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一种以患者为中心的门诊护理药房设计,以减轻现实世界中患者咨询的挑战。

A patient-centered ambulatory care pharmacy design to abate the real-world patient counseling challenges.

作者信息

Thorakkattil Shabeer Ali, Parakkal Sainul Abideen, Arain Savera, AlDobayan Zakariya

机构信息

Pharmacy Services Department, Johns Hopkins Aramco Healthcare (JHAH), Saudi Arabia.

Pharmacy Compounding services, Pharmacy Services Department, Johns Hopkins Aramco Healthcare (JHAH), Saudi Arabia.

出版信息

Explor Res Clin Soc Pharm. 2023 Mar 24;9:100248. doi: 10.1016/j.rcsop.2023.100248. eCollection 2023 Mar.

Abstract

Patient counseling is an important tool to help both healthcare providers and patients in achieving the desired health outcomes. It is one of the significant and well-established roles for pharmacists in the health care system, enabling them to develop a pharmacist-patient collaborative relationship to ensure medication compliance, improved adherence to the prescribed medication regimen and prevention of adverse drug events. Delivering effective and efficient patient counseling is often hindered by numerous personal and system-related challenges. Therefore, efforts to overcome these challenges necessitate developing and incorporating various tools and methods to establish an integrated patient-centered pharmacy design. This article demonstrates the development of one such integrated model in the Johns Hopkins Aramco Healthcare ambulatory care pharmacy setting. It includes components such as electronic health records, patient portal communication systems, telehealth models (both telephonic and virtual), physical redesign of the pharmacy layout, enhanced pharmacy website, and utilizing robotic dispensing systems to deliver more efficient and interactive patient counseling. The goal of implementing the innovative patient-centered pharmacy design and integration of the telehealth model was to mitigate many of the barriers faced by the pharmacist in the traditional system during patient counseling. This new integrated model provides an example for other healthcare organizations to improve patient counseling effectiveness and provide excellent patient-centered care.

摘要

患者咨询是帮助医疗服务提供者和患者实现预期健康结果的重要工具。它是药剂师在医疗保健系统中重要且既定的角色之一,使他们能够建立药剂师与患者的合作关系,以确保药物依从性、提高对规定药物治疗方案的依从性并预防药物不良事件。提供有效且高效的患者咨询常常受到众多个人和系统相关挑战的阻碍。因此,克服这些挑战需要开发并纳入各种工具和方法,以建立以患者为中心的综合药房设计。本文展示了约翰霍普金斯阿美医疗门诊药房环境中这样一种综合模型的开发。它包括电子健康记录、患者门户通信系统、远程医疗模式(电话和虚拟)、药房布局的实体重新设计、增强的药房网站以及利用机器人配药系统来提供更高效和互动的患者咨询等组件。实施以患者为中心的创新药房设计和整合远程医疗模式的目标是减轻药剂师在传统系统中进行患者咨询时面临的许多障碍。这种新的综合模型为其他医疗保健组织提高患者咨询效果并提供优质的以患者为中心的护理提供了一个范例。

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本文引用的文献

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Patient-Centered Communication.以患者为中心的沟通
Pharmacy (Basel). 2018 Feb 13;6(1):18. doi: 10.3390/pharmacy6010018.

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