通过卫生系统专业药房管理的多发性硬化症患者患者患者报告的结果和药剂师的行动
Autumn D Zuckerman1, Aimee M Banks1, Julie Wawrzyniak2
1Specialty Pharmacy Services, Vanderbilt University Medical Center, Nashville, TN, USA.
概括
使用多发性硬化症 (MS) 疾病修饰疗法 (DMT) 的专业药房的患者报告了较低的受影响生产率. 药剂师的干预可能对患有生产力问题或特定DMT的患者更有益.
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
- 患者的治疗结果.
背景情况:
- 卫生系统专业药房 (HSSPs) 在管理复杂疗法患者方面发挥着至关重要的作用.
- 改变疾病的疗法 (DMT) 对于治疗多发性硬化症 (MS) 非常重要.
- 了解患者报告结果 (PRO) 和药剂师干预措施是优化多发性硬化护理的关键.
研究的目的:
- 评估患者报告的结果 (PRO) 和药剂师对多发性硬化症 (MS) 患者的行动,这些患者通过卫生系统专业药房 (HSSP) 接受疾病修饰疗法 (DMT).
主要方法:
- 一个多站点的前性队列研究,涉及968名患者和10,562名DMT填写.
- 评估的PRO包括受影响的生产力,住院和复发.
- 后勤回归分析了PRO,药剂师行动和患者人口统计数据之间的关联.
主要成果:
- 最常见的PRO是受影响的生产率 (14.6%).
- 药剂师进行了3683项行动,主要是药物教育和安全监测.
- 医疗保险/医疗补助的患者报告了更高的受影响生产率率;那些受影响生产率的患者接受了更多的药剂师行动.
结论:
- 通过HSSP接受DMT的患者在生产力,住院和复发方面报告了普遍有利的结果.
- 保险状况影响报告的生产力,非商业保险与更高的利率有关.
- 报告影响生产力的患者或特定的DMT可能会受益于药剂师参与度的增加.
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