药房和初级保健协作计划的临床和经济有效性 护理计划的过渡
Journal of the American Pharmacists Association : JAPhA
|August 23, 2023
概括
药剂师领导的护理过渡计划显著减少了医院再入院和急诊室的访问. 这些干预措施在临床上是有效的,并提供了实质性的经济效益,证明了医疗保健系统投资的强回报.
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.
- 卫生经济学 卫生经济学
背景情况:
- 初级保健药剂师可以通过在护理过渡期间的干预来提高出院后的护理质量.
- 需要证据来证实药剂师主导的干预措施在减少医疗保健利用方面的成本效益.
研究的目的:
- 在初级保健环境中评估药房主导的护理过渡 (TOC) 计划的临床和经济有效性.
主要方法:
- 一个集群随机试验,涉及2019-2021年三个初级保健实践.
- 多方面的药房干预:药物调和,综合药物审查,患者/提供者随访.
- 主要终点:30天的医院再入院和急诊室 (ED) 访问. 成本效益分析包括净收益,BCR和ROI.
主要成果:
- 这项干预措施显著降低了30天内所有原因的再入院和急救诊所的复合结果 (aIRR,0.54;P < 0.001).
- 观察到30天所有原因再入院的显著减少 (aIRR,0.64;P < 0.001) 和ED访问 (aIRR,0.25;P < 0.001).
- 该计划的净收益为9,078美元,收益与成本比 (BCR) 为2.11%,投资回报率 (ROI) 为111%.
结论:
- 药房主导的护理过渡计划表现出积极的临床和经济结果.
- 这些发现支持药剂师在提供护理服务有效过渡方面的关键作用.
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