社区药剂师作为独立处方者:一个范围审查
Journal of the American Pharmacists Association : JAPhA
|July 24, 2024
概括
社区药剂师的独立处方改善了患者的获取,并减少了医疗保健延迟. 这种模式具有成本效益,并使社会在微,中和宏观层面受益.
科学领域:
- 制药实践 制药实践 制药实践
- 主要护理是指初级护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 医生预约等待时间的增加和专业人员短缺需要创新的医疗保健解决方案.
- 几个国家正在探索药剂师的独立处方,以应对接入挑战.
研究的目的:
- 分析社区药剂师在初级保健中独立处方的贡献.
- 利用微,中和宏观层面的框架来评估影响.
主要方法:
- 对2000年以后出版的3个数据库 (Medline,Scopus,Embase) 进行了范围审查.
- 包括英语或法语的原始研究,重点是药剂师独立处方 (PIP) 的有效性,有效性或效率.
- 审查了包含的研究的文献,并使用Covidence进行文章管理.
主要成果:
- 包括13项研究,显示社区药剂师独立处方改善了患者的准入,并减少了治疗延迟 (微观水平).
- 提高了患者的安全和生活质量,同时减少了医生的工作量,促进了护理的获取 (mesolevel).
- PIP模型通过潜在地避免不必要的医疗咨询 (宏观层面) 来证明社会成本效益.
结论:
- 药剂师独立处方者在初级保健中提供了重要的价值和相关性.
- PIP对轻微疾病和慢性疾病有效,在所有分析水平上产生社会效益.
- 虽然有效性和有效性已经确立,但对效率的进一步研究是合理的.
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