基于远程医疗的药剂师领导的慢性护理管理计划的评估
Ashley Dohrn1, Rachel Hoskins1, Lauren Collier1
1The University of Iowa College of Pharmacy, Iowa City, IA USA.
Journal of pharmacy practice
|August 18, 2023
概括
这项研究表明,医药师领导的远程医疗慢性护理管理 (CCM) 计划显著改善了患者的血压和A1c水平. 该计划成功实施和维护,为类似的医疗保健计划提供了宝贵的见解.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床药房 临床药房
- 数字健康数字健康
背景情况:
- 临床药房服务对于治疗慢性疾病至关重要.
- 本综述评估了药剂师领导的慢性护理管理 (CCM) 计划对患者结果和可持续性的影响.
- 该计划是卫生系统和临床药剂师之间的合作伙伴关系.
研究的目的:
- 评估患者的结果和计划的可持续性.
- 确定实施的促进者和障碍者.
- 为有效实施和维护远程医疗CCM服务提供战略.
主要方法:
- 使用RE-AIM框架进行混合方法评估.
- 从电子健康记录中回顾收集患者A1c和血压数据 (2018年8月-2022年4月).
- 纳入标准:糖尿病/高血压患者完成>4次CCM访问.
主要成果:
- 在6个月内观察到系统血压 (SBP) 和A1c水平的显著降低.
- 招募了557名患者,在各诊所采用率为100%.
- 确定了程序实施和维护的促进者和障碍,包括财务方面和利益相关者的支持.
结论:
- 远程医疗由药剂师领导的CCM服务可以有效地改善慢性疾病管理.
- 该研究提供了成功实施和长期维护的实际经验教训和策略.
- 过程效率是维持远程医疗药房服务的关键.
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