Currie J D, Chrischilles E A, Kuehl A K, Buser R A
College of Pharmacy, University of Iowa, USA.
J Am Pharm Assoc (Wash). 1997 Mar-Apr;NS37(2):182-91. doi: 10.1016/s1086-5802(16)30203-0.
To develop and present a pharmaceutical care training program for pharmacists, and to examine the ability of these pharmacists to provide pharmaceutical care in a community pharmacy setting.
Prospective, randomized study.
A 40-hour pharmaceutical care training program was developed and presented to pharmacists, and 1,078 patients were randomly assigned to receive either (1) traditional pharmacy services or (2) pharmaceutical care, consisting of initial patient work-up and follow-up with documentation in a patient record.
The study period was six months. Pharmacists documented problems identified, actions taken, and time required for all patients.
Pharmacists consistently identified and intervened to address problems in both study groups. Patients receiving pharmaceutical care were more than seven times as likely to have any problems identified (odds ratio [OR] 7.5; confidence interval [CI] 4.2-13.1), more than eight times as likely to have an intervention performed (OR, 8.1; CI 4.7-14.2), and more than eight times as likely to have a drug-related problem identified (OR 8.6; CI 4.8-15.5) than were patients receiving traditional pharmacy services only. Time spent counseling patients was similar for the two groups.
The training program proved to be an effective way to increase the number of problems identified and addressed by pharmacists.
为药剂师制定并展示一个药学服务培训项目，并检验这些药剂师在社区药房环境中提供药学服务的能力。
前瞻性随机研究。
制定了一个40小时的药学服务培训项目并向药剂师进行展示，1078名患者被随机分配接受以下两种服务之一：（1）传统药房服务；（2）药学服务，包括对患者进行初始检查并在患者记录中记录随访情况。
研究为期6个月。药剂师记录所有患者的问题识别情况、采取的措施以及所需时间。
在两个研究组中，药剂师均能持续识别并干预解决问题。接受药学服务的患者识别出任何问题的可能性是仅接受传统药房服务患者的7倍多（优势比[OR] 7.5；置信区间[CI] 4.2 - 13.1），接受干预的可能性是其8倍多（OR 8.1；CI 4.7 - 14.2），识别出与药物相关问题的可能性是其8倍多（OR 8.6；CI 4.8 - 15.5）。两组用于咨询患者的时间相似。
该培训项目被证明是增加药剂师识别和解决问题数量的有效方法。
