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在社区卫生保健机构为多病症和多药制患者提供多剂量药物
Adela Martín-Oliveros1, Javier Plaza Zamora1, Alessandro Monaco2
1Spanish Society of Clinical, Family and Community Pharmacy (SEFAC), Madrid, Spain.
概括
多剂量药物发行系统 (MDD) 在社区环境中帮助患有多种疾病和药物的患者. 虽然数据有限,但MDD在得到药物审查和明确的医疗保健专业人员角色的支持时显示出潜在的益处.
科学领域:
- 药房实践 在药房实践.
- 老年医学 老年医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 多剂量药物分发 (MDD) 涉及为特定时间包装药物,帮助患者进行复杂的治疗方案.
- 使用MDD的患者经常出现多病症,多药性,认知障碍,并且通常是年长的女性.
- 对于药物管理能力减弱的个人来说,MDD经常被实施.
研究的目的:
- 对现有关于多剂量药物分配 (MDD) 系统的文献进行叙事审查.
- 检查MDD在社区卫生保健机构对多病症和多药症患者的影响.
- 综合结合了关于坚持,药物知识,处方质量和患者/医疗保健人员观点的发现.
主要方法:
- 进行了文献搜索,以确定有关MDD的相关研究.
- 包括专注于坚持,药物知识,处方质量,事件和MDD启动后结果的研究.
- 还考虑了医疗保健专业人员 (HCP) 和患者经验的定性数据.
主要成果:
- 关于社区环境中MDD的数据有限,特别是关于遵守结果的数据.
- 研究主要来自北欧,被选中的患者年龄较大,女性,有复杂的健康需求.
- 报告的优势包括改善药物管理,尽管通过药物审查和定义的HCP角色,增强是可能的.
结论:
- 在社区护理中,MDD系统对管理复杂的药物治疗方案具有潜在的好处.
- 优化MDD需要医疗保健专业人员和患者之间进行系统开发和评估的合作.
- 未来的研究应该集中在全面的后续和药物管理链中的明确定义的角色.
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