Perri M, Kotzan J, Pritchard L, Ozburn W, Francisco G
College of Pharmacy, University of Georgia, Athens.
Am Pharm. 1995 Feb;NS35(2):24-8, 65. doi: 10.1016/s0160-3450(15)30207-5.
Two separate studies were conducted in Georgia for this investigation. The first study measured by observation, pharmacists' compliance with the mandates of the Omnibus Budget Reconciliation Act of 1990 (OBRA '90) before (December 1992) and after (June 1993) the law took effect in January 1993. The second assessed patient awareness, experience, and degree of cooperation with pharmacists in complying with OBRA '90. Eight chain and four independent pharmacies were recruited for the first study. For the second, a representative sampling of patients answered questions by telephone. Findings from the pharmacy study indicated more streamlined information gathering, more time devoted to prospective drug utilization review, and a 29% increase in counseling frequency in the post-OBRA '90 period. Some changes may be due to increased computer sophistication. The patient survey indicated a lower frequency of counseling than was reported in the pharmacy study. Patients appeared willing to supply information to pharmacists when patients viewed it as a way to improve the care they receive.
为进行此次调查，在佐治亚州开展了两项独立研究。第一项研究通过观察，衡量了药剂师在1990年综合预算协调法案（OBRA '90）于1993年1月生效之前（1992年12月）和之后（1993年6月）对该法案规定的遵守情况。第二项研究评估了患者在遵守OBRA '90方面对药剂师的认知、体验以及合作程度。第一项研究招募了八家连锁药店和四家独立药店。第二项研究中，一组具有代表性的患者通过电话回答了问题。药店研究的结果表明，在OBRA '90实施后，信息收集流程更加简化，用于前瞻性药物利用审查的时间增加，咨询频率提高了29%。一些变化可能归因于计算机技术的日益复杂。患者调查显示，咨询频率低于药店研究中的报告。当患者认为提供信息是改善其接受的护理的一种方式时，他们似乎愿意向药剂师提供信息。
