通过包括药剂师在内的以团队为基础的护理方法,提高控制高血压服务的可用性
Journal of the American Pharmacists Association : JAPhA
|February 24, 2024
概括
基于团队护理的药剂师减少了对高血压患者的初级保健医生 (PCP) 访问,增加了专家推. 计划的成功取决于领导层的支持,共享的EHR和可持续性的财政支持.
科学领域:
- 心脏病学 心脏病学
- 医疗保健服务研究 医疗服务研究
- 药理学 药理学是指药理学的学科.
背景情况:
- 预计初级保健医生 (PCP) 短缺的增加.
- 密歇根州医学高血压药剂师计划利用基于团队的护理 (TBC) 来将高血压管理从PCP转移到药剂师.
- 该模型旨在减轻PCP的工作量,并改善患者获得护理的机会.
研究的目的:
- 评估密歇根医学高血压药剂师计划是否提高了高血压管理服务的可用性.
- 识别影响计划可持续性和可复制性的促进者和障碍.
主要方法:
- 使用混合方法方法的回顾性观察性研究.
- 分析PCP预约和药剂师推,以评估服务的可用性.
- 与项目工作人员进行定性访谈和定量现场数据,以确定计划的影响,并确定障碍/促进者.
主要成果:
- 与对照组相比,看药师的患者对PCP的访问次数较少 (3个月和6个月).
- 患者在3个月内获得专家转诊的可能性是1.35倍.
- 可持续发展的关键促进因素包括领导力支持,共享电子健康记录 (EHR) 访问和财务支持.
结论:
- 将药剂师整合到护理团队中可以减少每个患者的PCP预约,并增加高血压管理服务的可用性.
- 这种TBC模型可能会改善PCP的可用性和患者的治疗结果.
- 计划的可持续性和可复制性可以通过组织的参与,可访问的基础设施和充足的融资来实现.
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