在COVID-19大流行期间,在大量门诊患者中对药物坚持的分析,使用基于价值的新型药房系统
Erik Hefti1,2, Yao Xie3, Kristen Engelen2
1Department of Pharmaceutical Sciences, Harrisburg University of Science and Technology, Harrisburg, Pennsylvania, USA.
概括
在COVID-19期间的大型门诊组中,药物坚持是21.5%的非坚持者. 主要原因包括知识差距,遗忘和副作用,特别是高血压,糖尿病和高脂血症药物.
科学领域:
- 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
- 流行病学 流行病学
背景情况:
- 药物坚持是治疗成功的关键.
- 之前在大型门诊机构进行的坚持研究早于COVID-19大流行.
- 疫情需要对门诊护理和数据收集采取新的方法.
研究的目的:
- 在COVID-19大流行期间,分析大量门诊患者的药物坚持.
- 确定不加入的常见原因.
- 为了确定与不坚持相关的药物类别和诊断.
主要方法:
- 采用了一种基于价值的新型门诊药房系统 (VPS) 来收集数据.
- 分析了来自6,479名门诊患者 (2020年8月 - 2022年11月) 的远程药剂师记录的遵守数据.
- 对坚持事件,原因,药物类别和诊断的描述性分析.
主要成果:
- 在报告至少一次事件的患者中,整体不遵守率为21.5%.
- 高血压,2型糖尿病和高脂血症药物表现出最低的坚持.
- 类药物,β-2激动剂和皮质类固醇是最不遵守的药物类别之一.
- 不遵守的主要原因包括知识差距,遗忘和副作用.
结论:
- 这项研究提供了在COVID-19大流行期间在大量门诊患者中进行的第一个描述性坚持分析.
- 多药,诊断流行率和药物副作用概况可能影响了坚持率.
- 基于价值的药房系统有效地记录了医疗保健团队洞察力的遵守数据.
- 了解坚持模式可以帮助确定需要有针对性的教育和管理的患者子组.
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