Fleming Marc, Nedjat Saharnaz, Schommer Jon C, Hodge Crystal K
Department of Pharmaceutical Economics and Policy, Chapman University School of Pharmacy, Harry and Diane Rinker Health Science Campus, 9401 Jeronimo Road, Irvine, CA 92618-1908, USA.
Department of Otolaryngology-Head and Neck Surgery, University of California, Irvine, USA.
Explor Res Clin Soc Pharm. 2025 Apr 22;18:100607. doi: 10.1016/j.rcsop.2025.100607. eCollection 2025 Jun.
Pharmacists can play a crucial role in delivering the holistic care model. Research suggests that HIV-positive African American patients particularly benefit from this approach compared to other communities. Typically, pharmacists in community pharmacy settings are limited in their access to a patient's medical record, preventing holistic care delivery.
This study addressed the impact of access to medical records on a holistic patient care approach among pharmacists engaged in medication therapy management.
This was a sub-analysis of a randomized controlled trial of the impact of community pharmacist access to medical records during MTM for African Americans diagnosed with HIV and multimorbidity with hypertension (HTN) and/or type 2 diabetes mellitus (DM). A random sample was selected of 30 participants (15 in the intervention arm with access to medical records and 15 in the control arm) who completed at least seven study visits between 2019 and 2021. A quantitative content analysis of the study pharmacist visit notes was conducted to identify themes of pharmacist interventions. The percentages of the theme's repetitions were compared across study groups using the Fisher exact test.
Thirteen themes were extracted from the pharmacists' visit notes. The intervention group demonstrated a higher repetition of themes concerning any disease, medicine, exercise/weight/diet, sexual, sleeping, smoking, alcohol/marijuana, vaccination, will/power of attorney, food/ housing, and depression/stress. Themes related to career goals and recommending consultation with a provider were repeated more in the control group. The two study groups had statistically significant differences in the percentages of repetition of seven themes.
Access to medical records enables pharmacists to focus more on mental health, lifestyle, and social determinants of health.
药剂师在提供整体护理模式方面可发挥关键作用。研究表明，与其他社区相比，感染艾滋病毒的非裔美国患者尤其能从这种方法中受益。通常，社区药房的药剂师获取患者病历的机会有限，这阻碍了整体护理的提供。
本研究探讨了获取病历对参与药物治疗管理的药剂师采用整体患者护理方法的影响。
这是一项随机对照试验的子分析，该试验研究了社区药剂师在为被诊断患有艾滋病毒且合并高血压（HTN）和/或2型糖尿病（DM）的非裔美国人进行药物治疗管理期间获取病历的影响。从2019年至2021年期间完成至少七次研究访视的参与者中随机抽取30名（干预组15名可获取病历，对照组15名）。对研究药剂师的访视记录进行定量内容分析，以确定药剂师干预的主题。使用Fisher精确检验比较各研究组中主题重复的百分比。
从药剂师的访视记录中提取了13个主题。干预组在涉及任何疾病、药物、运动/体重/饮食、性、睡眠、吸烟、酒精/大麻、疫苗接种、遗嘱/委托授权书、食物/住房以及抑郁/压力等主题上的重复率更高。与职业目标和建议咨询医疗服务提供者相关的主题在对照组中重复出现得更多。两个研究组在七个主题的重复百分比上存在统计学显著差异。
获取病历使药剂师能够更多地关注心理健康、生活方式和健康的社会决定因素。
