医疗护理的远程药房模型
Christine Cigolle1, Kristin Phillips2
1Veterans Affairs Ann Arbor Healthcare System Geriatric Research, Education and Clinical Center (GRECC), Ann Arbor, Michigan; Department of Family Medicine, University of Michigan, Ann Arbor, Michigan, USA; Division of Geriatric and Palliative Medicine, Department of Internal Medicine.
Clinical therapeutics
|September 29, 2023
概括
这项研究发现,为老年退伍军人提供基于远程医疗的药物审查和处方程序是可行的. 护理的远程药房模型成功地确定了在老兵有认知和功能障碍的药物差异和风险.
科学领域:
- 老年学是一门学科.
- 临床药房 临床药房
- 远程医疗远程医疗
背景情况:
- 老年人经常有复杂的药物治疗方案和影响自我管理的认知/功能障碍.
- 综合性药物审查和减缓处方对于优化这一群体的健康结果至关重要.
- 远程药房为远程提供药物管理服务提供了一个潜在的解决方案.
研究的目的:
- 评估远程药房护理模型在老年人中对药物审查和降低处方的可行性.
- 在远程医疗框架内评估认知和功能评估方面的创新.
- 为了确定药房技术人员参与药物管理的有效性.
主要方法:
- 美国退伍军人参与试点远程药房护理模式实施的医疗记录的回顾性审查.
- 数据抽象侧重于药物清单准确性,安全性,认知/功能状态和自我管理能力.
- 评估药物差异,药物坚持,药物相互作用,并识别高风险药物.
主要成果:
- 该试点包括60名美国退伍军人 (平均年龄75岁),其中98%成功使用远程医疗.
- 57%的患者有四种或更多的药物差异;35%的人服用红旗药物,74%的人服用高风险药物.
- 37%的人患有认知/健康素养障碍,45%的人患有影响药物自我管理的身体障碍.
结论:
- 由药剂师和技术人员提供的基于远程医疗的远程药房护理模式是全面药物审查和处方减少的可行方法.
- 这种模式有效地满足了认知和功能障碍退伍军人的需求.
- 这些发现支持整合远程药房服务,以优化老年人药物管理.
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