一个虚拟的突破系列合作,以支持退伍军人事务卫生保健机构的治疗干预措施
Kristin K Phillips1, Marcia C Mecca2,3, Abigail M Baim-Lance4,5,6
1Geriatric Research, Education, and Clinical Center (GRECC), VA Ann Arbor Healthcare System, Ann Arbor, MI, USA.
Journal of the American Geriatrics Society
|June 20, 2023
概括
在各种退伍军人事务网站上,虚拟减药合作伙伴有效地实施了减少药物使用的策略. 这一举措成功地减少了成千上万的老年人中的多药制,并通过长期持续的计划.
科学领域:
- 老年病的医生 老年病的医生
- 药理学 药理学是指药理学的学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 虚拟协作模型为多团队学习和支持性环境提供了实际框架.
- 降低处方干预对于老年人多药管理至关重要.
- 实施抑郁症的实践需要有结构的支持和跨学科的合作.
研究的目的:
- 描述虚拟描述协作的过程和结果.
- 为了促进在不同地理位置的退伍军人事务 (VA) 站点实施减缓处方干预措施.
- 评估虚拟协作在改善老年人药物管理方面的有效性.
主要方法:
- 来自VA站点的两组多学科团队参加了为期9个月的虚拟抑郁症协作.
- 网站开发了描述记录的协议,并定期召开会议,指导和数据报告.
- 标准措施包括退伍军人服役数量和处方药物,使用描述性和定性方法进行分析.
主要成果:
- 21个VA站点参与了两个队列,其中大多数为老年人提供服务,由药剂师领导.
- VA VIONE决策支持工具和个性化药物评估是常见的策略.
- 共有4770名退伍军人得到了服务,8332种药物被处方;82%的队列1计划在一年后仍在使用.
结论:
- 虚拟的抑郁症协作成功实施了既有和新的抑郁症实践.
- 共享学习增强了解决问题的能力,并促进了跨学科的团队合作.
- 协作有效地改善了数千名老年人的多药房管理.
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