埃瓦尔帕克斯:在社区医院系统中评估药剂师驱动的涅马特里尔维尔/里托纳维尔处方协议
John P Bomkamp1, Caleb Isom2, Makayla L Wells3,4
1Indiana University Health Arnett Hospital, Lafayette, IN, USA.
概括
药剂师处方的尼马特里尔维尔/里托纳维尔显示出高度的适当性和安全性. 这项研究强调药剂师是优化获得这种抗病毒治疗的关键专业人员.
科学领域:
- 药理学 药理学是指药理学的学科.
- 传染性疾病 传染性疾病
- 医疗保健服务研究 医疗服务研究
背景情况:
- 尼尔马特里尔维尔/里托纳维尔是治疗COVID-19的关键抗病毒药物.
- 确保安全有效地获得尼尔马特里尔维尔/里托纳维尔是公共卫生的优先事项.
- 药剂师处方倡议旨在扩大治疗的可访问性.
研究的目的:
- 评估药剂师处方的尼马特里尔维尔/里托纳维尔的安全性和有效性.
- 将药剂师的处方实践与其他医疗保健提供者的实践进行比较.
- 评估药剂师发起的尼马特里尔维尔/里托纳维尔处方的适当性.
主要方法:
- 一项多中心的回顾性观察研究分析了处方尼马特里尔维尔/里托纳维尔的患者.
- 患者被分为药剂师处方和医生/NP/PA处方组.
- 电子健康记录被审查为处方的适当性,包括指示,症状发作和剂量.
主要成果:
- 与其他提供者 (87.5%) 相比,药剂师处方尼马特里尔维尔/里托纳维尔的整体适当性显著更高 (99.6%).
- 在药剂师处方组 (98.8%) 与其他提供者组 (90.6%) 相比,适当的剂量也更高.
- 在不同组之间,医疗护理访问率和30天内死亡率相似.
结论:
- 药剂师处方尼马特里尔维尔/里托纳维尔与满足适宜性标准的可能性更高有关.
- 药剂师是有价值的医疗保健专业人员,可以提高尼尔马特里尔维尔/利托纳维尔的处方和使用.
- 这种模式有效地增加了患者获得及时抗病毒治疗的机会.
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