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药房福利管理人员的书面沟通:有帮助吗?
Lily G Cessna1, Lynne J Goebel1
1Internal Medicine, Marshall University Joan C. Edwards School of Medicine, Huntington, USA.
Cureus
|January 11, 2024
概括
医生从药房福利管理员 (PBM) 收到过多的邮件. 大多数沟通都不会促使医生采取行动,从而导致燃烧. 干预最常见的是非表单处方和药物相互作用.
科学领域:
- 老年医学 老年医学
- 医疗保健服务研究 医疗服务研究
- 临床药房 临床药房
背景情况:
- 医生疲劳被行政任务所加剧,包括药房福利管理员 (PBM) 的过度邮件.
- 这些通讯对执业医生的数量和实用性并没有得到很好的描述.
- 了解医生对PBM通信的反应对于减少行政负担至关重要.
研究的目的:
- 量化PBM向老年医生发送的邮件通信频率.
- 为了确定这些通信导致医生干预的速度.
- 确定最有可能促使医生采取行动的通信类型.
主要方法:
- 在22个月的时间里 (2021年7月 - 2023年5月) 收集了所有给一位老年门诊医生的书面PBM通信.
- 按PBM,类型分类通信,以及它们是否导致了医生干预.
- 分析了通信频率和干预率,包括重复发送邮件.
主要成果:
- 在263个总体通信中,只有17个 (6%) 导致了医生干预.
- 非表单处方通知和药物相互作用警报是干预的最常见触发因素 (35%).
- 酒清单通知和一般建议通常不会导致医生采取行动; 41%的通信被重复.
结论:
- 这项研究支持了一个假设,即PBM邮件中很少一部分对医生有帮助.
- 对于非表单或药物相互作用警报,医生干预的可能性更大.
- 减少不可起诉的邮件,如酒名单通知,可以减少医生的文书工作和打击倦怠.
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