Rumore M M, Feifer S, Rumore J S
Arnold & Marie Schwartz College of Pharmacy and Health Sciences, Long Island University, Brooklyn, NY.
Am Pharm. 1995 Feb;NS35(2):29-34, 66. doi: 10.1016/s0160-3450(15)30208-7.
New York state regulations to implement patient counseling mandated by the Omnibus Budget Reconciliation Act of 1990 took effect in December 1992, yet one year later, little was known about how successfully the counseling mandate was being implemented. To begin assessing the impact, an anonymous questionnaire was distributed to 300 New York City pharmacists and pharmacy interns in the fall of 1993; a 65% (194) response rate was achieved. The opinions of interns and pharmacists differed on whether the counseling requirement had been implemented correctly (p < 0.01). Time, personnel, and expense constraints were most frequently cited as barriers to implementation. Half of the respondents mentioned that patients had to wait for counseling. More often than not, the offer to counsel originated with the pharmacist (51%). Interns (19.5%), technicians (12%), and clerks (17%) offered counseling less frequently. Approximately 35% of patients chose not to supply counseling information. Reasons for not accepting counseling as well as methods for documentation were described and analyzed. A list of items discussed each time a prescription is dispensed revealed little agreement on what constitutes counseling.
纽约州为执行1990年《综合预算协调法案》所规定的患者咨询而制定的法规于1992年12月生效，但一年后，对于该咨询规定的实施成效却知之甚少。为了开始评估其影响，1993年秋季向300名纽约市药剂师和药学实习生发放了一份匿名调查问卷，回收率为65%（194份）。实习生和药剂师对于咨询要求是否得到正确实施的看法存在差异（p < 0.01）。时间、人员和费用限制被最频繁地提及为实施的障碍。一半的受访者提到患者必须等待咨询。通常，提供咨询的提议由药剂师发起（51%）。实习生（19.5%）、技术员（12%）和职员（17%）提供咨询的频率较低。大约35%的患者选择不提供咨询信息。对不接受咨询的原因以及记录方法进行了描述和分析。每次发放处方时所讨论项目的清单显示，对于什么构成咨询几乎没有一致意见。
