在卫生系统特种药房内实施增强药物获取工作流程:对患者和临床医生的体验的影响
Brandon Harkonen1, Anthony Cuttitta2, James Henderson3
1Department of Pharmacy, Michigan Medicine, Ann Arbor, MI, USA.
概括
通过解决药物获取挑战,实施专业药房干预显著改善了患者和临床医生的体验. 这种主动的方法减少了临床医生的负担,提高了患者的满意度,正如积极的沟通和结果所证明的那样.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者体验 患者体验
- 临床药房 临床药房
背景情况:
- 开始专用药物治疗往往会给患者带来很大的障碍,并增加临床医生的工作量.
- 现有的药物获取流程可能会导致患者和医疗保健提供者的延迟和不满.
研究的目的:
- 通过在处方阶段之前分配资源,评估旨在增强专用药物获取的干预措施的影响.
- 评估这种干预对专科诊所患者和临床医生的经验的影响.
主要方法:
- 在5个医疗专科诊所实施了专业药房干预,嵌入了一个专门的药物获取团队.
- 一种多方法方法包括一项回顾性队列研究,分析患者门户消息的情感价值 (使用事件研究框架) 和与临床医生进行半结构化的定性访谈.
主要成果:
- 这项干预与患者门户消息的净积极情绪价值显著增加相关 (平均边际效应,5.3;P < 0.001).
- 大多数患者群体在信息价值方面经历了统计学上显著的改善,临床医生采访中显著的积极主题包括减轻负担,提高满意度和提高工作流效率.
结论:
- 积极投资员工资源以获得药物准入,涵盖事先授权过程,大大改善了临床医生的经验.
- 观察到的积极患者沟通的增加表明,随着特殊药物获取,患者整体体体验的同时改善.
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