在退伍军人事务系统中实施试点药物药物优化远程医疗诊所
Wesley Faulkner1, Sandra L DiScala1, Jennifer A Quellhorst1
1West Palm Beach Veterans Affairs Healthcare System, West Palm Beach, Florida.
The Senior care pharmacist
|April 30, 2024
概括
临床药剂师使用的VIONE方法,为老年退伍军人优化了药物治疗方案,减少了药物负担并实现了显著的成本节约. 这种方法可以确保在门诊护理中安全的药物管理.
科学领域:
- 老年人药房 老年人药房
- 医疗保健服务研究 医疗服务研究
- 药物经济学 药物经济学
背景情况:
- 老年患者 (>65岁) 经常有复杂的药物治疗方案,增加药物不良反应和相互作用的风险.
- 退伍军人事务部发起了用于药物优化的VIONE方法.
- 一项试点研究实施了经过董事会认证的临床药剂师从业人员,使用老年退伍军人VIONE模型.
研究的目的:
- 试点使用VIONE方法来优化65岁及以上退伍军人的药物治疗.
- 评估药剂师主导的药物审查对药物负担和成本节约的影响.
主要方法:
- 通过VIONE仪表板识别的退伍军人具有特定的纳入标准 (≥5种药物,VIONE评分≥5,CAN评分>90).
- 进行了基于电话的药物治疗方案审查和后续电话.
- 收集关于药物停用,课程,接触时间和避免成本的数据.
主要成果:
- 成功联系了53名患者进行药物审查.
- 停用药物的顶级类别:维生素/补充剂,眼科,胃肠道和非控制的止痛药.
- 在一年内实现了17716美元的潜在成本避免.
结论:
- 维恩 (VIONE) 方法促进了在门诊护理环境中有效的药物优化.
- 临床药剂师的实施带来了显著的成本节约,损害最小.
- 该模型支持老年退伍军人安全高效的药物管理.
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