对服用萨库比特里尔/瓦尔沙坦的患者实施坚持药房转诊协议
Brigid Perry1, Justin Jakab1, Brittiny Robinson1
1Department of Pharmacy, Cleveland Clinic, OH.
Journal of managed care & specialty pharmacy
|January 2, 2025
概括
药房工作人员通过实施sacubitril/valsartan工作流程协议,实现了86%的合规率. 该协议旨在改善心力衰竭患者的药物坚持和患者益处.
科学领域:
- 心脏病学 心脏病学
- 药理学 药理学是指药理学的学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 心力衰竭 (HF) 是一种广泛的疾病,与严重的发病率和死亡率有关.
- 目前的指导方针建议使用萨库比特里尔/瓦尔沙坦,以减少与HF相关的并发症.
- 患者的坚持和获得护理对于实现治疗效益至关重要.
研究的目的:
- 评估药房工作人员是否遵守sacubitril/valsartan (Sac/V) 工作流程协议.
- 为了确定在Sac/V协议中注册的患者的非临床益处.
- 评估邮购药房中药物特定工作流程的可行性.
主要方法:
- 为那些最有可能从坚持药房 (AP) 服务中受益的患者制定了分拣协议.
- 克利夫兰诊所家庭分娩 (HD) 和AP实施了Sac/V处方的协议.
- 追踪了药房工作人员的合规性和患者在合规服务中的入学情况.
主要成果:
- 对于主要结果 (对114个处方中98个处方的选) 实现了86%的合规率.
- 在98名患者中,遵守服务包括事先授权 (41.8%),共同支付卡申请 (13.3%),赠款资助 (17.3%) 和患者援助计划启动 (9.2%).
结论:
- 药房可以实现药物特定的工作流.
- 这些工作流可以确保高风险患者在昂贵的药物上获得遵守服务.
- 实施这些协议可以改善患者获得关键的HF治疗方法,如sacubitril/valsartan.
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