评估不同的干预模式,以降低嵌入式药房访问的不出现率
Lyric Chaplin1, Patrick Gregory1, Benjamin Smith1
1PGY-2 Ambulatory Care Pharmacy Resident.
Journal of the American Pharmacists Association : JAPhA
|February 26, 2025
概括
两项干预措施旨在减少患者没有参加临床药剂师预约的情况. 虽然观察到数量较低的没有出现率,但这些差异在统计学上并不显著,需要进一步研究.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床药房实践 临床药房实践
- 患者获得护理的机会
背景情况:
- 临床药剂师从业人员 (CPP) 整合到杜克初级保健 (DPC) 诊所,在医生监督下管理药物和实验室.
- 患者没有参加CPP预约,会给DPC诊所带来很大的成本.
- 了解和减轻患者不出现是临床效率和患者护理的关键.
研究的目的:
- 评估两项干预措施对嵌入式临床药剂师实践人员预约的患者不出现率的影响.
- 识别潜在的与患者相关的障碍,有助于错过预约.
主要方法:
- 从2023年9月到11月进行了一项单中心前性干预研究.
- 干预措施包括发送患者门户提醒,并将迟到的面对面访问转换为虚拟预约.
- 没有出现的病例率与前一年的对照组进行了比较,使用了奇平方测试.
主要成果:
- 总共分析了1645个预约.
- 没有出现率为20.4% (对照),18.0% (提醒) 和15.7% (虚拟转换).
- 与对照组相比,干预组的每日财务损失因没有出现而数量较低.
结论:
- 这两种干预措施都导致了数字上较低的无人出现率,但这些减少在统计学上并不显著.
- 无法确定与未出现相关的特定患者障碍.
- 需要进一步的研究来评估这些干预措施在临床工作流程中的影响和长期可行性.
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