药剂师支持的电子宣传,以解决医疗保险优势计划注册人员的药物不服药问题
Natasha Virrueta1, Valerie Valdiviez2, Trevor Beutel1
1University of Colorado, Skaggs School of Pharmacy and Pharmaceutical Sciences, Aurora.
Journal of managed care & specialty pharmacy
|January 2, 2025
概括
药剂师支持的电子外展改善了糖尿病患者的药物坚持. 虽然对一些人来说有效,但该倡议产生了混合的结果,并突出了加强患者参与策略的领域.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 人口健康管理 人口健康管理
- 数字健康干预措施 数字健康干预措施
背景情况:
- 改善慢性药物的药物坚持对于患者的结果至关重要,但往往需要密集资源.
- 电子外展倡议提供了一个潜在的可扩展战略,以支持药物坚持.
研究的目的:
- 量化药剂师支持的电子外展计划对药物遵守的影响.
- 质量评估患者参与和对电子消息的反应,以确定药物服药.
主要方法:
- 用混合方法对医疗保险优势计划的入学者进行回顾性队列评估 (2023年1月至12月).
- 干预涉及电子健康信息,邮寄信件或电话给那些被确定为药物补充迟到的患者.
- 覆盖日数比例 (PDC) ≥0.8定义的坚持;患者对电子信息的反应被主题分析.
主要成果:
- 干预后,糖尿病药物的坚持显著增加 (87.5%与83.4%,P=0.021).
- 没有观察到对高血压或胆固醇药物的坚持有显著变化.
- 电子邮件的打开率为74.4%,患者响应率为32.4%;常见的响应包括自我报告的遵守,不遵守,赞赏和困惑.
结论:
- 人口健康倡议在药物坚持指标上显示了混合的结果.
- 电子健康记录信息提供了有价值的见解,以提高患者参与度和干预效率.
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