现在是时候进行新的综合药物审查质量衡量措施了
Melissa Castora-Binkley1, Lisa Hines1, Shannon Vaffis2,3
1Pharmacy Quality Alliance, Alexandria, VA.
Journal of managed care & specialty pharmacy
|June 5, 2023
概括
目前的药物治疗管理 (MTM) 质量指标仅关注药物综合评估 (CMR) 完成率. 需要新的MTM质量措施来评估实际的护理质量和患者的结果,而不仅仅是服务提供.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 药房实践 在药房实践.
- 提高质量 提高质量
背景情况:
- 药物治疗管理 (MTM) 服务,包括综合药物评估 (CMR),在美国被广泛使用.
- 目前MTM的质量指标主要追踪CMR完成率,这是一个过程指标.
- 这种对过程的关注不评估CMRs产生的护理质量或患者结果.
研究的目的:
- 倡导开发MTM服务的新质量措施.
- 突出目前基于过程的MTM质量衡量的局限性.
- 为推进MTM质量评估提出建议.
主要方法:
- 这篇观点文章提出了修订MTM质量指标的论点.
- 作者讨论了支持新措施的需要的三个关键原因.
- 提供了关于MTM质量测量开发的未来步骤的建议.
主要成果:
- 目前的MTM质量措施是不够的,因为它们不评估护理质量或患者的结果.
- 在MTM中,迫切需要从流程措施转向基于结果的措施.
- 这篇文章概述了开发更强大的MTM质量指标的理由.
结论:
- 现有的MTM质量措施,专注于CMR完成,未能捕捉到MTM服务的真正价值和影响.
- 制定新的质量措施,将患者的结果和护理质量纳入其中,对于激励有效的MTM交付至关重要.
- 作者呼吁采取战略方法来创建和实施改进的MTM质量措施.
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