实施药剂师主导的初级保健药物基因组学药物管理服务
Kathryn Taylor1, Audrey Umbreit2, Catherine Lea3
1Instructor in Pharmacy, Mayo Clinic School of Health Sciences; Mayo Clinic Health System, Eau Claire WI.
Innovations in pharmacy
|August 21, 2024
概括
由药剂师领导的药物基因组学 (PGx) 服务在初级保健机构中成功实施. 这种标准化的方法增加了PGx访问量,并在综合卫生系统内增加了医疗服务提供者的采用率.
科学领域:
- 药物基因组学 药物基因组学
- 个性化医疗是个性化的医疗.
- 主要护理药房实践 药房实践
背景情况:
- 药物基因组学 (PGx) 指导最佳药物选择,由个性化药物需求和慢性疾病流行率驱动.
- 现有的PGx实施模式缺乏药剂师在初级保健和标准化中的利用,这阻碍了广泛采用.
- 需要结构化模型来将PGx服务整合到初级保健环境中.
研究的目的:
- 描述一个机构指导文件的开发和应用,用于实施PGx药物管理服务.
- 在综合卫生系统内建立初级保健诊所的PGx服务标准化工作流程.
- 为了测量在实施后完成的PGx访问的增长.
主要方法:
- 一个药剂师工作组根据文献,指导方针和政策制定了一份全面的指导文件.
- 该文件概述了六项最低实践要求和六项初级保健实施建议.
- 追溯图表审查分析了2022年1月1日至2022年9月30日的PGx访问 (面对面,电话,eConsult).
主要成果:
- 药剂师主导的PGx药物管理服务在所有初级保健站点建立.
- 在研究期间,1378名患者进行了1939次PGx访问,其中92%是由初级保健提供者推的.
- 初级保健药剂师进行了86.7%的访问,其中89%的参与药剂师完成了至少一次访问.
结论:
- 制定一个机构流程和指导文件促进了药剂师领导的PGx服务的实施和标准化.
- 向提供商和药剂师传播工作流期望导致了成功的服务采用.
- 实施的模型展示了一个可扩展的方法,将PGx整合到初级保健中.
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