药剂师与医生对COVID-19药物的电子访问请求的管理:一个随机临床试验
Tracy A Lieu1,2,3, E Margaret Warton2, Andrew deLaunay4
1The Permanente Medical Group (TPMG), Pleasanton, CA.
Journal of managed care & specialty pharmacy
|February 6, 2025
概括
药剂师对COVID-19药物的电子访问 (电子访问) 的管理显示出与医生护理的质量相似. 药剂师提供了更快的处方,工作流的改进随着时间的推移降低了成本.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
- 药物治疗 药物治疗
背景情况:
- 电子访问 (e-visits) 改善了医疗保健的获取,但却给初级保健医生带来了压力.
- 药剂师参与处方电子访问的研究不足.
- 这项研究解决了对药剂师管理的电子访问的证据需求.
研究的目的:
- 为了比较药剂师领导的与医生领导的COVID-19药物电子访问管理.
- 评估护理质量,及时性和患者体验方面的差异.
- 评估药剂师在管理电子访问处方请求方面的有效性.
主要方法:
- 一个集群随机试验,涉及1753名成年人在17个医疗机构.
- 通过电子访问请求COVID-19药物的患者被随机分配给药剂师或医生护理.
- 主要结果:药物相互作用咨询;次要结果:处方率,处方时间,患者满意度.
主要成果:
- 药剂师和医生护理之间的药物相互作用咨询率没有显著差异 (96.2%对96.0%).
- 类似的处方率 (87.4%与84.4%) 和患者满意度.
- 药剂师护理导致处方时间显著缩短 (1.0比2.5小时),但初始成本更高.
- 研究后的药剂师护理协议变化减少了时间和成本.
结论:
- 药剂师和医生管理COVID-19药物电子访问提供了可比的护理质量.
- 药剂师主导的电子访问可以提高护理的及时性.
- 药剂师管理是其他专注于药物处方的电子访问的可行选择.
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