药剂师专业知识对接受率的影响在一个大型学术卫生系统内的综合电子咨询计划中
Carrie Freed1, Cynthia King1, Brandon Soltesz1
1The MetroHealth System (Cleveland, OH).
Innovations in pharmacy
|November 1, 2024
概括
药剂师的专业知识显著改善了电子咨询 (e-consult) 的结果. 将专家药剂师纳入电子咨询计划可以提高推接受率和整体计划的成功率.
科学领域:
- 医疗信息学 医疗信息学
- 药房实践 在药房实践.
- 临床决策支持 临床决策支持
背景情况:
- 电子咨询 (e-consults) 在医疗保健中很常见,但在特定条件之外,药房没有充分利用.
- 有限的研究存在于优化药剂师在电子咨询计划中的作用.
- 本研究通过评估药剂师专业知识对电子咨询结果的影响来弥补这一差距.
研究的目的:
- 评估药剂师专业知识对电子咨询结果的影响.
- 为了比较专家和非专家药剂师推的接受率.
- 分析二次结果,包括执行率和响应时间.
主要方法:
- 从2020年3月至2022年8月在学术卫生系统进行的375个药房电子咨询的回顾性审查.
- 收集的数据包括疾病状态,订购供应商,药剂师专业和建议接受度.
- 皮尔森基平方测试用于比较专家和非专家药剂师之间的接受率.
主要成果:
- 电子咨询涵盖了19种疾病状态,糖尿病,疼痛管理和心理健康是最常见的.
- 与非专家 (39.6%;p=0.002) 相比,专家药剂师的推接受率 (62.6%) 显著更高.
- 整体实施率为51.8%;医生助理的接受率最高 (100.0%).
结论:
- 将专家药剂师纳入电子咨询计划可以显著提高推的接受度.
- 综合的电子咨询计划从包括专业药剂师的专业知识中受益.
- 调查结果支持在数字健康咨询中扩大药剂师角色.
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