University of California Irvine School of Pharmacy and Pharmaceutical Sciences, Irvine, CA, USA.
Saban Community Clinic, Los Angeles, CA, USA.
J Prim Care Community Health. 2023 Jan-Dec;14:21501319231168716. doi: 10.1177/21501319231168716.
Increasing administrative workload is linked with lower quality of patient care and physician burnout. Conversely, models involving pharmacists can positively impact patient care and physician well-being. Research has consistently demonstrated that pharmacist-physician collaboration can improve outcomes for chronic diagnoses. Pharmacist-managed refill services may improve provider workload measures and clinical outcomes.
This was an evaluation of a pharmacist-managed refill service at a Federally Qualified Health Center (FQHC). Under collaborative practice agreement, pharmacists addressed refill requests and recommended interventions. Data analysis evaluated effectiveness of the model, including clinical interventions, and involved descriptive statistics and qualitative approaches.
Average patient age was 55.5 years old and 53.1% were female. Turnaround time was within 48 h for 87.8% of refill encounters. During an average of 3.2 h per week, pharmacists addressed 9.2% (n = 1683 individual requests in 1255 indirect patient encounters) of the total clinic refill requests during the 1-year study period. In 453 of these encounters (36.1%), pharmacists recommended a total of 642 interventions. 64.8% of these were need for appointment (n = 211) or labs (n = 205). Drug therapy problems and medication list discrepancies were identified in 12.6% (n = 81) and 11.9% (n = 76) of encounters, respectively.
The results of this study are consistent with previous literature demonstrating the value of interprofessional collaboration. Pharmacists addressed refills in an efficient, clinically effective manner in an FQHC setting. This may positively impact primary care provider workload, patients' medication persistence, and clinical care.
行政工作量的增加与患者护理质量下降和医生倦怠有关。相反，涉及药剂师的模式可以对患者护理和医生福祉产生积极影响。研究一致表明，药师与医生的合作可以改善慢性病的治疗效果。药剂师管理的药品续方服务可能会改善医疗服务提供者的工作量指标和临床结果。
这是对一家合格的联邦健康中心（FQHC）的药剂师管理的药品续方服务的评估。根据合作实践协议，药剂师处理续方请求并提出干预建议。数据分析评估了该模式的效果，包括临床干预措施，并采用了描述性统计和定性方法。
患者的平均年龄为 55.5 岁，女性占 53.1%。87.8%的续方就诊在 48 小时内完成。在平均每周 3.2 小时的时间内，药剂师在 1 年的研究期间处理了总诊所续方请求的 9.2%（n=1683 项请求，涉及 1255 名间接患者就诊）。在这些就诊中的 453 次（36.1%）中，药剂师共提出了 642 项干预措施。其中 64.8%（n=211）为需要预约或检查，205 项为实验室检查。药物治疗问题和药物清单差异分别在 12.6%（n=81）和 11.9%（n=76）的就诊中被识别出来。
这项研究的结果与先前的文献一致，证明了跨专业合作的价值。药剂师在 FQHC 环境中以高效、临床有效的方式处理续方。这可能会对初级保健提供者的工作量、患者的药物依从性和临床护理产生积极影响。
