与住院成咨询相关的定量和定性结果:范围审查
Laura Rodger1,2,3, Jeremy Cygler3, Andrew Pinto1,2,4
1Upstream Lab, MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, Unity Health Toronto, Toronto, ON, Canada.
住院成咨询服务改善了药物使用,并降低了药物使用者的过量服用和死亡率. 虽然医疗保健利用效应不一致,但这些服务增强了患者和提供者的体验.
科学领域:
- 成 药物 药物 药物 药物
- 基于医院的干预措施
- 医疗保健服务研究 医疗保健服务研究
背景情况:
- 在物质使用障碍患者中,急性护理使用率很高.
- 药物成治疗在住院治疗的有限整合.
- 药物成咨询服务作为一种新的医院干预措施的出现.
研究的目的:
- 系统地审查和综合住院成咨询服务的定量和质量结果.
- 评估成专家咨询对临床指标和医疗保健经验的影响.
主要方法:
- 在多个数据库 (Medline,CINAHL,Embase,Cochrane,PubMed,PsychInfo,Google Scholar) 进行了全面的文献搜索 (2000-2022年).
- 包括报告医院成专家咨询结果的研究.
- 采用严格的选流程与多个独立审查员.
主要成果:
- 咨询改善了药物治疗启动率,但对医疗保健利用产生了不一致的影响.
- 与过量服用率和90天死亡率的降低有关.
- 定性数据表明对医学学习者,医疗保健提供者和患者体验产生积极影响.
结论:
- 住院成咨询服务显示出可衡量的临床益处,特别是在药物治疗和降低死亡率方面.
- 医疗保健利用结果需要进一步调查.
- 定性发现强调了这些服务在改善患者和提供者医院体验方面的价值.
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