药剂师和从急诊室到家庭的护理过渡
Terry E Dunn, Kalpesh J Desai, Michael P Krajewski
1School of Pharmacy and Pharmaceutical Sciences, University at Buffalo, The State University of New York, 3435 Main St, 344 Abbott Hall, Buffalo, NY 14214. Email: chihualu@buffalo.edu. ORCID: 0000-0001-9647-4363.
The American journal of managed care
|January 3, 2024
概括
在急诊室 (ED) 退院后,药剂师领导的电话外展计划并没有显著改变多种药物患者的整体医疗保健利用率. 这项研究没有发现对30天内医院再入院或急救诊所的再入院的影响.
科学领域:
- 药剂师干预措施 药剂师干预
- 医疗保健利用率 医疗保健利用率
- 紧急情况部门放电.
背景情况:
- 从急诊室 (ED) 出院的患者通常有复杂的药物治疗方案.
- 需要有效的出院后干预措施来改善患者的治疗结果,并减少医疗保健利用率.
研究的目的:
- 评估由药剂师领导的电话外展计划对ED出院的患者医疗保健利用的影响.
- 评估30天内出院后对计划外的再入院和急救诊所的影响.
主要方法:
- 进行了一项随机对照试验,患者从ED出院回家,服用8种或更多种药物.
- 参与者被随机分配到通常的护理或通常的护理以及药剂师在48-96小时内通过电话联系.
- 主要结局是整体医疗保健利用率,使用波松回归分析.
主要成果:
- 干预组和对照组之间在整体医疗保健利用率上没有发现显著差异.
- 包括住院和30天内急救访问在内的具体结果也显示,两组之间没有统计学上显著的差异.
- 药剂师主导的干预达到了58%的患者,提供了56次干预.
结论:
- 在急诊室出院后,药剂师领导的电话外展计划与医疗保健利用率的显著变化无关.
- 可能需要进一步的研究来探索替代策略或优化药剂师对这种患者群体的干预措施.
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