糖尿病和心血管疾病的查和转诊计划:社区药剂师可以弥合护理差距吗?
Melanie Livet1, Amber Watson2, Shweta Pathak3
1National Implementation Research Network, Frank Porter Graham Child Development Institute, and Division of Practice Advancement and Clinical Education, UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill.
Exploratory research in clinical and social pharmacy
|December 19, 2024
概括
社区药房在提供心血管疾病 (CVD) 和糖尿病 (DM) 查和转诊 (S&R) 计划方面证明了可行性. 尽管患者和药剂师获得了积极的结果,但可持续性仍然是这些重要临床服务的挑战.
科学领域:
- 公共卫生 公共卫生
- 药房实践 在药房实践.
- 实施科学 实施科学
背景情况:
- 心脏病和糖尿病是美国主要的死亡原因.
- 及时查,转诊和教育对于有效治疗至关重要.
- 社区药房可以在以患者为中心的护理干预中发挥作用.
研究的目的:
- 评估基于社区药房的心血管疾病 (CVD) 和糖尿病 (DM) 的查和转诊 (S&R) 计划的可行性和初步有效性.
- 评估实施结果,如采用,可接受性和可持续性.
- 通过患者转诊率和医生随访率来检查计划的有效性.
主要方法:
- 在15家社区药房进行了一项有效性-实施混合II型研究,持续了12个月.
- 通过采用率,调查和药剂师访谈来评估实施可行性.
- 通过使用患者日志,调查和专注于推和沟通的采访来衡量计划的有效性.
主要成果:
- 网站采用率达到了87%,药剂师接受度和可行性高.
- 患者采用情况各不相同,但所有有风险的患者都被转诊,65%的查被传达给提供者.
- 药房认为这些计划是有益的,提高药剂师的知识和患者关系,但只有三个打算继续.
结论:
- 针对心血管疾病和DM的基于社区药房的S&R计划是可行的,并显示了初步的积极结果.
- 这些计划的可持续性是一个重大挑战,突出了对新的临床服务模式的需求.
- 更广泛的实施需要改变范式,以支持社区药剂师作为临床护理扩展者.
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