Brown J M, Helling D K, Alexander M M, Burmeister L F
Am J Hosp Pharm. 1982 Mar;39(3):437-43.
A comparative evaluation of clinical pharmacists and physicians in the management of medication-related telephone calls in family practice offices is described. A peer review panel, composed of two family practice physicians and two clinical pharmacists not involved in the study, evaluated the appropriateness of management in 102 medication-related telephone calls. The effects of the following variables on the management ratings were determined by analysis of variance: (1) provider group (staff physicians, family practice residents, clinical pharmacists); (2) caller (patient, community pharmacist, third party, e.g., family member or friend); (3) type of medication-related telephone call (refill, new medication, drug information, or other); (4) consultation with another provider; and (5) recommendation for follow-up. Among the provider groups, a larger proportion of the calls to clinical pharmacists (72.6%) received the highest management rating of "appropriate, best alternative available" compared with staff physicians (39.7%) and residents (34.6%). Analysis of variance indicated that the management by clinical pharmacists was rated significantly more favorably than management by staff physicians or residents (p less than 0.05).] Statistical analyses also indicated that the differences in the management ratings among the provider groups were not explained by differences in the callers, type of medication-related call, consultation with another provider, or recommendation for a follow-up. These data suggest that clinical pharmacists may contribute substantially to improved patient-care through the management of medication-related telephone calls.
本文描述了在家庭医疗诊所中，对临床药师和医生处理与药物相关电话的情况进行的比较评估。一个同行评审小组由两名未参与该研究的家庭医生和两名临床药师组成，他们评估了102个与药物相关电话的处理是否恰当。通过方差分析确定了以下变量对处理评分的影响：（1）提供者类型（在职医生、家庭医学住院医师、临床药师）；（2）来电者（患者、社区药师、第三方，如家庭成员或朋友）；（3）与药物相关电话的类型（续方、新药、药物信息或其他）；（4）与其他提供者的会诊；（5）后续跟进建议。在不同的提供者类型中，与在职医生（39.7%）和住院医师（34.6%）相比，打给临床药师的电话中，有更大比例（72.6%）获得了最高的“恰当，最佳可用选择”处理评分。方差分析表明，临床药师的处理评分显著高于在职医生或住院医师（p<0.05）。统计分析还表明，不同提供者类型之间处理评分的差异，无法通过来电者、与药物相关电话的类型、与其他提供者的会诊或后续跟进建议的差异来解释。这些数据表明，临床药师通过处理与药物相关的电话，可能对改善患者护理有很大贡献。
