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通过床边药物可及性助力康复。

Empowering Recovery Through Bedside Medication Accessibility.

作者信息

Kamel Ibrahim, Twayana Anu R, Kataria Deepak, Alexandre Marie-Ange, Orabi Mohamed, Machavariani Luka, Okoye Lauretta, Morgan James P

机构信息

Internal Medicine, St. Elizabeth's Medical Center, Boston, USA.

Internal Medicine, Boston Medical Center, Boston, USA.

出版信息

Cureus. 2025 Jan 1;17(1):e76744. doi: 10.7759/cureus.76744. eCollection 2025 Jan.

Abstract

Introduction The Meds to Beds (MTB) program aims to enhance medication adherence and reduce hospital readmissions by delivering prescribed medications directly to patients' bedsides before discharge. This study evaluated the effectiveness of the MTB program in reducing 90-day readmission rates in a community teaching hospital. Methods This prospective study was conducted at a 159-bed community teaching hospital in Boston, MA. The study included 63 patients discharged from emergency, medical, or surgical units with at least one newly prescribed medication. Patients served as their own controls, with readmission rates compared to 90 days before and after the MTB intervention. Data were collected from electronic medical records, and paired t-tests were used to assess statistical significance, with a p-value <0.05 was used to determine statistical significance. Principal findings The study included 63 patients who received their medications before discharge. The mean number of admissions significantly decreased from 1.52 pre-intervention to 0.47 post-intervention (p < 0.001). Key interventions included prescription retrieval, addressing medication access barriers, and bedside delivery with personalized counseling. Conclusions The implementation of the MTB program significantly reduced hospital readmissions, improved medication adherence, and enhanced patient satisfaction. Addressing barriers such as transportation, high copays, and pharmacy accessibility empowered patients to adhere to prescribed regimens. This study highlights the potential benefits of expanding the MTB program to other healthcare settings to enhance care quality and reduce readmission rates.

摘要

引言

“床边送药”(MTB)项目旨在通过在出院前将处方药直接送到患者床边来提高用药依从性并减少医院再入院率。本研究评估了MTB项目在降低社区教学医院90天再入院率方面的有效性。

方法

这项前瞻性研究在马萨诸塞州波士顿一家拥有159张床位的社区教学医院进行。该研究纳入了63名从急诊、内科或外科病房出院且至少有一种新开具处方药的患者。患者以自身作为对照,将MTB干预前后的再入院率与90天前进行比较。数据从电子病历中收集,并使用配对t检验来评估统计学显著性,p值<0.05用于确定统计学显著性。

主要发现

该研究纳入了63名在出院前接受送药服务的患者。入院的平均次数从干预前的1.52次显著降至干预后的0.47次(p<0.001)。关键干预措施包括取回处方、解决用药获取障碍以及床边送药并提供个性化咨询。

结论

MTB项目的实施显著降低了医院再入院率,提高了用药依从性,并增强了患者满意度。解决诸如交通、高额自付费用和药房可达性等障碍使患者能够坚持规定的治疗方案。本研究凸显了将MTB项目扩展到其他医疗环境以提高护理质量和降低再入院率的潜在益处。

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Empowering Recovery Through Bedside Medication Accessibility.通过床边药物可及性助力康复。
Cureus. 2025 Jan 1;17(1):e76744. doi: 10.7759/cureus.76744. eCollection 2025 Jan.

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