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以临床药师为主导的多临床专业协作模式,聚焦药物治疗的连续性:日本版隆德综合药物管理(LIMM)模式

Clinical Pharmacist-Led Collaboration of Multiple Clinical Professions Model Focusing on Continuity of Pharmacotherapy: Japanese Version of the Lund Integrated Medicines Management (LIMM) Model.

作者信息

Sato Rie, Aoshima Syuichi, Eriksson Tommy

机构信息

Center for Primary Health Care Research, Department of Clinical Sciences, Faculty of Medicine, Lund University, CRC 28-11, Jan Waldenströms Gata 35, Box 50332, SE202-13 Malmö, Sweden.

Department of Emergency and Critical Care Medicine, Faculty of Medicine, Shimane University, Izumo City 693-8501, Shimane, Japan.

出版信息

Pharmacy (Basel). 2024 Dec 5;12(6):184. doi: 10.3390/pharmacy12060184.

Abstract

(1) Background: In general, it is known that continuity of care can contribute to an increase in patient satisfaction, reduce health care costs, and improve patient outcomes. A guarantee of continuity in pharmacotherapy is a big challenge facing Japanese health care as a system that encourages cooperation/collaboration for pharmacists with other health care professions is currently lacking. (2) Method: This is a narrative review. (3) Results: The Lund Integrated Medicine Management (LIMM) model describes a systematic approach to individuals and was developed in Sweden to optimize pharmacotherapy among elderly inpatients. The aim of the LIMM model is to provide patients with continuous pharmacotherapy at different levels of care. The LIMM model, in which a clinical pharmacist is the catalyst and leads other health care professions in completing the process, has the potential to reduce potentially inappropriate prescriptions, reduce rehospitalization risk, unscheduled hospital revisits due to problems related to medications, reduce total medical expenditure, and provide a comprehensive understanding of patients' conditions of taking medicine. (4) Conclusions: Introducing a framework such as Sweden's LIMM model, anchored by clinical pharmacists, could provide a good opportunity to promote collaborations among different health care professionals and improve continuity in pharmacotherapy.

摘要

(1) 背景:一般来说,众所周知,医疗连续性有助于提高患者满意度、降低医疗成本并改善患者治疗效果。作为一个目前缺乏鼓励药剂师与其他医疗专业人员合作的体系,日本医疗面临的一大挑战是保证药物治疗的连续性。(2) 方法:这是一篇叙述性综述。(3) 结果:隆德综合药物管理(LIMM)模型描述了一种针对个体的系统方法,该模型在瑞典开发,用于优化老年住院患者的药物治疗。LIMM模型的目的是在不同护理层面为患者提供持续的药物治疗。在LIMM模型中,临床药剂师是促成者,并引领其他医疗专业人员完成整个过程,该模型有可能减少潜在不适当处方、降低再住院风险、减少因药物相关问题导致的非计划住院复诊、降低总医疗支出,并全面了解患者的用药情况。(4) 结论:引入以临床药剂师为核心的瑞典LIMM模型等框架,可能为促进不同医疗专业人员之间的合作以及改善药物治疗的连续性提供一个良好契机。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de0b/11679876/99425422e6c5/pharmacy-12-00184-g001.jpg

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