药剂师驱动的转介对增加专业药房处方捕获量的影响
Sue'ad Elchehimi1, Joshua Blackwell1, Saba Mohiuddin1
1UT Southwestern Medical Center, Dallas, TX, USA.
概括
将临床药房专家 (CPS) 整合到风湿病诊所中,显著提高了处方捕获率和收入. 这一举措优化了患者护理,并证明了嵌入式药房服务在专业护理环境中的价值.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床药房实践 临床药房实践
- 类风湿病患者护理 类风湿病患者护理
背景情况:
- 卫生系统专业药房的低处方捕获率可能会影响收入和患者获得药物的机会.
- 将临床药房专家 (CPS) 整合到门诊护理环境中是一种提高药物管理和工作流效率的策略.
研究的目的:
- 评估在风湿病诊所内嵌入临床药房专家 (CPS) 对卫生系统专业药房处方捕获率的影响.
- 评估这种整合对收入产生和处方路由的影响.
主要方法:
- 一名临床药房专家被嵌入了风湿病诊所,以优化生物药物订购和处理工作流程.
- 在CPS实施之前和之后,监测了处方捕获率,收入以及指向卫生系统专业药房的处方比例.
- 电子医疗记录分析和专门的药房数据库被用于数据收集.
主要成果:
- 在CPS整合后,处方捕获率从13.16%显著增加到35.42% (P = 0.019).
- 最初发送到卫生系统专业药房的处方比例从37%上升至79% (P < 0.001).
- 虽然收入从43,222.89美元增加到135,198.70美元,但这种变化在统计学上并不显著 (P = 0.224).
结论:
- 将临床药房专家整合到风湿病学门诊中,有效地增加了处方采集和药房收入.
- 该模型优化了患者护理,并证明了在学术医疗中心内扩大药房服务的成功策略.
- 这些发现支持将类似的嵌入式CPS模型扩展到卫生系统内的其他专科诊所.
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