药剂师指导的护理服务转型减少了安全网络医院的再入院
Shannon Carboni1, Monika Tawfik1, Brooke Menon1
1Hennepin Healthcare, Minneapolis, MN, USA.
The Annals of pharmacotherapy
|January 25, 2025
概括
药剂师领导的护理过渡服务 (TOC) 在高风险的医疗补助人口中,医院再诊减少了近40%. 这些服务对于管理复杂的患者需求和改善安全网医院的结果至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 药房实践 在药房实践中
- 患者的治疗结果.
背景情况:
- 有限的数据存在于药剂师领导的护理过渡 (TOC) 服务在安全网医院.
- 安全网人口经常面临复杂的健康和社会挑战,包括住房不稳定,物质使用障碍 (SUD) 和心理健康问题.
研究的目的:
- 评估药剂师领导的TOC服务对医院再接收的影响.
- 评估这些服务在高风险管理的医疗补助人口在安全网医院设置.
主要方法:
- 在2022年1月至2022年12月期间接受TOC服务的292名患者的回顾性评估.
- 干预措施包括初次访问,药物输送/教育,以及出院后的后续电话.
- 主要结局是30天的再入院;次要结局包括再入院原因.
主要成果:
- 干预后的中位再接收率从20.2%降至12.3%.
- 药物使用障碍是重新入院的主要原因 (58%).
- 六次再入院 (16.7%) 是与药物相关的,五次是SUD复杂的;没有一个是可以预防的.
结论:
- 药剂师主导的TOC出院服务显示出在社会复杂管理的医疗补助人口中减少再入院的潜力.
- 这些发现凸显了TOC服务在弱势患者群体的安全网医院环境中的价值.
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