Department of Pharmacotherapy, University of Utah College of Pharmacy, Salt Lake City, UT.
Population Health, Granger Medical Clinic, West Valley City, UT, USA.
Am J Health Syst Pharm. 2023 Jun 7;80(12):742-749. doi: 10.1093/ajhp/zxad045.
With expanding roles of clinic-embedded pharmacists comes the need to identify routes for optimization, soliciting and addressing feedback, and justifying the position(s) to the employing institution. Studies have demonstrated the benefit of integrating pharmacists into healthcare teams, but these opportunities remain largely limited to major health systems due to a lack of billing avenues for and familiarity with the services pharmacists can provide.
With funding from and partnership with a third-party payor, a pharmacist was incorporated into a private physician-owned clinic to be a resource to the providers and provide comprehensive medication management to patients. Patient and provider experiences were assessed by survey and interview, respectively, utilizing both Likert-scale and free-response questions. The responses were coded, analyzed, and aggregated into themes. The demographic and Likert-scale responses were analyzed using descriptive statistics.
Patients reported a high level of satisfaction with the pharmacist's service, indicating that they felt more comfortable managing their medications and that they would recommend the pharmacist to a family member or friend. Provider satisfaction was also high, with providers stating that they found the recommendations by the pharmacist helpful, that the recommendations improved cardiovascular risk factors in their patients with diabetes, and that, overall, they were satisfied with the care provided by the pharmacist. The primary concern from the providers was a lack of understanding regarding how best to reach and utilize the service.
Overall, an embedded clinical pharmacist providing comprehensive medication management at a private primary care clinic had a positive impact on both provider and patient satisfaction.
随着临床药师角色的不断扩展，需要确定优化途径，征求和处理反馈，并向用人单位证明其职位的合理性。研究表明，将药师整合到医疗团队中具有益处，但由于缺乏计费途径和对药师所能提供服务的熟悉程度，这些机会在很大程度上仍然仅限于主要医疗系统。
在第三方付款人的资助和合作下，一名药师被纳入一家私人医生所有的诊所，作为提供者的资源，并为患者提供全面的药物管理服务。分别通过问卷调查和访谈评估患者和提供者的体验，采用李克特量表和自由回答问题。对回答进行编码、分析和汇总成主题。使用描述性统计分析对人口统计学和李克特量表的回答进行分析。
患者对药师服务的满意度很高，表明他们对管理自己的药物更有信心，并且会向家人或朋友推荐药师。提供者的满意度也很高，他们表示药师的建议很有帮助，改善了糖尿病患者的心血管风险因素，总体而言，他们对药师提供的护理感到满意。提供者的主要关注点是对如何最好地接触和利用该服务缺乏了解。
总体而言，在私人初级保健诊所中嵌入的临床药师提供全面的药物管理，对提供者和患者的满意度都产生了积极的影响。
