药物治疗合理化，提高了患者的生活质量并拯救了患者的生命。本研究旨在通过药师与其他医疗保健提供者（HCP）协商在三级保健医院提供药学服务来优化患者的药物治疗。

方法

本描述性研究旨在评估药师在优化药物治疗结果方面的作用和效果。该研究在印度查谟和克什米尔斯利那加的一家三级保健医院的内科和肺病科进行，共有 50 名医疗保健提供者（HCP）（24 名医生，16 名护士和 10 名药剂师）。在九个月的时间里，共招募了 182 名（男女）各年龄段的患者。药师根据药物治疗相关需求和问题制定的患者特定的药学护理计划用于与其他 HCP 协商解决和优化药物治疗结果。

结果

共确定了 388 个与药物相关的问题（DRP），每个患者的平均 DRP 为 2.29 个，针对这些问题提出了 258 个药学护理计划作为干预措施，其中 233 个（90.31％）被接受并实施。HCP 对药师提供的服务进行的预评估和后评估表明，HCP 对药师在提供直接患者护理方面的服务的认可和接受态度发生了积极变化。