药剂师主导的药物审查:对系统性审查的范围审查
Miriam Craske1, Wendy Hardeman2, Nicholas Steel3
1School of Pharmacy, University of East Anglia, Norwich, England.
PloS one
|September 6, 2024
概括
药剂师主导的药物评价在不同患者群体和环境中显示出混合的有效性. 需要进一步的研究,以了解这些审查的哪些组成部分最能改善患者的结果.
科学领域:
- 制药科学 制药科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 药物审查,通常由药剂师领导,旨在支持服用多种药物的患者.
- 2015年之前的研究表明,药物评价在社区环境中改善了临床结果的不确证据.
- 需要进一步调查以确定对以患者为中心和经济结果的影响.
研究的目的:
- 对药剂师主导的药物审查进行系统性审查的范围审查.
- 探索干预措施的多样性,有效性的证据,以及发现的研究差距.
主要方法:
- 包括系统审查,无论参与者,设置或结果.
- 排除了药剂师没有领导干预的审查.
- 提取了关于研究设计,人口,环境,结果,干预细节和未来研究建议的数据.
主要成果:
- 确定了24项系统性审查,指出了多样化且经常描述不佳的药物审查干预措施.
- 高质量的审查没有发现对死亡率的影响,但表明与药物相关的问题有所改善,并减少了医院再入院.
- 较低质量的评论表明,对于某些临床结果,如糖尿病控制和血压目标,潜在的有效性.
结论:
- 对药物评价有效性的证据在各种环境和患者群体中是混合的.
- 关于实施的数据有限,因此难以确定有效的干预组件.
- 进一步的研究应侧重于药物审查干预措施的性质,并将特定组件与改善结果联系起来.
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