Britton M L, Lobeck F G, Kelly M W
Pharmacy Service (119), Department of Veterans Affairs Medical Center, Oklahoma City, OK 73104.
Am J Hosp Pharm. 1994 Jan 1;51(1):85-8.
A program for (1) coordinating the care of patients suspected of abusing prescription medications and (2) providing data on the long-term outcomes of these interventions is described. A substance abuse committee composed of physicians, psychologists, pharmacists, and administrators was established to review individual cases of suspected misuse or abuse of medications at a large Department of Veterans Affairs medical center. After reviewing each case, the committee recommended specific actions, such as requesting that the identified medication be restricted from the patient or that the patient receive counseling or treatment for substance abuse. To evaluate the program's effectiveness, the records of the 161 cases referred to the committee between 1981 and 1992 were reviewed. The patient's outcome one year after committee intervention could be determined in 105 cases. Of those, 70 revealed either no evidence of continuing prescription drug abuse or reduced use of the targeted medication in the medical center. Eighteen other patients were no longer receiving care at the institution. A multidisciplinary substance abuse committee helped identify and treat patients suspected of abusing prescription drugs.
本文描述了一个项目，该项目旨在（1）协调对疑似滥用处方药患者的护理工作，以及（2）提供这些干预措施长期效果的数据。在一家大型退伍军人事务部医疗中心，成立了一个由医生、心理学家、药剂师和管理人员组成的药物滥用委员会，以审查药物疑似误用或滥用的个别案例。在审查每个案例后，委员会会推荐具体行动，例如要求对已确认的药物对患者进行限制，或者要求患者接受药物滥用咨询或治疗。为评估该项目的有效性，对1981年至1992年间提交给委员会的161个案例的记录进行了审查。在105个案例中，可以确定委员会干预一年后患者的结果。其中，70个案例显示，没有持续滥用处方药的证据，或者该医疗中心针对药物的使用有所减少。另外18名患者不再在该机构接受治疗。一个多学科药物滥用委员会帮助识别和治疗疑似滥用处方药的患者。
