通过实施以团队为基础的多学科工作流程,改善酒精使用障碍患者的住院出院计划
Parinaz Abiri1, Il Seok Daniel Jeong1, Amber Verdell2
1Department of Medicine, Olive View-UCLA Medical Center, Sylmar, CA, United States of America.
一个新的药房工作流程显著增加了药物辅助治疗 (MAT) 对酒精使用障碍 (AUD) 的处方. 这种干预措施还减少了再入院和急诊室的访问,改善了患者的治疗结果,并可能降低医疗保健成本.
科学领域:
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 酒精使用障碍 (AUD) 在美国是一个重大的经济和医疗保健挑战.
- 尽管有可用的基于证据的药物辅助治疗 (MAT) 治疗AUD,但医生采用仍然很低.
研究的目的:
- 评估药房指导出院规划工作流对AUD患者的MAT处方率和再入院率的影响.
- 评估干预对急诊室 (ED) 访问的影响.
主要方法:
- 在六个月内进行了干预前后研究,包括90天的干预前后期.
- 该干预涉及一个药房工作流,生成药剂师审查的患者名单和对MAT处方 (纳尔特雷,阿坎普酸盐, gabapentin) 的建议.
- 住院后的随访是在出院后的30天内进行的.
主要成果:
- 该研究观察到,在出院时,MAT处方增加了195% (p < 0.001).
- 在90天的总再入院率 (61%,p < 0.05) 和与酒精有关的再入院率 (92%,p < 0.05) 中,注意到了显著的减少.
- 还实现了与酒精有关的90天ED访问 (88%,p < 0.05) 的显着减少.
结论:
- 基于药房的出院规划工作流可以有效地增加AUD的MAT处方.
- 这种干预措施显示了减少住院再入院和急救诊所访问的潜力,从而改善了患者的治疗结果,并减少了医疗保健支出.
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