在初级保健中,药剂师主导的抑郁症处方倡议
Journal of the American Pharmacists Association : JAPhA
|September 18, 2023
概括
一个由药剂师领导的减处方计划成功地减少了初级保健中的多药性. 这项计划终止了352种药物,每年节省了超过184,000美元,并改善了患者护理.
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:
- 多药与不良健康结果有关,包括虚弱,跌倒和死亡率.
- 退伍军人卫生管理局 (VHA) 使用VIONE仪表板来识别多药患者.
- 取消处方计划的目的是减少不必要的药物使用,提高患者的安全.
研究的目的:
- 描述一个由药剂师领导的,在初级保健中实施全系统的脱处方计划.
- 评估该倡议在减少多药制及其相关成本方面的有效性.
主要方法:
- 通过学术细节提供跨学科教育.
- 使用VIONE仪表板识别患者,优先考虑风险最高的患者.
- 临床药剂师从业人员 (CPP) 调和药物,与患者讨论了抑郁症的选择,并将建议传递给初级保健提供者 (PCP).
主要成果:
- 在63名患者中,共处方了352种药物.
- 这导致潜在的年度成本避免184,221.21美元.
- 药物停用建议的接受率为96.7%,其中25.4%的患者被转诊到药剂师主导的诊所.
结论:
- 将抑郁症结合到初级保健中标准的CPP工作流程中,有效地减少了多药.
- 这一举措促进了VA巴特勒医疗保健系统中药房主导服务的扩大.
- 药剂师主导的降低处方改善了患者的治疗结果,并节省了大量的成本.
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