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社区药房中由药剂师主导的药学服务干预的结果:叙述性综述

Outcomes of Pharmacist-Led Pharmaceutical Care Interventions Within Community Pharmacies: Narrative Review.

作者信息

Eldooma Ismaeil, Maatoug Maha, Yousif Mirghani

机构信息

Department of Planning, Research, and Information; National Health Insurance Fund, Wad-Medani, Sudan.

Department of Clinical Pharmacy and Pharmacy Practice, University of Gezira, Wad-Medani, Sudan.

出版信息

Integr Pharm Res Pract. 2023 May 15;12:113-126. doi: 10.2147/IPRP.S408340. eCollection 2023.

Abstract

Pharmaceutical care (PhC) services interventions led by pharmacists within community pharmacies (CPs) are essential in achieving optimal medication use outcomes. PhC is a concept related to medication use goals optimization through the reduction and prevention of drug-related problems (DRPs). This review paper summarized the literature on pharmacist-led PhC interventions within CPs. PubMed and Google Scholar publications were searched, identified, and summarized. Results showed that some studies handled community pharmacists' roles, and some talked about PhC interventions. However, some studies reviewed the use of medicines, adherence, and follow-up, while other groups were on counseling, patient education, and health promotion. Pharmacists integrated some studies concerning diagnosis and disease screening into community pharmacy services. Besides these studies, there were studies on system design and installation of PhC service models. Most of the identified research results showed pharmacist-led intervention benefits for patients. These benefits include reduced DRPs, clinical, economical, humane, education and knowledge, disease prevention and immunization, identification of practice process problems, and the need for current practice redesigning. In conclusion, pharmacists can help patients achieve optimal outcomes through pharmacist-led interventions. Despite mentioned results, We recommend researching comprehensively applied PhC services provision models within CPs for more pharmacists-led interventions and role activation.

摘要

由社区药房(CP)内的药剂师主导的药学服务(PhC)干预对于实现最佳药物使用效果至关重要。药学服务是一个通过减少和预防药物相关问题(DRP)来优化药物使用目标的概念。这篇综述文章总结了关于CP内药剂师主导的药学服务干预的文献。对PubMed和谷歌学术上的出版物进行了检索、识别和总结。结果表明,一些研究涉及社区药剂师的角色,一些则讨论了药学服务干预。然而,一些研究回顾了药物使用、依从性和随访情况,而其他研究则关注咨询、患者教育和健康促进。药剂师将一些关于诊断和疾病筛查的研究纳入了社区药房服务。除了这些研究外,还有关于药学服务模式的系统设计和安装的研究。大多数已确定的研究结果表明药剂师主导的干预对患者有益。这些益处包括减少药物相关问题、临床、经济、人文、教育和知识、疾病预防和免疫、识别实践过程中的问题以及重新设计当前实践的必要性。总之,药剂师可以通过药剂师主导的干预帮助患者实现最佳效果。尽管有上述结果,但我们建议对CP内全面应用的药学服务提供模式进行研究,以开展更多药剂师主导的干预并激活其作用。

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