Givens Joscelin, Dull Ryan
CHI Health Lakeside, Omaha, NE, USA.
Creighton University, Omaha, NE, USA.
Hosp Pharm. 2024 Nov 8:00185787241293385. doi: 10.1177/00185787241293385.
To determine if implementation of an enhanced clinical pharmacy service (ECPS) at a community hospital could improve patient experience as measured by medication-related Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores. A cohort study of 260 patients at a community hospital was conducted. Patients in the intervention group received additional pharmacy services from the standard of care (SOC) group, including daily medication counseling, pharmacist-driven medication administration, discharge medication reconciliation and education, consistent offers to enroll in a bedside medication delivery program (BMDP), and a telephone call following discharge. The primary outcome of patient experience was assessed through patients' responses to a care transitions HCAHPS survey question regarding understanding of the purpose of taking medications following discharge. Among patients in the ECPS cohort, 75.8% had a top-box response to the care transitions HCAHPS question, compared to 63.3% of patients in the SOC cohort (OR = 1.81; 95% CI [0.61-5.37]). Top-box responses increased for all assessed HCAHPS questions but were not statistically significant. The HCAHPS survey response rate was 29.3% in the SOC cohort and 29.9% in the ECPS cohort. Following an ECPS intervention, patient experience as determined by HCAHPS scores increased, but the results did not reach statistical significance. Further, larger studies are needed on this topic.
为了确定在社区医院实施强化临床药学服务（ECPS）是否能通过与药物相关的医疗服务提供者和系统医院消费者评估（HCAHPS）得分来改善患者体验。对一家社区医院的260名患者进行了一项队列研究。干预组患者接受了超出常规护理（SOC）组的药学服务，包括每日用药咨询、药剂师主导的用药管理、出院用药核对与教育、持续提供加入床边送药项目（BMDP）的机会以及出院后电话随访。通过患者对护理过渡HCAHPS调查中一个关于出院后对用药目的理解的问题的回答来评估患者体验的主要结果。在ECPS队列中的患者中，75.8%对护理过渡HCAHPS问题给出了最高等级的回答，而SOC队列中的患者这一比例为63.3%（比值比=1.81；95%置信区间[0.61 - 5.37]）。所有评估的HCAHPS问题的最高等级回答均有所增加，但无统计学意义。SOC队列的HCAHPS调查回复率为29.3%，ECPS队列的回复率为29.9%。在ECPS干预后，由HCAHPS得分确定的患者体验有所增加，但结果未达到统计学意义。此外，关于这个主题还需要进行更大规模的研究。
