为药剂师开发,试点和评估一种定性文档工具,以分享高影响力的患者干预故事
Alex William Middendorf1, Aaron Hunt2, Alexa Vanden Hull1
1South Dakota State University College of Pharmacy and Allied Health Professions.
Innovations in pharmacy
|November 1, 2024
概括
社区药剂师可以通过增强服务来改善患者护理,但使用率仍然不足. 一个新的在线工具,患者故事报告工具 (PSRT),捕捉了细微的药剂师干预,突出了它们的价值,并支持了更好的报销模式.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 药房实践 在药房实践.
- 患者的治疗结果.
背景情况:
- 社区药剂师是非常容易获得的医疗保健提供者,对于治疗慢性疾病至关重要.
- 药房服务的不足部分来源于不充分的报销模式,这些模型未能充分把握服务范围.
- 现有的文档方法缺乏足够的细节来传达药剂师干预的全面影响.
研究的目的:
- 开发和试行一个在线报告工具,用于记录门诊机构中高影响力药剂师干预措施.
- 通过药剂师的"故事"捕捉护理的细微差别,并通过药剂师的"故事"促进积极的患者结果.
- 提供质量数据,说明增强药房服务的价值.
主要方法:
- 为药剂师创建了一个在线患者故事报告工具 (PSRT),以分享直接的患者护理遭遇 ("故事").
- 文档包括自由反应叙述以及有限的定量和定性数据.
- 一项试点研究涉及16个地点的18名药剂师,分析重点是按干预类型组织的定性叙事数据.
主要成果:
- 在2021年8月至2023年3月期间,从17家药剂师收集了47个"故事".
- 确定的主要干预类型是一般患者教育 (7),药物优化 (20) 和降低成本 (20).
- 分析了每个干预类型的详细示例,以说明该工具的功能.
结论:
- 该PSRT有效地捕捉了药剂师服务的性质,患者互动及其价值.
- 该工具记录了药剂师干预的细微差别及其对患者医疗保健旅程的影响.
- 调查结果支持提高药剂师角色的认识,并证明了药房服务的扩大补偿模式的合理性.
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